Browsing by Author "Milligan, Charles"
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Item Background on the Medicaid Program: Requirements/Restrictions(The Hilltop Institute, 2005-08-17) Milligan, CharlesThis 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.Item Balancing LTC: Can More Home and Community-Based Support Save Money While Improving Care(The Hilltop Institute, 2010-06-28) Milligan, CharlesCharles 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.Item Chairman's Mark and Proposed Amendments(The Center for Health Programs Development and Management, 2006-11-16) Milligan, CharlesThe Center for Health Program Development and Management has been providing strategic and analytical support to the federal Medicaid Commission and assisting with preparation of the Commission’s final report. On November 16, 2006, in Washington, Chuck Milligan, the Center’s executive director, delivered this presentation as part of the discussion of the Commission’s final report and recommendations:Item Charles Milligan Testimony to the Senate Finance Committee(The Center for Health Program Development and Management, 2005-06-28) Milligan, CharlesOn June 28, 2005, Chuck Milligan, executive director of the Center for Health Program Development and Management, testified to the Senate Finance Committee at the invitation of Senator Charles Grassley, committee chairman. Mr. Milligan discussed state Medicaid financing arrangements, such as intergovernmental transfer (IGT) and upper payment limit (UPL) arrangements that involve public hospitals and nursing facilities, as well as Medicaid school-based reimbursement.Item Focus on Reform: Long-Term Services and Supports(The Hilltop Institute, 2010-10-29) Milligan, CharlesCharles Milligan participated in a meeting for congressional and federal staff hosted by the National Health Policy Forum on October 29, 2010, in Washington, D.C. This meeting, the seventh of the Focus on Reform series providing an in-depth look at various components of the Affordable Care Act (ACA) and related implementation and operational issues, was entitled Medicaid Long-Term Services and Supports (LTSS) Provisions in PPACA. The session provided an overview of the Medicaid LTSS provisions enacted as part of the ACA, including the Community First Choice and Section 1915(i) state plan options; and the balancing incentive payments (BIP) and Money Follows the Person (MFP) programs, among others. Speakers described the provisions; strategies being employed by the Centers for Medicare & Medicaid Services (CMS) to assist states implement the various options, and opportunities and challenges facing states in implementation of the provisions. In his presentation, Milligan discussed the growth in Medicaid expenditures for LTSS; presented the results of a Hilltop study of Medicare/Medicaid cross-payer effects that found that Medicare and Medicaid financing do not align to promote home and community-based services (HCBS); described state and federal opportunities and barriers; and forecasted the take-up of LTSS options in the ACA.Item Focus on Reform: Medicaid Coverage Expansions(The Hilltop Institute, 2010-05-07) Milligan, CharlesCharles Milligan participated in a meeting for congressional and federal staff hosted by the National Health Policy Forum on October 29, 2010, in Washington, D.C. This meeting, the seventh of the Focus on Reform series providing an in-depth look at various components of the Affordable Care Act (ACA) and related implementation and operational issues, was entitled Medicaid Long-Term Services and Supports (LTSS) Provisions in PPACA. The session provided an overview of the Medicaid LTSS provisions enacted as part of the ACA, including the Community First Choice and Section 1915(i) state plan options; and the balancing incentive payments (BIP) and Money Follows the Person (MFP) programs, among others. Speakers described the provisions; strategies being employed by the Centers for Medicare & Medicaid Services (CMS) to assist states implement the various options, and opportunities and challenges facing states in implementation of the provisions. In his presentation, Milligan discussed the growth in Medicaid expenditures for LTSS; presented the results of a Hilltop study of Medicare/Medicaid cross-payer effects that found that Medicare and Medicaid financing do not align to promote home and community-based services (HCBS); described state and federal opportunities and barriers; and forecasted the take-up of LTSS options in the ACA.Item Implementation of the Affordable Care Act(The Hilltop Institute, 2010-07-26) Milligan, CharlesCharles 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.Item Improving Medicaid Policy Through State/University Research Partnerships(California Healthcare Foundation, 2007-07) Coburn, Andrew F.; Saucier, Paul; Smith, Vernon K.; Ellis, Eileen; Milligan, CharlesThis report, commissioned by the California HealthCare Foundation, surveyed six state/university health policy research partnerships to learn how they are organized and operate, how well they are working, what issues they have faced in developing and sustaining their collaborations, and how they have addressed those issues. One of the research partnerships studied is that which is maintained by the Maryland Department of Health and Mental Hygiene with The Hilltop Institute (as the Center for Health Program Development and Management) at UMBC, initiated in 1994.Item Informational Forum on Integrated Managed Long-Term Care(The Hilltop Institute, 2008-12-11) Milligan, CharlesThe Hilltop Institute’s executive director, Charles Milligan, made a presentation to Michigan policymakers at an informational forum on December 11, 2008. In the presentation, entitled Integrated Managed Long-Term Care, Milligan gave a description of dual eligibles (persons eligible to receive both Medicare and Medicaid) and of long-term care; discussed various approaches to managed long-term care; described New Mexico’s approach, including their Coordination of Long-Term Services (COLTS) program, which Hilltop helped develop; and discussed Michigan’s challenges and opportunities for developing integrated managed long-term care.Item Innovations in Integrated Care: New Opportunities to Better Serve Dual Eligibles(The Hilltop Institute, 2011-02-23) Milligan, CharlesCharles Milligan gave a presentation on opportunities to better serve dual eligiles to the Ohio Association of Health Plans and the Ohio Association of Area Agencies on Aging (O4A). He discussed the importance of integrating long-term services and supports for this population; the results of Hilltop’s research on Medicare/Medicaid cross-payer effects for dual eligibles that found that Medicare and Medicaid financing do not align to promote home and community-based services (HCBS) and that the HCBS waiver is only cost-effective (at the individual level) for Medicaid when it truly avoids a nursing home placement; and new opportunities for states under the Affordable Care Act to better serve dual eligibles.Item Long Term Care Delivery System(The Center for Health Programs Development and Management, 2005-10-26) Milligan, CharlesChuck Milligan, executive director of the Center for Health Program Development and Management, delivered this presentation to the federal Medicaid Commission at its meeting in Washington on October 26-27, 2005:Item Long-Term Care Overview and Summary of Reform Proposals(The Hilltop Institute, 2006-03-14) Milligan, CharlesThis presentation, delivered to the federal Medicaid Commission on March 14, 2006, gives an overview of reform proposals for providing Medicaid-financed long-term care.Item Maryland’s Kids First Act: Using Tax Forms to Identify Medicaid/SCHIP-Eligible Children(The Hilltop Institute, 2009-09-25) Milligan, CharlesHilltop Executive Director Charles Milligan gave a panel presentation at the National Academy for State Health Policy’s Maximizing Enrollment for Kids Conference in Washington, D.C. on September 25, 2009. The panel, Streamlining Enrollment: One-Lane Highway to Express Lane, addressed the new CHIPRA Express Lane Eligibility option and early state experiences with automated enrollment strategies, including Maryland’s Kids First Initiative. Milligan’s presentation, entitled Maryland’s Kids First Act: Using Tax Forms to Identify Medicaid/SCHIP-Eligible Children, described the Act and its requirements; Maryland’s implementation; and the Hilltop evaluation of the outreach effort of using state income tax forms to identify and enroll uninsured but eligible children in Medicaid or CHIP.Item Medicaid Acute Care Delivery System(The Center for Health Programs Development and Management, 2005-10-26) Milligan, CharlesChuck Milligan, executive director of the Center for Health Program Development and Management, delivered this presentation to the federal Medicaid Commission at its meeting in Washington on October 26-27, 2005:Item Medicaid and Medicare Resource Use For Dual Eligibles in Maryland(The Hilltop Institute, 2010-12-10) Milligan, CharlesThis presentation, delivered by Charles Milligan to the Medicaid and CHIP Payment and Access Commission (MACPAC) in Washington, D.C., addressed the issue of coordinating long-term care for persons eligible for both Medicare and Medicaid (dual eligibles). Milligan discussed Hilltop’s research on Medicare/Medicaid cross-payer effects that found that Medicare and Medicaid financing do not align to promote home and community-based services.Item Medicaid Basics in an Era of Health Reform(The Hilltop Institute, 2011-02-23) Milligan, CharlesCharles Milligan delivered this presentation to two groups—Ohio state legislators and their staff, and other stakeholders—at a legislative briefing sponsored by the Health Policy Institute of Ohio. In this briefing, Milligan gave an overview of Medicaid and discussed budget tools used by states to manage Medicaid programs, which are important for lawmakers to understand when developing and assessing budget and program proposals. Milligan also addressed the implications of federal health reform for state Medicaid programs and the changing state/federal relationship.Item Medicaid Consumer-Directed Health Purchasing (as explained by Yogi Berra)(The Center for Health Programs Development and Management, 2006-06-01) Milligan, CharlesChuck Milligan delivered the keynote address to the 5th Annual Medicaid Research Conference in Tallahassee , Florida , on June 1, 2006.Item Medicaid Reform: Policy Roundtable Session(The Center for Health Programs Development and Management, 2006-06-25) Milligan, CharlesCenter staff gave two presentations at the AcademyHealth 2006 Annual Research Meeting in Seattle , Washington . Chuck Milligan, executive director of the Center, delivered this presentation at the session entitled, “Medicaid Reform: What’s Working and What’s Not?” on Sunday, June 25, 2006Item New Mexico’s Coordinated Long-Term Services (CoLTS) Program(The Hilltop Institute, 2009-02-25) Milligan, CharlesThe Hilltop Institute’s executive director, Charles Milligan, made a presentation at the 2nd Annual Medicaid Managed Care Summit on February 25, 2009. The presentation, entitled New Mexico’s Coordinated Long-Term Services (CoLTS) Program, was part of a track concerning SNPs (Special Needs Plans) and Integrating Medicaid and Medicare. Milligan painted a portrait of dual eligibles (persons dually eligible for Medicare and Medicaid), painted a portrait of long-term care, and discussed New Mexico’s approach to coordinate services for this population, their CoLTS program. This program, which Hilltop helped New Mexico develop, seeks to: promote community-based services (CBS) by diverting or shortening nursing home stays; promote flexible benefit design to achieve new CBS models; improve quality through coordination of Medicare and Medicaid; and achieve financial savings by aligning Medicare and Medicaid incentives.Item Non profit Hospitals: Earning Their Tax-Exempt Status Tying in Medicaid Coverage to Tax Exemption(The Hilltop Institute, 2009-10-06) Milligan, CharlesHilltop Executive Director Charles Milligan gave a presentation at the National Association for State Health Policy’s (NASHP’s) 22nd Annual State Health Policy Conference on October 6, 2009 in Long Beach, California. In the presentation, entitled Nonprofit Hospitals: Earning Their Tax-Exempt Status Tying Medicaid Coverage to Tax Exemption, Milligan gave a brief history of the relationship between tax-exempt status and insurance coverage; discussed trends in insurance coverage; and suggested potential roles for tax-exempt hospitals in financing public insurance.