These findings were presented at the Gerontological Society of America’s (GSA) 2023 meeting in Tampa, Florida. Part of a Center and Institute Departmentally-Engaged Research (CIDER) award, this is part of several studies focused on examining quality of care in Maryland nursing facilities.

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Hilltop Principal Data Scientist Morgan Henderson, PhD, and Executive Director Cynthia Woodcock, MBA, presented Hilltop research to the Mississippi House Medicaid Committee. The research – a 2021 economic analysis of Medicaid expansion in Mississippi – was commissioned by the Center for Mississippi Health Policy, a nonprofit, non-partisan organization.

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In this article published in the American Journal of Managed Care, Hilltop Principal Data Scientist Morgan Henderson and Policy Analyst Morgane Mouslim discuss their retrospective analysis of ten price transparency data files to establish empirical regularities about hospital-insurer contracting. Read the article online.

In this article published in the Gerontologist, Hilltop Director of Aging & Disability Studies Christin Diehl and Policy Analyst Roberto Millar, PhD—along with Nancy Kusmaul, PhD, and Ian Stockwell, PhD, from UMBC—discuss their study, which aimed to compare two quality frameworks: one based on observational factors and one based on family satisfaction.

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Policy Analyst Parker James presented at the National Alliance of State & Territorial AIDS Directors (NASTAD) National HIV and Hepatitis Technical Assistance Meeting for the breakout session titled “Data Sharing between Surveillance and Medicaid Population Based Data Use.” His presentation focused on the successful collaboration between HIV Surveillance, Medicaid, and Hilltop in sharing HIV viral suppression data for quality measurement and improvement. This work is funded through the Health Resources and Service Administration’s Special Projects of National Significance Program, which supports the development of innovative models of HIV care and treatment.

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In this article in the Health Affairs Forefront series, Hilltop Principal Data Scientist Morgan Henderson and Policy Analyst Morgane Mouslim posit that the reason there are no compliance studies is not because of lack of interest but because of the complexity of the landscape to which the regulation applies. Read the article online.

How well do US hospitals’ online prices posted for shoppable services correlate with their prices for the same service obtained via the telephone? In this cross-sectional study of 60 US hospitals, online and phone cash prices were poorly correlated within a given hospital for vaginal childbirth. These findings suggest that at US hospitals, price estimates for shoppable services posted online correlate poorly with prices obtained via phone; these findings suggest that patients will continue to face barriers to comparison shopping.

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Assistance in Community Integration Services (ACIS) is a pilot program that is operated under Maryland’s §1115 demonstration waiver for HealthChoice, the state’s Medicaid managed care program launched in 1997. Under this pilot, the state provides a set of home and community-based services (HCBS) to a population that meets certain needs-based health and housing eligibility criteria. This summary report discusses ACIS program goals, eligibility criteria, services, and participating lead entities, followed by the study objectives, research methodology, key findings, and study limitations.

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In this article in the Health Affairs Forefront series, Hilltop Policy Analyst Morgane Mouslim and Principal Data Scientist Morgan Henderson discuss whether novel and publicly available data generated from the Centers for Medicare and Medicaid Services’ new rule for transparency in coverage could be used to promote provider gender equity. Read the article online.

This report was prepared for the Maryland Department of Health as part of the second annual round of Hilltop Challenge awards. It highlights key concepts and findings in recent nursing facility quality of care literature and reviews two quality frameworks that inform nursing facility quality of care initiatives in Maryland. Below are highlights from three distinct studies.

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