This report describes the services The Hilltop Institute provided to the Maryland Department of Health (the Department) under the Master Agreement between Hilltop and the Department. The report covers fiscal year (FY) 2021 (July 1, 2020, through June 30, 2021). Hilltop’s interdisciplinary staff provided a wide range of services, including Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development.

View PDF

In this report, Hilltop discusses the findings of its empirical studies to identify the need for developing a health information exchange solution to bridge the information gap during transitions between LTSS and acute care settings among the population of over 100,000 individuals who are dually eligible for Medicare and Medicaid in the state of Maryland.

View PDF

Enacted in 2010, the Affordable Care Act (ACA) gave states the option to expand their Medicaid programs by extending eligibility to almost all adults under age 65 with income below 138% of the federal poverty level (FPL). As of December 2021, Mississippi was 1 of 12 states that has not expanded its Medicaid program. In order to provide state policymakers with the latest available evidence on the potential impact of Medicaid expansion, the Center for Mississippi Health Policy commissioned The Hilltop Institute to conduct a study on the likely effects of Medicaid expansion on Mississippi’s Medicaid program, state budget, wider economy, and providers. This report provides a summary of the study findings. A more detailed technical report is also available.

View PDF

Enacted in 2010, the Affordable Care Act (ACA) gave states the option to expand their Medicaid programs by extending eligibility to almost all adults under age 65 with income below 138% of the federal poverty level (FPL). As of December 2021, Mississippi was 1 of 12 states that has not expanded its Medicaid program. In order to provide state policymakers with the latest available evidence on the potential impact of Medicaid expansion, the Center for Mississippi Health Policy commissioned The Hilltop Institute to conduct a study on the likely effects of Medicaid expansion on Mississippi’s Medicaid program, state budget, wider economy, and providers. This technical report presents the findings of this study in full detail. A summary report is also available.

View PDF

This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FYs 2020 and 2021.

View PDF

This chart book explores utilization and expenditures for Medicaid-funded long-term services and supports (LTSS) in Maryland for state fiscal years (FYs) 2015 through 2019. The focus of this chart book is on Medicaid nursing facility services, with one chapter that illustrates Maryland’s efforts at providing home and community-based services (HCBS) to an increasing number of Medicaid recipients who may otherwise be served in nursing facilities.

View PDF

Autism Waiver services enable individuals who have autism spectrum disorder and who meet an institutional level of care to be supported in their own homes or community-based settings. Due to the high demand for Autism Waiver services and a defined capacity, individuals wishing to receive waiver services must have their name placed on the Autism Waiver Registry. This infographic presents data about the list and its registrants for FY 2018 to FY 2021.

View PDF

With funding from the National Institutes on Drug Abuse (NIDA), Medicaid Outcomes Distributed Research Network (MODRN) members and AcademyHealth conducted key informant interviews with nine states to describe the roles that Medicaid programs have taken to address the opioid epidemic and their policy and operational decisions. Hilltop Chief of Staff Alice Middleton, JD, is a co-author of this AcademyHealth report, which presents the findings of this research.

View PDF

The Brain Injury (BI) Waiver provides services to individuals aged 22 or older with a brain injury diagnosis who require specialty hospital or nursing facility level of care to be supported in their own homes or community-based setting. Each year, the Maryland Department of Health strives to serve an additional ten participants through the BI Waiver. This infographic provides a brief overview of Hilltop’s review of the program.

View PDF

The Model Waiver provides services to individuals with medically complex needs and a chronic hospital or nursing facility level of care to be supported in their own homes or community-based setting. A unique aspect of the Model Waiver is that, due to the medically complex needs of its participants, non-waiver expenditures typically far exceed waiver expenditures. This infographic presents data about the waiver and its participants for FY 2014 to FY 2019.

View PDF

open

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.