At the request of the Maryland Department of Health and Mental Hygiene (DHMH), The Hilltop Institute conducted a series of analyses on the health care utilization of Maryland’s full-benefit Medicare-Medicaid dual-eligible beneficiaries. Together, these analyses provide an overview of how this population accesses health care services, the types of services being used, and where the services are provided.
This analysis explores utilization of inpatient services by “high utilizer” full-benefit dual-eligible beneficiaries, defined as those who had three or more inpatient stays during CY 2012. The report examines demographics and county of residence; providers serving this population; chronic conditions and most frequent diagnosis-related groups; and Medicare and Medicaid expenditures and service days.
Related publications: Maryland Full-Benefit Dual-Eligible Beneficiaries’ Use of Medicare and Medicaid Services Preceding and Following a Medicare Inpatient Stay, An Analysis of Selected Mental Health Conditions among Maryland Full-Benefit Dual-Eligible Beneficiaries, and The Maryland Dual-Eligible Beneficiaries Chart Book.
At the request of the Maryland Department of Health and Mental Hygiene (DHMH), The Hilltop Institute conducted a series of analyses on the health care utilization of Maryland’s full-benefit Medicare-Medicaid dual-eligible beneficiaries. Together, these analyses provide an overview of how this population accesses health care services, the types of services being used, and where the services are provided.
This report explores dual-eligible beneficiaries’ use of post-acute care (i.e., skilled nursing, inpatient rehabilitation, nursing facility services, hospice, and home health services) in the 30 days immediately following an inpatient stay, as well as their settings of care in the 7 days preceding an inpatient stay. In addition to pre- and post-inpatient settings, the report examines demographics, county of residence, and the most frequent diagnosis-related groups for the population studied.
Related publications: An Analysis of Selected Mental Health Conditions among Maryland Full-Benefit Dual-Eligible Beneficiaries, Characteristics of Maryland Full-Benefit Dual-Eligible Beneficiaries with Three or More Inpatient Stays, and The Maryland Dual-Eligible Beneficiaries Chart Book.
The Maryland Dual-Eligible Beneficiaries Chart Book provides an overview of Maryland dual-eligible beneficiaries with breakdowns by benefit category, age, race, gender, and county of residence; the cost to Medicare and Medicaid of providing care to this population; and the prevalence and costs of chronic health conditions. The chart book is the most recent edition in Hilltop’s chart book series, which includes publications on Medicaid long-term services and supports in Maryland and Medicaid services for individuals with traumatic brain injury and autism.
Related publications: Maryland Full-Benefit Dual-Eligible Beneficiaries’ Use of Medicare and Medicaid Services Preceding and Following a Medicare Inpatient Stay, An Analysis of Selected Mental Health Conditions among Maryland Full-Benefit Dual-Eligible Beneficiaries, and Characteristics of Maryland Full-Benefit Dual-Eligible Beneficiaries with Three or More Inpatient Stays.
The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 2, The Autism Waiver is the second chart book in a series of two that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 1 in this series explores service utilization and expenditures for Maryland Medicaid’s Living at Home Waiver, Waiver for Adults, and Medical Day Care Waiver, as well as Maryland State Plan personal care services and Medicaid nursing facility utilization and expenditures.
This chart book summarizes demographic and Medicaid service and expenditure data for Marylanders using LTSS in state fiscal years (FYs) 2010 through 2013. Medicaid programs and services addressed in this chart book include the Living at Home (LAH) Waiver, the Medical Day Care Services (MDC) Waiver, the Waiver for Older Adults (WOA), Medical Assistance Personal Care (MAPC) Program, Medicaid Nursing Facility Services, and Money Follows the Person.
Hilltop staff made several presentations at the 2015 AcademyHealth Annual Research Meeting (ARM) held June 13 through June 15 in Minneapolis. Executive Director Cynthia H. Woodcock, MBA, presented this poster for Director of Special Studies Ian Stockwell, PhD, at a State Health Research and Policy Interest Group poster session on June 13.
This poster shows that, when the enrollment trajectory of Maryland’s Community First Choice participants is examined, it becomes clear that some groups (such as individuals already in a 1915(c) waiver) are able to begin receiving services sooner than others. On average, CFC recipients used 96 percent of the personal or attendant care hours allocated on their plan of care. Also, planned services contained 58 percent more services on average than proposed by the acuity-based methodology.
Hilltop Senior Policy Analyst Stephanie Cannon-Jones, MPP, gave a presentation at the 25th Annual State of the States in Head Injury Conference on October 28, 2014 in Philadelphia, PA. Cannon-Jones described the key findings of a study that examined Medicaid expenditures and service utilization patterns of Maryland Medicaid-eligible beneficiaries with a brain injury diagnosis who resided in nursing facilities.
Hilltop Director of Special Studies Ian Stockwell, PhD, gave this presentation at the National Association of States United for Aging and Disabilities’ National Home & Community Based Services Conference in Arlington, Virginia, on September 18, 2014. Stockwell discussed selection and use of assessment tools—which can have a broad effect across program and policy areas—and how this selection and use can help realize the potential to pull individual-level information together to form a complete picture of a program population.
This is the first chart book in a series of two that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. This volume explores service utilization and expenditures for Maryland Medicaid’s Living at Home Waiver, Older Adults Waiver, and Medical Day Care Waiver, as well as Maryland State Plan personal care services and Medicaid nursing facility utilization and expenditures in state fiscal years (FYs) 2009 through 2012. Hilltop updates the chart books annually.
Hilltop staff made several presentations at the 2014 AcademyHealth Annual Research Meeting (ARM) held June 8 through June 10 in San Diego. Director of Medicaid Policy Studies David A. Idala, MA, delivered this presentation in a session titled What Can We Learn from Patients with High Costs and High Utilization?