Medicare-Medicaid Enrollees: An Examination of New Maryland Enrollees and Pathways to Coverage
November 14, 2012
Hilltop made several presentations at the 65th Annual Scientific Meeting of the Gerontological Society of America that took place November 14-18, 2012, in San Diego. On November 14, Hilltop presented a symposium session titled Medicare-Medicaid Enrollees: An Examination of New Maryland Enrollees and Pathways to Coverage. The purpose of the session was to discuss the findings of the research Hilltop conducted to examine the experience of Maryland Medicare-Medicaid enrollees before their eligibility for both programs. The research identified and cataloged significant differences between persons who first enroll in Medicaid and then in Medicare and those who first enroll in Medicare and then in Medicaid. In the session, Hilltop researchers shared the results of their analyses and findings from a background paper about pathways to eligibility for both programs. Hilltop Director of Long-Term Services and Supports Policy and Research Donna Folkemer, MA, moderated the session. Cynthia Woodcock, MBA, formerly of Hilltop and now Practice Area Lead, Long-Term Care, Aging, and Disability at IMPAQ International, discussed the literature review that described the various pathways to eligibility, presented examples of programs aimed at delaying functional decline and/or poverty, and reviewed enrollment barriers faced by individuals who need both Medicare and Medicaid coverage. Hilltop Policy Analyst Aaron Tripp, MSW, discussed the study on demographic and programmatic characteristics, which compared and contrasted enrollees in both programs with particular attention to identifying differences among various groups. Hilltop Director of Special Studies Ian Stockwell, MA, discussed the study on prior Medicare and Medicaid resource use, which examined chronic disease patterns and prior health care expenditures of persons who began to receive coverage in 2008 from both Medicare and Medicaid. Chuck Milligan, JD, MPH, Maryland Department of Health and Mental Hygiene Deputy Secretary of Health Care Financing, was the discussant for the session.