HealthChoice—Maryland’s statewide mandatory Medicaid managed care program—was implemented in 1997 under authority of Section 1115 of the Social Security Act. Since the inception of HealthChoice, the Maryland Department of Health has conducted five comprehensive evaluations of the program as part of the 1115 waiver renewals. Between waiver renewals, the Department completes an annual evaluation for HealthChoice stakeholders. This report is the 2012 annual evaluation of the HealthChoice program.

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The incidence of mental health disorders co-occurring with chronic somatic health conditions is gaining attention. This combination can pose significant burdens to health care system resources to provide for complex care needs. Using the Centers for Medicare and Medicaid Services Chronic Condition Data Warehouse, Hilltop explored the prevalence of co-occurring mental health disorders amongst Maryland’s new dual eligible enrollees during 2008 and their subsequent Medicare and Medicaid resource use. This report presents Hilltop’s findings, which establish the scope of the prevalence of mental health conditions among new dual eligible enrollees in Maryland and highlight the need for greater attention and research into this population.

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Hilltop staff made several presentations at the 2014 AcademyHealth Annual Research Meeting (ARM) held June 8 through June 10 in San Diego. Senior Policy Analyst Laura A. Spicer, MA, presented this poster, which summarizes a study to evaluate options for continuity of care provisions to assist beneficiaries who transition between Medicaid and Exchange eligibility.

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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?

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Hilltop staff made several presentations at the 2014 AcademyHealth Annual Research Meeting (ARM) held June 8 through June 10 in San Diego. Hilltop Deputy Director Michael A. Nolin, MA, presented this poster at the State Health Policy Interest Group meeting.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform.

 

On March 10, 2014, the Internal Revenue Service (IRS) issued a final rule on Information Reporting of Minimum Essential Coverage. This document provides a high-level summary of this rule and highlights key changes to the regulations since the issue of the proposed rule.

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This 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. This chart book provides information about Maryland Medicaid participants who received services through the Autism Waiver in state fiscal years (FYs) 2009 through 2012. Hilltop updates the chart books annually.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform.

 

On March 10, 2014, the United States Department of the Treasury, Internal Revenue Service (IRS) issued a final rule on Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered under Employer-Sponsored Plans. This final rule explains the reporting requirements for large employers and provides information on various methods of reporting employee information to the IRS. This document provides a high-level summary of the rule.

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The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.

 

The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.

 

The Simulation Model Projections show the economic impact of the ACA.

 

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The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.

 

The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.

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Hilltop continues to work remotely, so please reach us by email. You can find our team members’ email addresses by going to their bios located on the Teams page of our website.