HealthChoice, Maryland’s Medicaid managed care program, was launched in 1997, with nine managed care organizations participating and 80 percent of the Medicaid population enrolled in the first year. This article, published in The Milbank Quarterly, describes the history of managed care in Maryland, the process for designing and involving stakeholders in the HealthChoice evaluation, and selected evaluation findings.
In this study, members of four racial and ethnic groups in Baltimore shared their experiences in living with hypertension and diabetes. Participants identified environmental, social, and behavioral barriers to attaining good health, discussed the extent to which health messages communicated by government, providers, and the media impacted their health behaviors, and made recommendations for culturally appropriate health care delivery and outreach.
This manual, prepared by The Hilltop Institute (as the Center for Health Program Development and Management) under contract with the Centers for Medicare and Medicaid Services (CMS), provides a step-by-step approach for state Medicaid programs implementing health-based risk adjustment for managed care organizations. The guide describes information system, financial, and policy issues states should consider, as well as choices related to selecting and implementing a particular methodology. The manual also discusses approaches taken and challenges encountered by other states.
During fiscal years 2000 and 2001, 40,000 children were disenrolled from the Maryland Children’s Health Program. This occurred at a time when states were actively working to increase enrollment in SCHIP programs. This survey of Maryland families whose children were disenrolled from the program examines a variety of retention and enrollment issues, including why families withdrew from the program, their perception of the program, and barriers to families seeking to continue enrollment.
This 2002 survey queried Maryland nurses about workplace issues and highlighted the importance of compensation packages in recruiting and retaining nurses. The Hilltop Institute (as the Center for Health Program Development and Management) prepared this follow-up report on strategies for enhancing the compensation packages offered to nurses.
Established by the Maryland General Assembly and the Governor, the Maryland Caregivers Support Coordinating Council listens to the concerns of caregivers and facilitates the development of new resources and programs that address caregiver needs. This publication reports on Council activities, accomplishments, and future plans.
Conducted by The Hilltop Institute (as the Center for Health Program Development and Management) for the Maryland Statewide Commission on the Crisis in Nursing, this survey queried more than 1,500 Maryland nurses about their working environment, compensation, and career satisfaction. This survey led to a follow-up report on strategies for enhancing the compensation packages offered to nurses.
This evaluation of the Maryland HealthChoice program, which began in 1997, assesses the program’s success relative to its original goals and stakeholders’ expectations. The study uses a mix of quantitative data (e.g., encounter data and Maryland Health Services Cost Review Commission data) and qualitative data (e.g., community forums and focus groups) to assess the performance of Maryland’s Medicaid managed care program.
The success of federal and state efforts to eliminate racial and ethnic health disparities is very much dependent on the involvement of Medicaid programs and the availability of quality Medicaid data. This primer is intended to promote collaboration between Medicaid and public health agencies by highlighting key issues in sharing Medicaid data and illustrating successful joint initiatives where Medicaid data helped to improve service delivery.
This working paper on nurses’ workplace issues, prepared by The Hilltop Institute (as the Center for Health Program Development and Management) for the Maryland Statewide Commission on the Crisis in Nursing, reviews the literature and integrates the deliberations of the Commission to illuminate the work-life issues of greatest concern to the nursing profession. It also provided the basis for the workplace survey, which queried more than 1,500 Maryland nurses about their working environment, compensation, and career satisfaction. The survey highlighted the importance of compensation in recruiting and retaining nurses, resulting in a third report prepared by Hilltop on strategies for enhancing the compensation packages offered to nurses.