Hilltop Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, presented at the American Health Lawyers Association’s June 21, 2012, webinar titled Protecting Tax Exemption Under the ACA: Exploring New Requirements Related to Community Needs Assessments; Financial Assistance Policies; and Billing and Collection Policies and Procedures. Somerville’s presentation, titled Community Benefit in Context: Evolution to ACA §9007, provided an overview of the origins and evolution of charitable tax exemption, the community benefit standard, and current tax exemption requirements for nonprofit hospitals. This brief provides background and support for the presentation.

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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.

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Hilltop Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, presented as part of a plenary town hall panel in a session titled Community Health Assessments: Opportunities for Collaboration, at the National Network of Public Health Institutes (NNPHI) Annual Conference of May 23, 2012 in New Orleans, Louisiana. In her presentation, Somerville outlined community benefit requirements under the Affordable Care Act (ACA) and related reporting requirements (Internal Revenue Service Form 990, Schedule H). The discussion focused on the ACA’s community health needs assessment requirement, how  it can relate to public health department accreditation, and how Public Health Institutes can facilitate community partnerships of hospitals, health departments, and community-based organizations to conduct needs assessment and community health improvement planning, as well as develop initiatives to improve community health.

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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.

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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.

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HealthChoice, Maryland’s statewide mandatory Medicaid managed care program, was implemented in 1997 under authority of Section 1115 of the Social Security Act. The HealthChoice managed care program currently enrolls over 80 percent of the state’s Medicaid population. The program also enrolls children in the Maryland Children’s Health Program (MCHP), Maryland’s Children’s Health Insurance Program (CHIP). Since the program’s inception, the Maryland Department of Health has conducted four comprehensive evaluations as part of the 1115 waiver renewals. Between waiver renewals, the Department continually monitors HealthChoice performance on a variety of measures and completes an annual evaluation for HealthChoice stakeholders. This report is the 2011 annual evaluation of the HealthChoice program.

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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.

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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.

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The Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform.

This is a user’s guide for the fiscal model.

For this guide, we have assumed that model users have read the document, New Mexico Health Care Reform Fiscal Model: Detailed Analysis and Methodology, and are familiar with the methods of analysis that were used to develop the fiscal model.

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The Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform.

 

This report provides a detailed analysis and methodology of the modeling tool.

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