This is the third issue brief in a series resleased by Hilltop’s Hospital Community Benefit Program. It discusses a variety of options for collaboration in assessment, planning, priority setting, and implementation of health improvement initiatives; provides examples of diverse models already in place; and examines their impact on the communities in which they occur.
This report describes and analyzes chronic disease patterns and health care expenditures of persons in Maryland who in 2008 began to receive coverage from both Medicare and Medicaid (Medicare-Medicaid enrollees). The analysis focuses on disease and expenditure patterns in the year before these individuals, most of whom had been enrolled in Medicare alone or Medicaid alone, became enrollees in both programs. Examining health status and expenditures of individuals before their eligibility for both programs can provide a better understanding of the characteristics associated with simultaneous enrollment in Medicare and Medicaid.Also under Task 20 of CMS Contract HHSM-500-2005-00026I/Task Order HHSM-500-T0004, awarded by the Centers for Medicare & Medicaid Services to Thomson Reuters (Healthcare) Inc., Hilltop prepared Pathways to Medicare-Medicaid Eligibility: A Literature Review and New Medicare-Medicaid Enrollees in Maryland: Demographic and Programmatic Characteristics.
This study, which focuses on new Medicare-Medicaid enrollees in Maryland and the circumstances that shaped their initial eligibility for both programs, is an attempt to begin to address several of the gaps identified in a prior literature review. This report details the demographic and programmatic characteristics of new enrollees. Specifically, it serves as the vehicle for establishing an initial operational definition of new enrollees and developing the terminology needed to describe the circumstances surrounding initial Medicare-Medicaid eligibility.Also under Task 20 of CMS Contract HHSM-500-2005-00026I/Task Order HHSM-500-T0004, awarded by the Centers for Medicare & Medicaid Services to Thomson Reuters (Healthcare) Inc., Hilltop prepared Pathways to Medicare-Medicaid Eligibility: A Literature Review and New Medicare-Medicaid Enrollees in Maryland: Prior Medicare and Medicaid Resource Use.
This paper, prepared for the National Governors Association, discusses the progress states have made in moving away from institutional care for Long-Term Supports and Services and toward home and community-based programs. It analyzes the opportunities available through the Affordable Care Act and other programs whereby states can continue that progress even in a challenging budget environment.
The Affordable Care Act (ACA) requires states to either establish and operate a Health Insurance Exchange by 2014 or participate in the federal Exchange. On April 12, 2011, Governor O’Malley signed the Maryland Health Benefit Exchange Act of 2011, which established Maryland’s Exchange as an independent unit of the state government. The Act also established a Board of Trustees to oversee the Exchange. The Hilltop Institute was commissioned to develop a series of background papers in order to assist the Board in planning for the implementation of Maryland’s Exchange.This presentation, delivered by Senior Policy Analyst Martha Somerville, JD, MPH, discusses the background paper on health benefit plan contracting.
The Affordable Care Act (ACA) requires states to either establish and operate a Health Insurance Exchange by 2014 or participate in the federal Exchange. On April 12, 2011, Governor O’Malley signed the Maryland Health Benefit Exchange Act of 2011, which established Maryland’s Exchange as an independent unit of the state government. The Act also established a Board of Trustees to oversee the Exchange. The Hilltop Institute was commissioned to develop a series of background papers in order to assist the Board in planning for the implementation of Maryland’s Exchange.This presentation, delivered by Hilltop Director of Special Research and Development Anthony M. Tucker, PhD, discusses the background paper on market rules and adverse selection.
Director of Long-Term Services and Supports Policy and Research Cynthia H. Woodcock presented at the 27th National Home and Community-Based Services Conference in Washington, DC. This presentation provides an overview of the pilot program and data collection; describes profiles of care managers, care recipients, and caregivers; and discusses the project’s status and the next steps of the evaluation.
Senior Policy Analyst Ian Stockwell, MA, in conjunction with staff from the Maryland Department of Aging and the Maryland Department of Health and Mental Hygiene, presented at the 27th National Home and Community-Based Services (HCBS) Conference. This presentation discussed HCBS beginnings and momentum, including advocacy and costs, HCBS waivers, Aging and Disability Resource Centers (ADRCs), and Money Follows the Person (MFP); data and metrics to build community-based services; and using metrics to move forward. Stockwell focused on Hilltop’s research on utilization and expenditures of both institutional services and HCBS in Maryland, as well as on the Quality of Life Survey Hilltop conducted, to discuss how metrics were used and how they can be used going forward.
The Affordable Care Act (ACA) requires states to either establish and operate a Health Insurance Exchange by 2014 or participate in the federal Exchange. On April 12, 2011, Governor O’Malley signed the Maryland Health Benefit Exchange Act of 2011, which established Maryland’s Exchange as an independent unit of the state government. The Act also established a Board of Trustees to oversee the Exchange. The Hilltop Institute was commissioned to develop a series of background papers in order to assist the Board in planning for the implementation of Maryland’s Exchange.This presentation, delivered by Hilltop Hospital Community Benefit Program Director Donna Folkemer, MA, discusses the background paper on Navigator programs.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the 2011 Memorandum of Understanding between Hilltop and DHMH. The report covers state fiscal year 2011 (July 1, 2010, through June 30, 2011). 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.