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Information Systems and Programming

What We Do: The Hilltop Institute designs and maintains large Medicaid databases to support policy analysis, development of risk-adjusted payment methodologies, and capitation rate setting for managed care. Hilltop's data analysis tools facilitate performance evaluation of managed care programs. Data requests ranging from ad hoc reports to long-term trend analyses can be processed promptly with Hilltop's sophisticated data management technology. In addition, Hilltop continues to link Medicaid and Medicare data to support research related to the development of managed long-term care for persons eligible for both programs

Hilltop warehouses all of Maryland's Medicaid data on claims, encounters, eligibility, and providers. Medicaid databases date back as far as 1991. Nearly 5 million Medicaid records are processed each month, creating yearly databases in excess of 50 million records. Hilltop processes databases from Maryland's Health Services Cost Review Commission, the Centers for Disease Control and Prevention, Medicare, and the federal Minimum Data Set. Hilltop also processes and analyzes much of New Mexico's Medicaid data related to specific programs. State-of-the-art electronic data transfer ensures that The Hilltop Institute receives databases as soon as they become available.

Hilltop developed and hosts the interactive, web-based Decision Support System for the exclusive use of Maryland's Department of Health. This system informs state decision-making by providing comprehensive information on Medicaid eligibility, managed care provider enrollment and capitation payments, acute care services and expenditures, and long-term care utilization and costs. The system allows the user to fashion custom reports using advanced graphics and mapping technologies. A version of the Decision Support System is available to the public at Maryland Medicaid eHealth Statistics.

Hilltop's expertise with web-based applications extends beyond Medicaid databases. Another web-based system developed by Hilltop enables the Maryland Department of Health to efficiently process and track client applications for home- and community-based services available through the Older Adults Waiver, the Living at Home Waiver, and the Money Follows the Person program. Hilltop also possesses the technology to conduct web-based surveys of consumers, providers, and other groups.

How We Can Help: Hilltop is uniquely positioned to assist state and local agencies throughout the nation to develop and host sophisticated web-accessible databases and data management systems for health and human services programs.

For more information, contact:
Babi Lamba
Director, Information Systems and Programming