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.

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12/31/2025

Maryland Department of Health Interagency Agreement Annual Report of Activities and Accomplishments: FY 2025

This report describes the services The Hilltop Institute provided to the Maryland Department of Health under their Master Agreement. The report covers fiscal year (FY) 2025 (July 1, 2024, through June 30, 2025). 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.

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12/30/2025

A Tale of Two Cities: Reconciling Medicaid Work Requirement Enrollment Impacts in Georgia and Arkansas

Director of Analytics and Research Morgan Henderson, Executive Director Alice Middleton, and Director of Health Reform Studies Laura Spicer gave this presentation at the American Economic Association Annual Conference. This work examined why Medicaid work requirements had high compliance in Arkansas but very low compliance in Georgia.

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12/04/2025

Trends in Hospital Pricing for Vulnerable Emergency Department Users, 2021-2023

Hilltop Policy Analyst Morgane Mouslim, DVM, and Director of Analytics and Research Morgan Henderson, PhD, as well as Associate Professor Simone Singh of the University of Michigan, are co-authors of this article published in the American Journal of Managed Care. The authors present the results of their study that analyzes changes in emergency department (ED) facility fees for self-pay patients and highlights growing affordability challenges for uninsured and underinsured individuals. Drawing on hospital price transparency data from 926 hospitals reporting self-pay ED facility fees in both 2021 and 2023, the study identified significant inflation-adjusted price increases across all visit severity levels, with the steepest growth observed at for-profit and system-affiliated hospitals and in communities with higher proportions of uninsured Hispanic/Latino residents.

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