Case Studies

Resource Sort descending	Category	Carriers	Purpose
Data Byte: Subsys Prescription Trends in Colorado 2012-2016 Colorado's Center for Improving Value in Healthcare (CIVHC) examined trends in Subsys prescription practices from 2012-2016 using commercial and… State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Cost, Utilization
Data Byte: Top 25 CPTs by Volume in CO Data reflects paid amounts and charges for the top 25 Professional Current Procedural Terminology (CPT) codes by volume in 2016, submitted through… State: Colorado	Insurance Department, Researchers	Commercial	Cost
DataByte: Flu Vaccination Trends In this DataByte, Utah’s All Payer Claim Database (APCD) 2020 vaccination data trend is compared with the 2019 vaccination data trend[1]. The APCD… State: Utah	Population Health, Providers	Commercial, Medicaid, Medicare	Cost, Utilization
DataByte: Opioid and Other Pain Medication Use in Utah This DataByte looks at both the percentage of opioid prescriptions and length of days supplied. The data for these results comes from the Utah All… State: Utah	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Depression Among New Hampshire Medicaid Members This study profiled NH Medicaid members’ health care experience during the period of January 1, 2005 – December 31, 2005 (CY2005) based on claims… State: New Hampshire	Medicaid, Population Health	Medicaid	Cost, Utilization
Determinants Associated With Longitudinal Adherence to Annual Lung Cancer Screening: A Retrospective Analysis of Claims Data This investigation was undertaken to assess links between lung cancer screening (LCS) annual adherence and demographic, comorbidity, health care… State: Colorado	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Determine Insurance and Provider Composition Across Colorado Data Analyzed: Total charges, allowed, plan paid, and member liability for all claims in the APCD database by county and payer. In addition, Lockton… State: Colorado
Develop Innovative 21st Century Ambulatory Health Care Model Historic claims file for a list of Medicaid patients. This healthcare provider was awarded a cooperative agreement from CMS and Medicaid Innovations… State: Colorado			Cost
Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015 In this cross-sectional study of 22 788 diabetic adults with incomes between 75% and 200% of the federal poverty level, drug utilization across… State: Colorado	Consumers, Insurance Department, Medicaid	Commercial, Medicaid	Utilization
Drug Problem Grows Worse in Martinsville, Henry County A recent study observing the West Piedmont Health District of Virginia found that over a short five month period, this area experienced the third… State: Virginia	Consumers, Employers, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization
ED Severity Levels by Payer Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Utilization
Emergency Department Use for Mental Health Reasons in Colorado The Emergency Department (ED) Mental Health-Related report provides stakeholders the opportunity to compare utilization and cost metrics for ED… State: Colorado	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Employer Site of Service Analysis Brief This report investigates the potential cost savings available with outpatient procedures by comparing costs for services performed at hospitals to… State: Colorado	Employers, Health Reform, Researchers	Commercial	Cost
End Stage Renal Disease and Dialysis Dependence The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the… State: Colorado	Consumers, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Enrollment Trends February 2018 Edition The Massachusetts Center for Health Information and Analysis's (CHIA) annual report looks at the trends in health insurance enrollment from… State: Massachusetts	Employers, Insurance Department, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
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
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
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
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
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

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