Case Studies

Resource Sort descending	Category	Carriers	Purpose
Potentially Preventable Emergency Room Visits Using data from the Rhode Island APCD, HealthFacts RI, the State of RI can now track potentially preventable emergency room visits over time,… State: Rhode Island	Consumers, Health Reform, Medicaid, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Potentially Preventable Health Care Events in Minnesota The Minnesota Department of Health used Minnesota claims data from 2012 to analyze administrative healthcare transactions for 4.3 million privately… State: Minnesota	Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Prescription Use among Children with Autism Spectrum Disorders in Northern New England: Intensity and Small Area Variation This report measures the intensity of prescription use and regional variation of psychotropic and two non-psychotropic drugs among children with… State: Maine	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Prevalence of Breast Cancer in Arkansas The Arkansas All-Payer Claims Database (APCD) described the county-level variability in the percentage of Arkansas women aged 45-64 who received… State: Arkansas	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals, using… State: Massachusetts	Consumers, Providers, Researchers		Quality
Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative 2.0 This is the first broad-based study that reports prices paid by private health plans to hospitals identified by name and to groups of hospitals under…	Consumers, Employers	Commercial, Medicaid	Cost
Primary Care Expenditures Summary of current primary care expenditures and investment in Washington The Office of Financial Management was required to conduct a study of primary care expenditures in Washington State. The final report was submitted… State: Washington
Primary Care Spending in Oregon This data includes claims-based and non-claims based payments made to health care providers in 2019. Data was obtained from OHA's All-Payer All… State: Oregon	Health Reform, Insurance Department, Medicaid, Researchers	Commercial, Medicare	Cost
Prior Coverage Analysis Goal: Evaluate prior coverage analysis, de-identified and aggregated by payer, which depicts measures of data quantity (number of members, number of… State: Colorado	Consumers, Health Reform, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Profile of the Primary Care Physician Workforce in Arkansas "Healthcare provider shortages continue to be one of the most pressing challenges faced by healthcare organizations and communities seeking to… State: Arkansas	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality
Quality Measures in Colorado In February 2018, The Center for Improving Value in Health Care (CIVHC) reported on quality of care in different counties in Colorado. They compare… State: Colorado	Consumers, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
Quality Measures: Diabetes A1C Testing and Breast Cancer Screening This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored… State: Colorado	Consumers	Commercial, Medicaid, Medicare	Quality
Quick Cost and Plan Finder Connect for Health Colorado and the Center for Improving Value in Health Care (CIVHC) partnered to develop the Quick Cost and Plan Finder Tool that… State: Colorado	Consumers, Health Reform, Insurance Department	Commercial	Cost, Quality
Race and Ethnicity Data in the CO APCD Two fields - Race and Hispanic Indicator - became required for payers to submit to the CO APCD in September 2019. This file describes the state of… State: Colorado	Consumers, Health Reform, Population Health		Cost, Quality, Utilization
Rare fungal infection gains prevalence in new region The epidemiology of blastomycosis in Vermont, USA, is poorly understood. Using insurance claims data, we estimated the mean annual blastomycosis… State: Vermont	Consumers, Providers, Researchers	Commercial, Medicaid, Medicare
Reference-Based Inpatient and Outpatient Payment Reference-Based Inpatient and Outpatient Payment Analysis: Reducing Payment Variation as a Potential Cost-Savings Analysis: Reducing Payment Variation as a Potential Cost-Savings Mechanism A new analysis using data from the Colorado All-Payer Claims Database (CO APCD) shows millions in potential savings for Coloradans with commercial… State: Colorado	Health Reform	Commercial, Medicare	Cost
Reflux and Barrett's esophagus after sleeve gastrectomy: analysis of a statewide database In this large statewide database, rates of esophagogastroduodenoscopy remained low after SG, but the incidence of a new postoperative esophagitis or…	Consumers, Population Health, Providers, Researchers	Commercial	Quality, Utilization
Regional Price Variation for Common Procedures These maps illustrate regional variation for 11 common services. This information can help communities understand how their health care prices… State: Colorado	Consumers, Researchers		Cost
Report on Patient Contributions to Medical Expenses, NHID, May 2008 Using medical claims data from the NH Comprehensive Healthcare Information System (NHCHIS), the NH Insurance Department (NHID) performed an analysis… State: New Hampshire	Consumers, Insurance Department	Commercial	Cost
Report on the Impact of House Bill 790 – An Act Relative to Dependent Coverage for Health Insurance in the 2007 Session, NHID, December 2008 Using commercial claims data from the NH Comprehensive Health Care Information System (NHCHIS), the New Hampshire Insurance Department (NHID)… State: New Hampshire	Consumers, Health Reform, Insurance Department	Commercial	Cost

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