This report, commissioned by the Rhode Island Department of Human Services pursuant to Joint Resolution 05-R 384 of the Rhode Island General Assembly, examines community-based long-term care services in Rhode Island. The study includes a review of payment rates and rate methodologies, an assessment of workforce capacity, and recommendations for restructuring state funding to promote community-based services.

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This presentation, delivered to the federal Medicaid Commission on March 14, 2006, gives an overview of reform proposals for providing Medicaid-financed long-term care.

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This presentation, delivered to the federal Medicaid Commission on January 24-25, 2006, examines Medicaid reform proposals under consideration at that time.

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Many state policymakers are looking to apply the concepts of consumer-directed care to the Medicaid program, believing that a more engaged and at-risk consumer will use health care services more appropriately. This issue brief examines four critical success factors states should take into account when launching consumer-directed Medicaid reforms such as those proposed in Florida, South Carolina, and West Virginia. An executive summary and update was made to this report in August 2006.

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This article, published in the International Journal of Healthcare Technology and Management, describes the process of increasing reimbursement rates for physicians who provide services to Maryland Medicaid enrollees and the impact of increased reimbursement rates on physician participation in Medicaid. The author also compares Maryland Medicaid reimbursement rates with reimbursement rates in other states and Medicare fees.

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This survey of Maryland nurses is a follow-up to a similar survey conducted by The Hilltop Institute (as the Center for Health Program Development and Management) in 2001 that examines nurses’ perceptions of and experiences in the workplace. Both surveys were commissioned by the Maryland Statewide Commission on the Crisis in Nursing. The 2005 survey sought to determine the extent to which gains had been achieved in nurses’ perceptions and experiences related to workplace quality of life, management, workload, and compensation.

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At the request of the New Mexico Human Services Department, The Hilltop Institute (as the Center for Health Program Development and Management) examined provider payment rates for Medicaid home- and community-based services (HCBS) waiver programs in New Mexico and five nearby states. Hilltop compared rates across states and within New Mexico’s four HCBS waivers.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid financing basics, concerns about Medicaid maximization, Medicaid and IT, fraud and abuse, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid quality initiatives, challenges in non-IT quality “transformation” efforts, health information technology, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid long-term care, waivers in long-term care, dual eligibles, challenges to long-term care reform, and issues for consideration by the Commission.

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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.