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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11/05/2026

Rethinking Price Transparency Data: A Tool for Post-Transaction Monitoring

As states increase oversight of health care mergers and acquisitions, timely data on post-transaction impacts remain difficult to obtain. In this report, researchers from Hilltop and Georgetown University’s Center on Health Insurance Reforms explore how federal price transparency data can help state regulators monitor changes in negotiated health care prices following provider consolidation. The report demonstrates how publicly available price transparency data can serve as a practical, low-cost tool for post-transaction monitoring and provides a proof-of-concept analysis of a recent hospital acquisition.

Read the report online.

11/03/2026

Nebraska Medicaid Work Requirements Analysis: Month 3 Update

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: Month 2 Update

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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