Case Studies

Resource Category Carriers Purpose
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
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
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
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 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
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
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
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
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
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
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
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
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
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
Green Mountain Care Board Price Variation Analysis
The GMCB referenced a January 2012 report commissioned by the Department of Vermont Health Access that found “there was significant variation in the…
State: Vermont
 Consumers, Employers, Providers Commercial Cost, Utilization
Health Care Cost and Utilization Report
This is the first report by the Health Care Cost Institute (HCCI) in cooperation with the Green Mountain Care Board (GMCB) about the health care…
State: Vermont
 Consumers, Medicaid, Population Health, Providers Commercial Cost, Utilization
Health Care Cost Trends - Washington state
Report from the Office of the Insurance Commissioner and Onpoint Health Data analyzing health care cost trends in Washington state, looking at both…
State: Washington
 Consumers, Employers, Insurance Department, Providers, Researchers Commercial, Medicaid, Medicare Cost
Health Care Costs in Washington Grew 13% between 2016-2019
This report was produced by Onpoint Health Data and used data from Washington’s All-Payer Claims Database (www.hca.wa.gov). It looks at claims…
State: Washington
 Consumers, Employers, Insurance Department, Providers, Researchers Commercial Cost
Health Plan Rate Analysis
Background: The purpose of the project is to analyze the medical trends in Colorado and determine the appropriate average trend to be used by…
State: Colorado
 Health Reform, Insurance Department Commercial Cost