Anthony M. Tucker
Director, Special Projects

Anthony (Tony) Tucker is director of special projects at The Hilltop Institute. Dr. Tucker has extensive experience in the development, management, and analysis of public and private health services data, analytical methods that support health system administration and research, and policy analysis related to the organization and assessment of government health insurance programs. In his work at Hilltop, Dr. Tucker uses long-term care MDS and other assessment data to better understand patient populations, service utilization, and provider performance. He has developed a method to refine comprehensive MDS data for a variety of analytical purposes and is working to establish standards for applications and measures drawn using those data. Dr. Tucker's current work also focuses on examining patterns of resource use and costs-primarily among individuals dually eligible for Medicare and Medicaid-to explore the relationships between long-term care supports/services and acute care service use, as well as attendant implications for payments associated with programs to coordinate Medicare and Medicaid benefits. In addition, Dr. Tucker has surveyed community-dwelling adults who are dually eligible for Medicare and Medicaid benefits to explore the relationship between functional status and resource use and how activities of daily living might be used in setting Medicaid payment rates and assessing provider performance.

Dr. Tucker was previously the senior research director and senior health policy analyst at the American Health Care Association, an association of long-term care providers. Prior to that, he was on the research faculty of The Johns Hopkins University Bloomberg School of Public Health, where he focused on the development and application of health-based risk adjustment methods used in setting provider payment rates and assessing provider performance. While at Johns Hopkins, he provided consulting services to a variety of public- and private-sector organizations on the application of the Johns Hopkins Adjusted Clinical Group (ACG) case-mix system, including Hilltop, with respect to Maryland's HealthChoice program and the Ministry of Health in British Columbia, Canada, on rate setting and physician profiling.

Dr. Tucker is co-author of a number of articles in peer-reviewed journals on provider profiling and setting provider payment rates, a book chapter on the application of health-based risk adjustment to premium development and profiling, and many specialized research study reports in related areas, including long-term care.

Dr. Tucker received his Ph.D. from The Johns Hopkins University, his M.P.A. from Harvard University, and his B.A. from George Washington University.