Below is a listing of select Hilltop publications and presentations. You can search by type, topic, date, and/or title. The search function searches for key words in both the title and the publication summary. Click on the publication’s title below to go to its summary.
Accessibility Notice: Publications released before April 24, 2026 have not been remediated for Section 508 compliance.
This chart book explores service utilization and expenditures for dual-eligible beneficiaries (individuals who are eligible to receive both Medicare and Medicaid services)—with a focus on full-benefit dual-eligible beneficiaries—of all ages who received services in calendar years (CY) 2018 through CY 2022.
The Maryland Department of Health (Department) is responsible for evaluating the quality of care provided to eligible enrollees by contracted managed care organizations (MCOs) through the Maryland Medicaid Managed Care Program, known as HealthChoice. HealthChoice operates under a Centers for Medicare & Medicaid Services (CMS) 1115 waiver of the Social Security Act and Code of Maryland Regulations (COMAR) to serve Marylanders on Medicaid. Guiding principles for HealthChoice’s operations are to provide quality healthcare that is equitable, patient-focused, prevention-oriented, coordinated, accessible, and cost-effective.
Federal regulations require the Department to contract with an external quality review organization (EQRO) to provide annual, independent reviews for assessing quality, access, and timeliness of care. This independent review ensures services provided to enrollees meet the standards governing the HealthChoice program in the Code of Federal Regulations (CFR) and COMAR. The Department contracts with Qlarant to meet federal regulations; evaluate quality, access, and timeliness of care; and validate encounter data.
Hilltop performed Activity 3 of this evaluation, which is included in Appendix A of Qlarant’s report.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health under their Master Agreement. The report covers fiscal year (FY) 2025 (July 1, 2024, through June 30, 2025). Hilltop’s interdisciplinary staff provided a wide range of services, including Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development.
This is the fourth annual review of the integration requirements for Medicare Advantage dual eligible special needs plans (D-SNPs) completed for the Maryland Department of Health. The goal of D-SNP integration, which became effective in calendar year (CY) 2021, is to help improve coordination of care transitions for individuals who are dually eligible for Medicare and Medicaid. This review covers key findings from the fourth year of implementation.
Director of Analytics and Research Morgan Henderson, Executive Director Alice Middleton, and Director of Health Reform Studies Laura Spicer gave this presentation at the American Economic Association Annual Conference. This work examined why Medicaid work requirements had high compliance in Arkansas but very low compliance in Georgia.
Hilltop Policy Analyst Morgane Mouslim, DVM, and Director of Analytics and Research Morgan Henderson, PhD, as well as Associate Professor Simone Singh of the University of Michigan, are co-authors of this article published in the American Journal of Managed Care. The authors present the results of their study that analyzes changes in emergency department (ED) facility fees for self-pay patients and highlights growing affordability challenges for uninsured and underinsured individuals. Drawing on hospital price transparency data from 926 hospitals reporting self-pay ED facility fees in both 2021 and 2023, the study identified significant inflation-adjusted price increases across all visit severity levels, with the steepest growth observed at for-profit and system-affiliated hospitals and in communities with higher proportions of uninsured Hispanic/Latino residents.
The Model Waiver provides services to individuals with medically complex needs and a chronic hospital or nursing facility level of care to be
supported in their own homes or community-based settings. Services covered under the waiver include private duty nursing services provided by registered nurses, licensed practical nurses, certified nursing assistants, and home health aides. This infographic presents information for fiscal year (FY) 2020 through FY 2024.
The Medical Day Care Services Waiver provides health, social, and related support services in a community-based setting to functionally disabled adults age 16 and older. Individuals must meet a nursing facility level of care. This infographic presents information for fiscal year (FY) 2020 through FY 2024.
The Family Supports Waiver provides community-based services and supports to individuals aged 21 years or younger with developmental or intellectual disabilities. This infographic presents information for fiscal year (FY) 2020 through FY 2024.
The Community Personal Assistance Services program is a state plan program that provides in-home personal assistance services,
nurse monitoring, and supports planning to older adults and individuals who need assistance with at least one activity of daily living. This infographic presents information for fiscal year (FY) 2020 through FY 2024.