The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.

 

The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.

 

The Simulation Model Projections show the economic impact of the ACA.

 

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Pursuant to SB 481 (Chapter 464 of the Acts of 2002), the Maryland Department of Health and Mental Hygiene (the Department) created an annual process to set the fee-for-service (FFS) reimbursement rates for Maryland Medicaid and the Maryland Children’s Health Program (MCHP) in a manner that ensures provider participation. The law directs the Department to submit an annual report to the Governor and various House and Senate committees addressing the progress of the rate-setting process; a comparison of Maryland Medicaid’s reimbursement rates with those of other states; the schedule for adjusting Maryland’s reimbursement rates; and the estimated costs of implementing the above schedule and proposed changes to the FFS reimbursement rates. This is the Department’s annual report dated December 2013.

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Senior Policy Analysts Aaron Tripp, MSW, and Barbara Holt, PhD, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.

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In June 2009, IMPAQ International LLC, with its partner, The Hilltop Institute, was awarded a contract to conduct an evaluation of the Medicare Acute Care Episode (ACE) Demonstration. A three-year demonstration project funded by the Centers for Medicare & Medicaid Services (CMS), the ACE Demonstration used a global payment for a single episode of care as an alternative approach to payment for service delivery under traditional Medicare fee-for-service (FFS).

 

This report presents the findings of the evaluation of a bundled payment demonstration for selected cardiovascular and orthopedic procedures, which was implemented at five sites in four states.

 

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The Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform.

This is a user’s guide for the fiscal model.

For this guide, we have assumed that model users have read the document, New Mexico Health Care Reform Fiscal Model: Detailed Analysis and Methodology, and are familiar with the methods of analysis that were used to develop the fiscal model.

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The Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform.

 

This report provides a detailed analysis and methodology of the modeling tool.

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Hilltop participated in the Long-Term Care Payment Advisory Committee (LTC PAC) convened by the Maryland Department of Health and Mental Hygiene (DHMH) and provided support to the group by conducting analyses and making presentations to inform the committee’s work. As part of its efforts, Hilltop prepared this handout regarding the current rate structure for medical day care and assisted living in Maryland.

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This report, prepared for the Maryland legislature, discusses the progress of updating reimbursement rates for the Maryland Medical Assistance Program and the Maryland Children’s Health Program. Preparation of such a report is required annually by SB 481 of the 2002 legislative session.

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This article, published in the Journal of Ambulatory Care Management, describes the risk-adjusted payment methodology employed by the Maryland Medicaid program to pay managed care organizations. It also presents an empirical simulation analysis using claims data from 230,000 Maryland Medicaid recipients.

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