Publications

Below is a listing of select Hilltop publications and presentations. You can search by type, topic, date, and/or title. The search function searches for key words in both the title and the publication summary. Click on the publication’s title below to go to its summary.

Accessibility Notice: Publications released before April 24, 2026 have not been remediated for Section 508 compliance.

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11/03/2026

Nebraska Medicaid Work Requirements Analysis 3 Months

Medicaid expansion states will be required to implement community engagement (C.E.) requirements by January 1, 2027. This will be a landmark change to Medicaid, but very little is known about the implementation or consequences of C.E. requirements. Nebraska implemented C.E. requirements on May 1, 2026, and this brief provides updated evidence on the impact of Nebraska’s Medicaid C.E. requirements on Medicaid enrollment through July 2026. This analysis updates a prior brief released on October 5, 2026.

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10/05/2026

Nebraska Medicaid Work Requirement Analysis

Nebraska became the first state to implement Medicaid community engagement requirements under H.R. 1, providing an early look at how these policies may affect coverage. This two-pager summarizes the requirements and presents early evidence that Medicaid enrollment through application declined significantly following implementation.​​​​​​​​​​

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08/28/2026

Not-for-Profit Hospital Community Benefit: Hospital Prioritization of Opioid Use Disorder and Self-Pay Prices for Medications Prescribed for Opioid Use Disorder

Hilltop Policy Analyst Morgane Mouslim, DVM, with Tatiane Santos, Jeanmarie Perrone, Berkeley Franz, and Cory E. Cronin, co-authored this article published in the Journal of Public Health Management & Practice. They examined whether not-for-profit hospitals that prioritize opioid use disorder (OUD) in community benefit (CB) planning are more likely to comply with price reporting for medications commonly prescribed for OUD treatment (OUD medications) and offer lower self-pay prices for OUD medications. Overall, they found limited evidence that hospitals identifying OUD as a community health priority translated these stated priorities into pricing practices that may improve affordability for uninsured and underinsured patients.

Read the article online.