On behalf of the Maryland AIDS Administration, The Hilltop Institute (as the Center for Health Program Development and Management) conducted a needs assessment of the knowledge, attitudes, and practices of Maryland American Indians concerning HIV/AIDS education, screening and testing, and treatment. Findings represent the views of more than 250 respondents with 37 tribal affiliations. This report provides insights on how the Maryland AIDS Administration and Maryland’s American Indians might work together to improve efforts to decrease the spread of HIV/AIDS.
In July 2001, Maryland introduced a premium for participation in the Maryland Children’s Health Program for children in families with incomes between 201 and 300 percent of the federal poverty level. This study examines the effect of the premium on program enrollment.
A survey of elderly residents of an urban public housing complex helped area providers design a preliminary model for better coordination of services in order to enable elderly residents to age in place. This project was funded by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) as part of the Service Access for Elders in Public Housing initiative.
Beginning in 2001, Maryland offered premium assistance to subsidize employer-sponsored insurance for children eligible for the Maryland Children’s Health Program established under the State Children’s Health Insurance Program (SCHIP). The General Assembly subsequently voted to discontinue premium assistance in 2003. This report examines Maryland ‘s experience with the premium assistance program, discussing employer participation, enrollee participation, and program cost-effectiveness.
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.