This infographic describes the Hilltop Pre-AH Model, its development, and its use.
The cash prices for emergency department facility fees are associated with various hospital and regional characteristics. Principal Data Scientist Morgan Henderson, PhD, and Policy Analyst Morgane Mouslim, ScM, DVM, conducted a study published in Health Affairs that uses newly released standard charge data, now available because of a 2021 hospital price transparency regulation mandating that almost all hospitals across the country disclose previously confidential data on the prices that they charge for the items and services they provide.
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. A unique aspect of the Model Waiver is that, due to the medically complex needs of its participants, non-waiver expenditures typically far exceed waiver expenditures. This infographic provides information for fiscal years (FYs) 2016 through 2020.
The Brain Injury (BI) Waiver provides services to individuals aged 22 or older with a brain injury diagnosis who require specialty hospital or nursing facility level of care to be supported in their own homes or community-based settings. Each year, the Maryland Department of Health strives to serve an additional ten participants through the BI Waiver. This infographic presents information for fiscal years (FYs) 2016 through 2020.
Autism Waiver services enable individuals who have Autism Spectrum Disorder and who meet an institutional level of care to be supported in their own homes or community-based settings. This infographic provides information about Maryland Medicaid participants who received services through the Autism Waiver in fiscal years (FYs) 2016 through 2020.
The objectives of this research are to determine a potential policy alternative to the current recommended budgeting methodology and to simulate the gains in administrative efficiency on actual Maryland Medicaid data from FY 2019. The broader hope is that this study can potentially serve as a guide to other states that are considering adoption of the Community First Choice program.
Senior Director of Research and Analytics/Chief Data Scientist Ian Stockwell, PhD, and Principal Data Scientist Morgan Henderson, PhD, co-authored this article published in the American Journal of Managed Care.
This chart book, prepared for the Maryland Department of Health, compares the FY 2022 Medicaid reimbursement rates of Maryland and its surrounding states with Maryland’s Medicare fee schedule for CY 2021 for the Baltimore region. The surrounding states included in this study are Washington, DC; Delaware; Pennsylvania; Virginia; and West Virginia.
In 1997, Maryland implemented HealthChoice—a statewide mandatory Medicaid and Children’s Health Insurance Program (CHIP) managed care program—under authority of a waiver through §1115 of the Social Security Act. The provisions of the Affordable Care Act (ACA) that went into effect in 2014 marked another milestone by extending quality coverage to many more Marylanders with low income by calendar year (CY) 2018. Over 20 years after its launch, HealthChoice covered close to 90 percent of the state’s Medicaid and Maryland Children’s Health Program (MCHP) populations.
The Hilltop Institute, on behalf of the Maryland Department of Health (the Department), evaluates the program annually; this evaluation covers the period from CY 2016 through CY 2020.
Principal Data Scientist Morgan Henderson, PhD, presented his research in this poster at the 2022 AcademyHealth Annual Research Meeting (ARM) held June 4-7, 2022, in Washington DC. In addition, he served as an expert on a panel that discussed working in the field of health services research.
Data Scientist Leigh Goetschius, PhD, presented her research in this poster at the 2022 AcademyHealth Annual Research Meeting (ARM) held June 4-7, 2022, in Washington DC.