News & Bulletins Archive
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. View the presentation. View the three study reports.
In addition to this session, Hilltop staff made two more presentations at this meeting. Aaron Tripp and Cynthia Woodcock made a presentation titled New Jersey Care Partner Support Pilot Program: Findings, which discussed the findings of a study to evaluate the program. Ian Stockwell gave a presentation titled Medicaid Long-Term Services and Supports in Maryland: Money Follows the Person (MFP) Metrics, which discussed the set of evaluation metrics for Maryland’s MFP program that Hilltop built and used to evaluate the program.
On October 26, 2012, Hilltop held a colloquium, Health Reform: Implementing Insurance Coverage Expansion, for UMBC faculty, staff, and students, where attendees learned about the policy and financial structure of health insurance reform, as well as the status of its implementation nationally and in Maryland. Click here for more information.
Hilltop Senior Policy Analyst Laura Spicer, MA, gave a presentation at the National Academy for State Health Policy (NASHP) 25th Annual State Health Policy Conference held October 15-17, 2012, in Baltimore. In the presentation, Impact of Medicaid Expansion on a State’s Economy: The Hilltop Health Care Reform Simulation Model, Spicer gave an overview of the Hilltop Health Care Reform Simulation Model, a financial modeling tool developed by Hilltop Director of Economic Analysis Hamid Fakraei, PhD, that projects the costs and savings to states as they implement the provisions of the Affordable Care Act (ACA). Spicer discussed the economic impacts of the ACA and how the model was used in Maryland to isolate the impact of Medicaid Expansion and inform the decision by Maryland policymakers to expand Medicaid in 2015. View the presentation. Learn more about the Hilltop Health Care Simulation Model.
Hilltop has just released a new Issue Brief entitled Lessons from the Implementation of the Maryland Kids First Act, which highlights key findings from Hilltop’s study that evaluated the Kids First outreach initiative. The overarching goal of the study was to evaluate the implementation of Kids First and how well the state achieved its goal of identifying and enrolling uninsured children who are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) in order to glean lessons for not only Maryland, but also other states. This brief describes the factors that facilitated Kids First, as well as the key challenges that Maryland faced as it implemented the initiative. Read the brief. View the Bulletin.
The Hilltop Institute’s Hospital Community Benefit Program has just released two new issue briefs in its Hospital Community Benefits after the ACA series, funded by the Robert Wood Johnson Foundation and the Kresge Foundation .The briefs are being published simultaneously as companion briefs. Read Schedule H and Hospital Community Benefit – Opportunities and Challenges for the States. Read Community Building and the Root Causes of Poor Health. View the Bulletin.
Hilltop Policy Analyst Aaron Tripp, MSW, gave a presentation with IMPAQ International Senior Research Associate Cynthia H. Woodcock, MBA, at the 28th Annual National Home and Community-Based Services (HCBS) Conference in Arlington, VA, which took place September 10 through 13, 2012. This session, entitled Assessing Family Caregiver Needs: The New Frontier, included presentations from the AARP Public Policy Institute and the Family Caregiver Alliance. The presentation, entitled New Jersey Care Partner Support Pilot Program: Findings, discussed highlights of Hilltop’s evaluation of the Pilot Program, which was designed to improve the knowledge and skills of family caregivers for beneficiaries enrolled in waiver programs following a caregiver self-assessment. Implications for health care and social service professionals to better recognize and support families as partners in care and recommendations for further expansion of caregiver assessments were addressed.
Hilltop Senior Research Analyst Michael T. Abrams, MPH, explores the opportunities and challenges pertaining to the enhanced integration/coordination of substance use disorder (SUD) treatments into the publicly financed health care delivery system in a report entitled Coordination of Care for Persons with Substance Use Disorders under the Affordable Care Act: Opportunities and Challenges. Read the report. View the Bulletin. Contact Michael Abrams.
Hilltop Director of Special Studies Ian Stockwell, MA, was a panelist in an August 21, 2012, session at the Medicaid Enterprise Systems conference held August 19 through 23, 2012, in Boston, Massachusetts. In the session, titled Improving Health Outcomes through Coordinated Care Strategies, Stockwell discussed how Hilltop’s efficient Software as a Service (SaaS) model is improving Maryland’s performance monitoring capabilities, reducing providers’ administrative burden, and improving care coordination for recipients. To learn more, contact Ian Stockwell.
The Hilltop Institute is the co-recipient of a National Institute of Mental Health (NIMH) grant entitled Multiple-Impact Effectiveness of a State-Supported Employment Policy Initiative. The project will study the economic and health impacts of evidence-based supported-employment (SE) strategies for persons in Maryland Medicaid with serious mental illness (SMI). Such strategies were aggressively expanded in the mid- to late 2000s, the time frame of this investigation. The research effort will integrate data from several sources, including Maryland Medicaid and public mental health system claims, in order to evaluate the intensity of SE therapy received, as well as health and employment outcomes that appear to follow from that treatment. David Salkever, PhD, professor in UMBC’s Department of Public Policy, is the principal investigator on this work. Hilltop Senior Research Analyst Michael Abrams, MPH, will lead the Hilltop team for this project, which will also include Senior Programmer Jack Clark.
The Hilltop Institute is pleased to announce the success of its sixth invitational symposium, Information Follows the Person: Advancing LTSS Integrated Electronic Records, which convened on June 14, 2012. To learn more about the speakers, view the presentations, and see the agenda, click here. To view the bulletin, click here.
The Hilltop Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings to states as they implement the provisions of the Affordable Care Act (ACA), is now available to states who want to use it to make these projections. To view the Bulletin about the model, click here.
Hilltop Interim Executive Director Michael A. Nolin, MA, was a panelist in a special session at the AcademyHealth Annual Research Meeting on June 24, 2012, in Orlando, Florida. This special session, Building Research Collaborations with State Health Policymakers, used the states of California and Maryland as examples to address the benefits and challenges of state/university partnerships, as well as ways to structure them. The discussion revolved around a series of questions, which can be found here. Nolin discussed Hilltop’s nationally recognized eighteen-year partnership with the Maryland Department of Health and Mental Hygiene, the catalyst for the development of the partnership, what it looks like today, its structure, and the benefits and challenges of such state/university partnerships. To view the slides, click here. To learn more about Maryland’s partnership, contact Mike Nolin.
Hilltop Interim Executive Director Michael A. Nolin, MA, made a presentation at the American Public Health Association’s midyear meeting on June 27, 2012, in Charlotte, North Carolina. The session, titled All in This Together – Public Health and Community Benefit, addressed the requirement for nonprofit hospitals to demonstrate their commitment to community health by conducting a community health needs assessment (CHNA) along with a strategy to address the identified needs to support their nonprofit tax status. In his presentation, Nolin gave an overview of the origins of the community benefit standard and discussed the standard in both a federal and state context; discussed the Internal Revenue Service’s (IRS) reporting requirements for nonprofit hospitals; discussed the CHNA requirements under the Affordable Care Act (ACA); and addressed state policy factors related to CHNAs. Finally, Nolin gave examples of how hospital associations might be responding to these requirements. To view the presentation, click here.
Hilltop Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, presented at the American Health Lawyers Association’s June 21, 2012, webinar titled Protecting Tax Exemption Under the ACA: Exploring New Requirements Related to Community Needs Assessments; Financial Assistance Policies; and Billing and Collection Policies and Procedures. Somerville’s presentation, titled Community Benefit in Context: Evolution to ACA §9007, provided an overview of the origins and evolution of charitable tax exemption, the community benefit standard, and current tax exemption requirements for nonprofit hospitals. Other webinar presenters were Julie A. Trocchio, Senior Director of Community Benefit and Continuing Care at the Catholic Health Association, and Jessica Curtis, Esquire, Project Director of Community Catalyst’s Hospital Accountability Project. The session was moderated by Thomas Hyatt, Esquire, of SNR Denton. To view the presentation, click here. To read the supporting brief, click here.
Hilltop Senior Research Analyst Michael T. Abrams, MPH, is the first author and Hilltop Director of Health Services Policy and Research Cynthia Boddie-Willis, MD, MPH, is a co-author of an article titled Cervical Cancer Screening and Acute Care Visits Among Medicaid Enrollees With Mental and Substance Use Disorders that now is electronically available in pre-print version at the Psychiatric Services website. The article discusses the methodology and findings of a study that compared rates of cervical cancer screening and acute care (primary or gynecological) visits among women enrolled in Maryland’s Medicaid program in 2004-2005 with and without a diagnosis of psychosis, substance use disorder, bipolar disorder or mania, or depression. Researchers found that in Maryland Medicaid, the odds of cancer screening and related acute care visits were greater for women with major mental disorders compared with women in the control group. For women with substance use disorders, however, screening was reduced and acute care visits were similar compared with women in the control group. This work suggests that while women with serious mental disorders in Maryland Medicaid receive preventative somatic care on par with controls, those with substance use disorders (addictions) seem at higher risk for the absence of such care. To view the abstract and access the article, click here. For more information, contact Michael Abrams.