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.
In FY 2012, Hilltop assisted DHMH in its efforts to learn more about the recipients of services from the Developmental Disabilities Administration (DDA). Hilltop Policy Analyst Aaron Tripp, MSW, and Long-Term Services and Supports Policy and Research Director Donna C. Folkemer, MA, gave this presentation on model state supports waivers to the Developmental Disabilities (DD) Stakeholders Group.
In FY 2012, Hilltop assisted DHMH in its efforts to learn more about the recipients of services from the Developmental Disabilities Administration (DDA). Hilltop Policy Analyst Aaron Tripp, MSW, and Long-Term Services and Supports Policy and Research Director Donna C. Folkemer, MA, presented this overview of supports waivers to the Developmental Disabilities (DD) Stakeholders Group.
As part of a two-volume series, this chart book summarizes demographic, service utilization, and expenditure data for state fiscal years 2007 through 2010 on three Maryland Medicaid waiver programs—the Living at Home Waiver, the Medical Day Care Services Waiver, and the Older Adults Waiver—and on nursing facility utilization among Maryland Medicaid recipients. This series, prepared for the Maryland Department of Health and Mental Hygiene, is intended to monitor trends in these programs. Hilltop updates the chart books annually.
As part of a two-volume series, this chart book provides information about Maryland Medicaid participants who received services through the Autism Waiver in FY 2007 through FY 2010. This series, prepared for the Maryland Department of Health and Mental Hygiene, is intended to monitor trends in these programs. Hilltop updates the chart books annually.
The New Jersey Care Partner Support Pilot Program (Pilot) was conducted in four counties in New Jersey (Atlantic, Mercer, Monmouth, and Warren Counties) during the four-month period of March 14, 2011, to July 15, 2011. The goal of the program was to improve the knowledge and skills of family caregivers caring for adult family members and friends participating in New Jersey’s Medicaid Global Options home and community-based services waiver (GO Waiver) and the state-only funded Jersey Assistance to Community Caregivers (JACC) program. The Pilot was one component of a larger initiative entitled Professional Partners Supporting Family Caregiving undertaken by the AARP Foundation with a grant from The John A. Hartford Foundation. Under a subcontract with the AARP Public Policy Institute, Hilltop assessed the experience with the Pilot.
This report describes and analyzes chronic disease patterns and health care expenditures of persons in Maryland who in 2008 began to receive coverage from both Medicare and Medicaid (Medicare-Medicaid enrollees). The analysis focuses on disease and expenditure patterns in the year before these individuals, most of whom had been enrolled in Medicare alone or Medicaid alone, became enrollees in both programs. Examining health status and expenditures of individuals before their eligibility for both programs can provide a better understanding of the characteristics associated with simultaneous enrollment in Medicare and Medicaid.Also under Task 20 of CMS Contract HHSM-500-2005-00026I/Task Order HHSM-500-T0004, awarded by the Centers for Medicare & Medicaid Services to Thomson Reuters (Healthcare) Inc., Hilltop prepared Pathways to Medicare-Medicaid Eligibility: A Literature Review and New Medicare-Medicaid Enrollees in Maryland: Demographic and Programmatic Characteristics.
This study, which focuses on new Medicare-Medicaid enrollees in Maryland and the circumstances that shaped their initial eligibility for both programs, is an attempt to begin to address several of the gaps identified in a prior literature review. This report details the demographic and programmatic characteristics of new enrollees. Specifically, it serves as the vehicle for establishing an initial operational definition of new enrollees and developing the terminology needed to describe the circumstances surrounding initial Medicare-Medicaid eligibility.Also under Task 20 of CMS Contract HHSM-500-2005-00026I/Task Order HHSM-500-T0004, awarded by the Centers for Medicare & Medicaid Services to Thomson Reuters (Healthcare) Inc., Hilltop prepared Pathways to Medicare-Medicaid Eligibility: A Literature Review and New Medicare-Medicaid Enrollees in Maryland: Prior Medicare and Medicaid Resource Use.
This paper, prepared for the National Governors Association, discusses the progress states have made in moving away from institutional care for Long-Term Supports and Services and toward home and community-based programs. It analyzes the opportunities available through the Affordable Care Act and other programs whereby states can continue that progress even in a challenging budget environment.
Director of Long-Term Services and Supports Policy and Research Cynthia H. Woodcock presented at the 27th National Home and Community-Based Services Conference in Washington, DC. This presentation provides an overview of the pilot program and data collection; describes profiles of care managers, care recipients, and caregivers; and discusses the project’s status and the next steps of the evaluation.