This report describes the services The Hilltop Institute provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the 2010 Memorandum of Understanding between Hilltop and DHMH. The report covers state fiscal year 2010 (July 1, 2009, through June 30, 2010). Hilltop’s interdisciplinary staff provided a wide range of services, including: Medicaid program development and policy analysis; HealthChoice program support, evaluation, and monitoring; behavioral health and dental care analyses; long-term services and supports program development and policy analysis; Medicaid rate setting payment development and financial monitoring; and data management and web-accessible database development.
Charles Milligan presented the luncheon keynote address at the second State Health Access Program (SHAP) All Grantee meeting on July 26, 2010, in Arlington, VA. Milligan’s keynote focused on state opportunities and major decisions related to federal health reform and offered suggestions for the role that SHAP grantees could play in their respective states.
Charles Milligan participated in a roundtable at the 2010 AcademyHealth Research Meeting on June 28, 2010, in Boston, Massachusetts. His presentation gave an overview of Hilltop’s research on cross-payer effects for dual eligibles in Maryland, provided the results of the study, and discussed some implications for policy.
Harriet L. Komisar participated in a meeting for congressional and federal staff hosted by the National Health Policy Forum on June 18, 2010. This meeting, the third of the Focus on Reform series providing an in-depth look at various components of the Patient Protection and Affordable Care Act (PPACA) and related implementation and operational issues, was entitled <i>Long-Term Services and Supports (LTSS) and the CLASS Act</i>. Komisar’s presentation discussed financing sources for LTSS.
This presentation, given by Cynthia H. Woodcock at the National Medicaid Congress pre-conference symposium entitled Managing Current and New Dual Eligibles on June 7, 2010, discussed system coordination issues for dual eligibles in Maryland long-term care settings from a fiscal and service perspective and presented the opportunity for a coordinated care program. It also described New Mexico’s Coordination of Long-Term Services (CoLTS) program, which Hilltop helped New Mexico develop, and discussed whether coordinated long-term care was more efficient.
This report is the fourth and final report in a series that explores the cross-payer effects of providing Medicaid long-term supports and services (LTSS) on Medicare acute care resource use. The report provides a summary of the initial work of a study, described more fully in the first three reports, with an emphasis on lessons that state Medicaid administrators should consider as they move toward more formal programs of integrated care for persons dually eligible for Medicare and Medicaid (or duals, for short).
Also in this series are: A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data, A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data–Poster Presentation, Examining Rate Setting for Medicaid Managed Long-Term Care, and Examining the Medicare Resource Use of Dually Eligible Medicaid Recipients.
The Hilltop Institute carried out a resource mapping project for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports under their federal Real Choice Systems Transformation grant. Hilltop interviewed state agency staff on their perceptions of service gaps and barriers to accessing the system of long-term services and supports; conducted a survey of providers of long-term services and supports in the state about current and future capacity to serve Rhode Islanders; and constructed a rebalancing model for projecting utilization and expenditures for Medicaid long-term services and supports through 2030. This report presents the results of these efforts.
Hilltop participated in the Long-Term Care Payment Advisory Committee (LTC PAC) convened by the Maryland Department of Health and Mental Hygiene (DHMH) and provided support to the group by conducting analyses and making presentations to inform the committee’s work. As part of its efforts, Hilltop prepared this handout regarding the current rate structure for personal care in Maryland.
The Hilltop Institute constructed a rebalancing model for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports (LTSS) under their federal Real Choice Systems Transformation grant. This presentation provides an overview of the rebalancing model, which projects utilization and expenditures for Medicaid LTSS through 2030.
The Hilltop Institute carried out a resource mapping project for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports under their federal Real Choice Systems Transformation grant. This presentation provides an overview of Hilltop’s final report for the project.