Case Studies

Resource Sort ascending	Category	Carriers	Purpose
Green Mountain Care Board Data Analytic Plan Health care accounts for nearly one-fifth of the state economy. Spending is growing faster than any measure of our ability to pay. At the same time,… State: Vermont	Consumers, Health Reform, Population Health, Providers	Commercial	Quality, Utilization
Geographic Variation in Hypertension in Minnesota: 2014 This report provides a state and local overview of the prevalence of hypertension in Minnesota, including the first estimates of hypertension… State: Minnesota	Medicaid, Population Health	Commercial, Medicaid, Medicare	Utilization
From Claims to Clarity: Deriving Actionable Healthcare Cost Benchmarks from Aggregated Commercial Claims Data The study used a standard measure of costs from HealthPartners of Minnesota and required Hilltop to analyze 2014 data from Maryland’s all payer… State: Colorado	Health Reform, Population Health	Commercial	Cost
Follow the Money: Pharmaceutical Manufacturer Payments and Opioid Prescribing Patterns in New York State Using 2013 - 2015 data from the Open Payments and Medicare drug utilization data, this report examines how payments from opioid manufacturers to… State: New York	Health Reform, Population Health, Providers	Medicare	Cost, Utilization
First, Do No Harm: Calculating Health Care Waste in Washington State The Washington Health Alliance utilized Milliman's MedInsight Health Waste Calculator to analyze the financial waste generated by unnecessary… State: Washington	Consumers, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Female Reproductive Factors and Risk of New-Onset Heart Failure: Findings From UK Biobank The study sought to investigate the association of multiple female reproductive factors with the risk of HF.	Consumers, Population Health, Researchers	Commercial	Quality
Factors Associated With Opioid Overdose After an Initial Opioid Prescription Scott Weiner, MD, MPH, Department of Emergency Medicine, Brigham and Women's Hospital, led a team of investigators in conducting a cohort study… State: Oregon	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Extended-age Out-of-Sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claim This analysis provides predictive analytical modeling based on administrative claims history for individualized risk profiles at hospital admission… State: Oregon, Utah	Consumers, Population Health, Researchers	Medicare	Utilization
Extended Postpartum Medicaid In Colorado Associated With Increased Treatment for Perinatal Mood and Anxiety Disorders Perinatal mood and anxiety disorders (PMAD), a leading cause of perinatal morbidity and mortality, affect approximately one in seven births in the US… State: Colorado	Health Reform, Insurance Department, Medicaid, Population Health	Commercial, Medicaid
Exploring the Cost of Colonoscopy in Utah Consistent with this mission, the Transparency Advisory Group selected colonoscopies as a procedure with high health care value for Utahns. This… State: Utah	Consumers, Employers, Providers		Cost, Quality
Exploring the Cost of Cataract Surgery in Utah The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the… State: Utah	Consumers, Employers, Providers		Cost, Quality
Exploring Shifts in Insurance Products after ACA This study explores the shift in popularity of different commercial insurance products following the adoption of the ACA. Significant focus is given… State: New Hampshire	Consumers, Employers, Insurance Department	Commercial	Utilization
Even Before Pandemic, Most Arkansans Were Not Making Regular Dentist Visits, ACHI Report Finds This report includes trend information throughout 2019 and 2020 by type of dental treatments, age, and payer type, and displays utilization impacts… State: Arkansas	Consumers, Insurance Department, Population Health, Providers, Researchers	Commercial	Utilization
Evaluation of the Minnesota Accountable Health Model Minnesota's State Health Access Data Assistance Center (SHADAC) evaluated the success of the State Innovation Model (SIM) initiative from 2015-… State: Minnesota	Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Evaluation of the Minnesota Accountable Health Model Minnesota's State Health Access Data Assistance Center (SHADAC) evaluated the success of the State Innovation Model (SIM) initiative from 2015-… State: Minnesota	Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Evaluation of Availability and Cost for Optometrist Services to Enhance Access for Medicaid Patients. Goal: Determine financial impact that an increase in reimbursement would have on the overall Medicaid budget and the number of Optometrists and… State: Colorado	Medicaid, Providers	Medicaid
Evaluate vaccines claims data to assess the completeness of the Colorado Immunization Information System (CIIS). Goal: Assess the completeness of the Colorado Immunization Information System (CIIS) and obtain an accurate count of the number of immunizing… State: Colorado
Evaluate Cost of Care to Move Towards Value-Based Economic Model Goal: Assess the completeness of the Colorado Immunization Information System (CIIS) and obtain an accurate count of the number of immunizing… State: Colorado
EpiPen Prescription Cost Trends The Center for Improving Value in Health Care (CIVHC) analyzed trends in EpiPen prescription costs from 2009-2016 for Medicaid and commercial payers… State: Colorado	Consumers, Employers, Insurance Department, Medicaid, Researchers	Commercial, Medicaid	Cost
Enrollment Trends: July 2016 Edition Enrollment Trends monitors health insurance coverage in Massachusetts. Coverage is defined as primary, medical insurance administered by the top 14… State: Massachusetts	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Researchers	Commercial, Medicaid, Medicare	Utilization

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