Health Homes are intended to improve health outcomes for individuals with chronic conditions by providing patients with an enhanced level of care management and care coordination. The goal of this report is to provide a description of Medicaid enrollees’ participation in the Maryland Health Home program and their interactions with the health care system during the first year of program implementation.

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During the 2013 Legislative Session, the Maryland General Assembly passed House Bill 228 (Chapter 159, Acts of 2013), entitled the Maryland Health Progress Act of 2013. Section 6 of Chapter 159 requires the Maryland Health Benefit Exchange (MHBE) and the Maryland Insurance Administration (MIA) to conduct a joint study of the impact of the Affordable Care Act’s allowance of a tobacco use rating of 1.5 to 1, including (1) its effect on insurance premiums generally; (2) its effect on the affordability and purchase of insurance, and access to health care, for tobacco users; and (3) any disparate impact on specific vulnerable populations. The study must further assess the options that may be available to the state to address any adverse consequences of tobacco use rating.

 

Hilltop worked with the MHBE and the MIA to conduct this legislatively mandated study. This report contains the findings of the study and concludes with options for further legislative action.

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The incidence of mental health disorders co-occurring with chronic somatic health conditions is gaining attention. This combination can pose significant burdens to health care system resources to provide for complex care needs. Using the Centers for Medicare and Medicaid Services Chronic Condition Data Warehouse, Hilltop explored the prevalence of co-occurring mental health disorders amongst Maryland’s new dual eligible enrollees during 2008 and their subsequent Medicare and Medicaid resource use. This report presents Hilltop’s findings, which establish the scope of the prevalence of mental health conditions among new dual eligible enrollees in Maryland and highlight the need for greater attention and research into this population.

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This report, mandated by the Maryland legislature, was originally intended to be a cost analysis that would provide the basis for a financial subsidy to encourage the expansion of Medicare+Choice plans across Maryland. However, the study took a more comprehensive approach to describe the national and state context in which Medicare+Choice withdrawals were occurring and the impact of the withdrawals on consumers and health care programs.

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Hilltop continues to work remotely, so please reach us by email. You can find our team members’ email addresses by going to their bios located on the Teams page of our website.