This report, prepared for the Maryland legislature, discusses progress that Maryland has made in updating fee-for-service reimbursement rates to promote provider participation in the Medicaid program.
This report describes the services The Hilltop Institute (as the Center for Health Program Development and Management) provided to the Maryland Department of Health and Mental Hygiene under the 2005 Memorandum of Understanding between Hilltop and the Department. Services included Medicaid program development and policy analysis; HealthChoice program support, evaluation, and monitoring; managed care payment development and financial monitoring; long-term supports and services research and analysis; data warehousing and website development; and analysis of special needs and high-cost populations.
This presentation provides background information on the Medicaid program as the federal Medicaid Commission prepared to address its mandate. The presentation covers the Medicaid state plan, flexibility under the state plan, Section 1115 waivers, and challenges in Medicaid that cannot be resolved by reforming Medicaid alone.
General population surveys, such as the Census Bureau’s Current Population Survey (CPS), are the most common approach to estimating the number of uninsured. These surveys, however, appear to undercount the number of individuals enrolled in Medicaid, sometimes by as much as 40 to 50 percent. The Hilltop Institute (as the Center for Health Program Development and Management) surveyed Maryland Medicaid beneficiaries and found a significant discrepancy between the CPS count and state records.
On behalf of the Partnership for a Healthier Carroll County, Inc., The Hilltop Institute (as the Center for Health Program Development and Management) conducted an assessment of community strengths and needs for Carroll County, Maryland. The assessment consisted of a review of secondary data sources, key stakeholder interviews, and a comprehensive survey of households in the county. This report focuses on findings from the household survey.
On behalf of the Partnership for a Healthier Carroll County, Inc., The Hilltop Institute (as the Center for Health Program Development and Management) conducted an assessment of community strengths and needs for Carroll County, Maryland. The assessment consisted of a review of secondary data sources, key stakeholder interviews, and a comprehensive survey of households in the county. This report focuses on survey findings from households with children under age eighteen.
In this report, Ian Axford Fellow John O’Brien, former director of acute care policy at The Hilltop Institute (as the Center for Health Program Development and Management), compares performance measurement in the New Zealand health care delivery system with performance measurement in HealthChoice, Maryland’s Medicaid managed care program. As illustrated by these two health care delivery systems, performance measurement is likely to be an evolving set of metrics that can be applied for a variety of purposes. Indeed, performance measurement offers a window into the biases and thought processes of policymakers and offers important lessons for health care delivery.
Home- and community-based services waiver programs enable many individuals who are dually eligible for Medicare and Medicaid to avoid nursing homes. However, there was concern at the time that access to prescription drugs may be impeded with the transer of drug coverage from Medicaid to Medicare in January 2006, threatening the ability of dual eligibles to remain in the community. This issue brief examines the likely impact of the new Medicare drug benefit in Maryland and recommended federal policy remedies.
The Early and Periodic Screening and Diagnostic Testing (EPSDT) Program provides age-specific standards for preventive and primary care services for Medicaid-eligible children. To monitor compliance with program requirements, the state of Maryland commissions a team of nurses to conduct annual record reviews of a sample of certified providers. The Hilltop Institute (as the Center for Health Program Development and Management) carried out an inter-rater reliability evaluation to assess the consistency of nurses’ ratings.