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Supporting the efforts of health departments, nonprofit hospitals, and communities to improve population health and public health capacity. Health policy analysis, hospital tax exemption and community benefits, needs assessment and reporting issues, population health, program evaluation, accountable care, Medicaid, legislative and regulatory development and analysis, health insurance, health plan qualification.
October 2013 - present
- Head of Faculty
- Independent public health / health policy consultant for public sector and nonprofit clients. Expertise in hospital community benefits, administrative regulation, Medicaid, health insurance benefit design, health insurance contracting.
September 2011 - September 2013
Hilltop Institute Hospital Community Benefit Program, University of Maryland Baltimore County
- Managing Director
- Directed Hilltop Institute Hospital Community Benefit Program, including overall program direction, budgeting, publications; presentations at national conferences; governmental and nonprofit organizations, expert advisory committees.
May 1996 - September 2011
The Hilltop Institute
- Senior Policy Analyst
- Health systems researcher, legal and health policy analyst, working primarily for state Medicaid programs. Administrative regulation, health plan qualification, managed care administrative policy and program design, program evaluation.
This AHLA member briefing analyzes the IRS’s Final Rule of December 31, 2014 governing community health needs assessment conducted triennially by tax-exempt hospitals, related requirements, and potential sanctions for noncompliance.
Medical care in the United States traditionally has focused on the treatment of disease rather than on its prevention. Heart disease, cancer, hypertension, diabetes, and other chronic diseases are the primary drivers of American health care costs; compared to other high-income countries, U.S. health indices are lowest and costs are highest. A “trip...
Examines federal proposed regulations governing ACA community health needs assessment requirement for tax-exempt hospitals, hospital community benefits directed to community health improvement, opportunities for cross-sector collaboration for CHNA and community health improvement.
This presentation examines federal law (the ACA) and IRS-proposed regulations requiring tax-exempt hospitals to conduct triennial “community health needs assessments.” Along with similar requirements applicable to financial institutions, hospital needs assessment and reporting requirements create new opportunities to align community benefit and com...
Presentation at Institution of Medicine workshop on the Affordable Care Act's potential impact on health equity. Presentation title: Driving Health Equity through Public Policy: Hospital Community Benefits
Introduces an online resource for accessing state laws and regulations relevant to hospital community benefits, with a focus on state requirements for nonprofit hospital tax exemption. http://www.hilltopinstitute.org/hcbp_cbl.cfm
Examines IRS reporting requirements for nonprofit hospitals
Hospital community benefit activities directed to upstream prevention activities that address social, environmental, and economic population health determinants
Discusses the history and evolution of the hospital community benefit requirement for nonprofit hospitals, and requirements they must meet to maintain federal tax exemption under section 9007 of the Affordable Care Act
Nonprofit hospitals partner with health departments, community-based organizations to conduct community health needs assessment and implement public health interventions to improve population health in their communities
Federal and State law and regulation relevant to hospital accountability for tax exemption and community benefit responsibilities under State law and the Affordable Care Act
Details the "New Requirements for Charitable Hospitals" under section 9007 of the Affordable Care Act and their policy implications