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 setting. Each year, the Maryland Department of Health strives to serve an additional ten participants through the BI Waiver. This infographic provides a brief overview of Hilltop’s review of the program.
State Medicaid programs are the largest single provider of healthcare for pregnant persons with opioid use disorder (OUD). The objective of this study was to provide comparable, multistate measures estimating the burden of OUD in pregnancy, medication for OUD (MOUD) in pregnancy, and related neonatal and child outcomes.
Senior Policy Analyst Shamis Mohamoud was part of the Medicaid Outcomes Distributed Research Network (MODRN) team of authors of this article published in the Journal of Addiction Medicine.
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 setting. 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 presents data about the waiver and its participants for FY 2014 to FY 2019.
The Assistance in Community Integration Services (ACIS) pilot program began in late 2017 with the goal of reducing unnecessary health services use among Medicaid beneficiaries by providing tenancy and housing case management services through four lead entities (LEs). This infographic provides a brief overview of Hilltop’s 2020 review of the pilot program.
Chlamydia, gonorrhea, and syphilis are common, treatable sexually transmitted infections (STIs) that are highly prevalent in the general US population. Costs associated with diagnosing and treating these conditions for individual states’ Medicaid participants are unknown. The purpose of this study was to estimate the cost of screening and treatment for 3 common STIs for state Medicaid program budgets in Maryland and South Carolina.
Ian Stockwell, Alice Middleton, and Charles Betley co-authored this article published in Sexually Transmitted Diseases.
In 2014, Maryland implemented a global budget revenue (GBR) program that prospectively sets hospital budgets. This program introduced incentives for hospitals to tightly control volume and meet budget targets. In this study, we examine the effects of GBR on emergency department (ED) visits, admissions, and returns.
Executive Director Cynthia Woodcock was a co-author of this article published in Academic Emergency Medicine.
As the Medicaid Outcomes Distributed Research Network (MODRN) research partner for Maryland, Hilltop co-authored this JAMA article, which concluded that, among Medicaid enrollees in 11 states, the prevalence of medication use for treatment of opioid use disorder increased from 2014 through 2018. Senior policy analyst Shamis Mohamoud, MA, was Hilltop’s main contributor.
Emergency department (ED) care coordination plays an important role in facilitating care transitions across settings. This study addresses ED care coordination processes and their perceived effectiveness in Maryland hospitals, which face strong incentives to reduce hospital-based care through global budgets.
Hilltop Executive Director Cynthia Woodcock was co-author of this article published in the American Journal of Emergency Medicine.
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 2015 through CY 2019.
As of the writing of this review, Mississippi was 1 of 12 states to have not expanded its Medicaid program under the Affordable Care Act (ACA). Recent discussion on a possible expansion within the state, however, has demonstrated the need for timely, non-partisan research on this topic. To that end, the Center for Mississippi Health Policy contracted with The Hilltop Institute to conduct a study of the economic impact of a (hypothetical) Medicaid expansion, with a focus on Mississippi’s Medicaid program, state budget, and provider landscape. As part of the development of the analytic plan for the study, Hilltop conducted this literature review in order to document relevant findings that can help inform the study design.