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.
This chart book explores service utilization and expenditures for dual-eligible beneficiaries (individuals who are eligible to receive both Medicare and Medicaid services)—with a focus on full-benefit dual-eligible beneficiaries—of all ages who received services in calendar years (CY) 2018 through CY 2022.
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.
This is the fourth annual review of the integration requirements for Medicare Advantage dual eligible special needs plans (D-SNPs) completed for the Maryland Department of Health. The goal of D-SNP integration, which became effective in calendar year (CY) 2021, is to help improve coordination of care transitions for individuals who are dually eligible for Medicare and Medicaid. This review covers key findings from the fourth year of implementation.
This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FY 2025.
This chart book explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal year (FY) 2019 through FY 2023. The focus of this chart book is on Medicaid nursing facility services, with one chapter that illustrates Maryland’s efforts at providing home and community-based services (HCBS) to an increasing number of Medicaid recipients who may otherwise be served in nursing facilities.
The goals of the ACIS program are to reduce unnecessary health services use, increase housing stability, and improve health outcomes for Medicaid participants at risk of institutional placement or homelessness. CMS requires the Maryland Department of Health (the Department) to assess pilot programs operating under the state’s §1115 demonstration waiver using both quantitative and qualitative approaches. At the Department’s request, Hilltop conducted a quantitative analysis of participant characteristics and service utilization for individuals enrolled in ACIS during calendar years (CY) 2019 to CY 2023. This report provides the results of Hilltop’s analysis.
Principal Policy Analyst Christine Gill, PhD, presented this poster at the 2025 AcademyHealth Annual Research Meeting (ARM) held June 7–9 in Minneapolis.
The Model Waiver provides services to individuals with medically complex needs and a chronic hospital or nursing facility level of care to be supported in their own homes or community-based settings. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Medical Day Care Services (MDC) Waiver provides health, social, and related support services in a community-based setting to functionally disabled adults age 16 and older. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Family Supports Waiver (FSW) provides community-based services and supports to individuals aged 21 years or younger with developmental or intellectual disabilities. This infographic presents information for fiscal year (FY) 2019 through FY 2023.



