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Affordable Care Act

The passage of the Affordable Care Act represents an historic change in the way health insurance has been handled in the United States. With political discourse about the act continuing to occupy public policy debates and the news media, this collection attempts to shed light on the impact of the policy on citizens and providers as well as examine how the ACA is affecting quality, access, and costs of care.

U.S. Navy photo by Photographer's Mate 1st Class Shane T. McCoy. [Public domain], via Wikimedia Commons

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Maryland Department of Health Master Agreement Annual Report of Activities and Accomplishments: FY 2017

Maryland Department of Health Master Agreement Annual Report of Activities and Accomplishments: FY 2017

Oct 01, 2017

Hilltop Institute at the University of Maryland, Baltimore County;

This report describes the services The Hilltop Institute provided to the Maryland Department of Health (MDH) under the Master Agreement between Hilltop and MDH. The report covers fiscal year (FY) 2017 (July 1, 2016, through June 30, 2017). 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.

Medicaid Long‐term Services and Supports in Maryland: FY 2011 to FY 2014 Volume 1

Medicaid Long‐term Services and Supports in Maryland: FY 2011 to FY 2014 Volume 1

Feb 03, 2017

Hilltop Institute at the University of Maryland, Baltimore County;

The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 1, The Autism Waiver is the first in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 2 explores service utilization and expenditures for Maryland Medicaid's Brain Injury Waiver. Volume 3 provides information on the state's Medicaid Model Waiver.

Medicaid Long-Term Services and Supports in Maryland: FY 2011 to FY 2014, Volume 2

Medicaid Long-Term Services and Supports in Maryland: FY 2011 to FY 2014, Volume 2

Jan 24, 2017

Hilltop Institute at the University of Maryland, Baltimore County;

The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 2, The Brain Injury Waiver is the second in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 1 explores service utilization and expenditures for Maryland Medicaid's Autism Waiver. Volume 3 provides information on the states' Medicaid Model Waiver.

Small Employers and the Small Business Health Options Program (SHOP): Results from a National Study of Employers with 50 or Fewer Employees about Health Insurance

Small Employers and the Small Business Health Options Program (SHOP): Results from a National Study of Employers with 50 or Fewer Employees about Health Insurance

Dec 01, 2015

GMMB; PerryUndem Research and Communication; Robert Wood Johnson Foundation;

The Affordable Care Act (ACA) has several implications for small businesses, but one opportunity is the Small Business Health Options Program or SHOP, an online marketplace for small businesses with features designed to offer flexibility to both employers and employees. The Robert Wood Johnson Foundation commissioned a national study of small employers, conducted by PerryUndem Research/Communication and GMMB, to understand their feelings about offering health insurance. In particular, the study explored awareness of and interest in SHOP. It also tested its features and identified messengers to learn how best to communicate with small employers about the benefits of using SHOP.This report presents findings from focus groups held in Baltimore and Salt Lake City, as well as a national survey of 821 small employers with two to 50 employees. Focus groups were held in August 2015. The survey fielded September 18 through September 29. The margin of error for the survey is +/- 3.4 percentage points. Methodology, survey toplines, and the full public use data set are also available.

Maryland: Round 1 - State Level Field Network Study of the Implementation of the Affordable Care Act

Maryland: Round 1 - State Level Field Network Study of the Implementation of the Affordable Care Act

Aug 20, 2014

Brookings Institution; Fels Institute of Government at University of Pennsylvania; Nelson A. Rockefeller Institute of Government at State University of New York;

This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.There is clear alignment among most groups and institutions on the state's adoption and implementation of the ACA. Because of its all-payer rate system, competition between private plans and exchange plans is muted. Some conservative elements in the Democratic-heavy legislature oppose rate-setting and the state's generous Medicaid expansions as well as its affirmation of the ACA. But with strong Democratic majorities in both houses, together with Democrats in the governor's and lieutenant governor's offices and professionals with policy and political expertise, the state's progressive reformers are clear winners. The state's inclusive and generous eligibility decisions will afford coverage to a broad portion of the state's uninsured populations. Advocates for these groups also win. In the case of Maryland, the "stars were aligned" to formulate an aggressive and expansive approach to the law. Minority opposition simply could not mount effective challenges to these forces.

ACA Implementation Monitoring and Tracking: Maryland Site Visit Report

ACA Implementation Monitoring and Tracking: Maryland Site Visit Report

Feb 20, 2012

Urban Institute;

Assesses Maryland's progress in implementing the 2010 federal healthcare reform, including legislation to establish an insurance exchange, information technology development to facilitate enrollment and eligibility determinations, and insurance reforms.

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