C. Rate Setting & Payment Reform (The Hilltop Institute, UMBC)
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Item Maryland Department of Health Master Agreement Annual Report of Activities and Accomplishments: FY 2022(The Hilltop Institute, 2023-03-01) The Hilltop InstituteThis report describes the services The Hilltop Institute provided to the Maryland Department of Health (the Department) under the Master Agreement between Hilltop and the Department. The report covers fiscal year (FY) 2022 (July 1, 2021, through June 30, 2022). Hilltop’s interdisciplinary staff provided a wide range of services, including Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development.Item Comparison of Maryland’s and Neighboring States’ Medicaid Fees to Medicare Fees: FY 2019. A Chart Book.(The Hilltop Institute UMBC, 2018-12-31) The Hilltop InstituteThis chart book, prepared for the Maryland Department of Health, compares the FY 2019 Medicaid reimbursement rates of Maryland and its surrounding states with Maryland’s Medicare fee schedule for CY 2018 for the Baltimore region. The surrounding states included in this study are Washington, DC; Delaware; Pennsylvania; Virginia; and West Virginia. Physician fees comprise three components: physician’s work, practice expense, and malpractice insurance expense.Item Annual Report on the Maryland Medical Assistance Program and the Maryland Children’s Health Program – Provider Reimbursement Rates(The Hilltop Institute UMBC, 2019-06-06) The Hilltop InstitutePursuant to SB 481 (Chapter 464 of the Acts of 2002), the Maryland Department of Health (the Department) created an annual process to set the fee-for-service (FFS) reimbursement rates for Maryland Medicaid and the Maryland Children’s Health Program (MCHP) in a manner that ensures provider participation. The law directs the Department to submit an annual report to the Governor and various House and Senate committees addressing the progress of the rate-setting process; a comparison of Maryland Medicaid’s reimbursement rates with those of other states; the schedule for adjusting Maryland’s reimbursement rates; and the estimated costs of implementing the above schedule and proposed changes to the FFS reimbursement rates. This is the Department’s annual report dated June 2019.Item Comparison of Maryland’s and Neighboring States’ Medicaid Fees to Medicare Fees: FY 2020. A Chart Book.(The Hilltop Institute UMBC, 2020-08-07) The Hilltop InstituteThis chart book, prepared for the Maryland Department of Health, compares the FY 2020 Medicaid reimbursement rates of Maryland and its surrounding states with Maryland’s Medicare fee schedule for CY 2019 for the Baltimore region. The surrounding states included in this study are Washington, DC; Delaware; Pennsylvania; Virginia; and West Virginia. Physician fees comprise three components: physician’s work, practice expense, and malpractice insurance expense.Item Hospital Payment Reform in Maryland Monitoring Medicaid Total Cost of Care(2015-06-15) Spicer, Laura; Smirnow, Alexis; Clark, JackHilltop staff made several presentations at the 2015 AcademyHealth Annual Research Meeting (ARM) held June 13 through June 15 in Minneapolis. Senior Policy Analyst Laura A. Spicer, MA, presented this poster at a State Health Research and Policy Interest Group poster session on June 13. The poster addresses Medicaid total cost of care in the era of Maryland’s hospital payment reform.Item Hospital Community Benefits after the ACA Leveraging Hospital Community Benefit Policy to Improve Community Health(The Hilltop Institute, 2015-06) Woodcock, Cynthia H.; Nelson, Gayle D.This is the eleventh issue brief in a series published by the Hospital Community Benefit Program. This brief discusses the fact that payment reform focusing on value and quality is driving change that is redefining the hospital’s role in the continuum of care and the health of the broader population. This brief also identifies opportunities for state policymakers to encourage the evolution of hospital community benefit policy in ways that complement and support the realignment of the hospital business model, proactively address the social determinants of health, and ultimately improve the health of the entire community.Item Maryland Health Care Reform Simulation Model: Detailed Analysis and Methodology(The Hilltop Institute, 2014-02-24) Fakhraei, S. H.The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020. The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.Item Maryland Health Care Reform Simulation Model: Projections(The Hilltop Institute, 2014-02-24) The Hilltop InstituteThe Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA. The Simulation Model Projections show the economic impact of the ACA.Item Report on the Maryland Medical Assistance Program and the Maryland Children’s Health Program – Reimbursement Rates December 2013(State of Maryland Department of Health and Mental Hygiene, 2013-12-09) State of Maryland Department of Health and Mental HygieneItem Factors Affecting the Cost of Long-Term Services and Supports(The Hilltop Institute, 2013-11-20) Holt, Barbara J.; Tripp, AaronSenior Policy Analysts Aaron Tripp, MSW, and Barbara Holt, PhD, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.Item Evaluation of the Medicare Acute Care Episode (ACE) Demonstration(The Hilltop Institute, 2013-05-31) Urdapilleta, Oswaldo; Weinberg, Daniel; Pedersen, Sarah; Kim, Geena; Cannon-Jones, Stephanie; Woodward, JenineIn June 2009, IMPAQ International LLC, with its partner, The Hilltop Institute, was awarded a contract to conduct an evaluation of the Medicare Acute Care Episode (ACE) Demonstration. A three-year demonstration project funded by the Centers for Medicare & Medicaid Services (CMS), the ACE Demonstration used a global payment for a single episode of care as an alternative approach to payment for service delivery under traditional Medicare fee-for-service (FFS). This report presents the findings of the evaluation of a bundled payment demonstration for selected cardiovascular and orthopedic procedures, which was implemented at five sites in four states.Item New Mexico Health Care Reform Fiscal Model: Detailed Analysis and Methodology(The Hilltop Institute, 2012-03) Fakhraei, S. H.The Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform. This report provides a detailed analysis and methodology of the modeling tool.Item User's Guide for New Mexico Health Care Reform Fiscal Model(The Hilltop Institute, 2012-03) The Hilltop InstituteThe Hilltop Institute developed a Health Care Reform Simulation Model, a financial modeling tool that projects the costs and savings of implementing the provisions of the Affordable Care Act (ACA), for the state of New Mexico. The basic approach of the simulation model developed for New Mexico was to compare the new costs and savings associated with health care reform with a baseline assumption of what those costs and savings would have been in the absence of reform. This is a user’s guide for the fiscal model. For this guide, we have assumed that model users have read the document, New Mexico Health Care Reform Fiscal Model: Detailed Analysis and Methodology, and are familiar with the methods of analysis that were used to develop the fiscal modelItem LongTerm Care Payment Advisory Committee Discussion of Rate Methodology for CommunityBased Services: Medical Day Care and Assisted Living(The Hilltop Institute, 2010-03-01) The Hilltop InstituteHilltop participated in the Long-Term Care Payment Advisory Committee (LTC PAC) convened by the Maryland Department of Health and Mental Hygiene (DHMH) and provided support to the group by conducting analyses and making presentations to inform the committee’s work. As part of its efforts, Hilltop prepared this handout regarding the current rate structure for medical day care and assisted living in Maryland.Item Report on the Maryland Medical Assistance Program and the Maryland Children’s Health Program – Reimbursement Rates January 2010(State of Maryland Department of Health and Mental Hygiene, 2009-12-28) State of Maryland Department of Health and Mental Hygiene