Case Studies

Resource Sort descending	Category	Carriers	Purpose
Assist Family Planning Centers with Setting Rates Background: The majority of family planning service clinics are publicly funded and serve a very high-need population. Having good data to help them… State: Colorado	Insurance Department, Population Health	Commercial, Medicaid	Cost, Utilization
Combining Electronic Medical Records with Claims Data to Identify Opportunities for Improving Outcomes for Medicaid Patients The vision for this network is that it will support a broad array of data uses including development of improved quality metrics using both clinical… State: Colorado	Health Reform, Medicaid, Population Health, Researchers	Medicaid	Cost, Quality
Identify care outcome improvement opportunities by combining medical claims with EMR data for approximately 100,000 Medicaid patients over a four year period. The Scalable Architecture for Federated Translational Inquiries Network (SAFTINet) is a multi-state consortium of stakeholders dedicated to… State: Colorado
Identify Opportunities to Reduce Use of Potentially Harmful Medications During and Post Surgery This research entity will define patterns of opioid analgesia and prolonged opioid use in a large cohort study of patients that underwent major… State: Colorado	Consumers, Population Health, Providers, Researchers		Utilization
Inform Rate Setting and Provide Network Development As a result of the data, Colorado HealthOP was able to get a better understanding of patterns of care in rural/western slope areas, and the… State: Colorado	Insurance Department
Snapshot Report – Knee Arthroscopy The following report shows utilization of services by geography (rate of Knee Arthroscopy per thousand people in the area) as well as average… State: Colorado		Commercial, Medicaid	Cost, Utilization
2008-2009 Professional Services Utilization: Trends Among Privately Insured Patients This report examines the use of professional health services by privately insured Maryland residents in 2009 and the payments made to practitioners… State: Maryland	Health Reform, Insurance Department, Providers	Commercial	Cost
2015 Healthcare Pricing Transparency The Virginia Health Information (VHI) released a price transparency report highlighting price differences of over 30 services across different… State: Virginia	Consumers, Health Reform, Providers	Commercial	Cost, Utilization
2017 CO APCD Annual Report: Charting the Health Care System in Colorado The Center for Improving Value in Health Care (CIVHC) All-Payer Claim Database (APCD) Colorado 2017 Annual Report highlights the research and… State: Colorado	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
A Commercial Insurance Study of Vaginal Delivery and Cesarean Section Rates at New Hampshire Hospitals, NHID, April 2011 Using claims data from the NH Comprehensive Health Information System (NHCHIS), the New Hampshire Insurance Department (NHID) performed this analysis… State: New Hampshire	Insurance Department, Providers	Commercial	Cost, Quality, Utilization
A Preliminary Look at Chronic Conditions in Rhode Island If you are concerned about your family's health and the health of your community, then you have likely heard about chronic conditions like… State: Rhode Island	Consumers, Medicaid, Population Health	Commercial, Medicaid, Medicare	Cost, Utilization
A Snapshot of Hepatitis C in Colorado This report from the Center for Improving Value in Health Care (CIVHC) finds that most Coloradans with the Hepatitis C virus are not being treated… State: Colorado	Consumers, Health Reform, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
A Study of Ground Ambulance Transport Commercial Claims Data, NHID, February 2011 The New Hampshire Insurance Department (NHID) analyzed commercial insurance claims data from the New Hampshire Comprehensive Health Information… State: New Hampshire	Insurance Department, Providers	Commercial	Cost, Utilization
Addressing a Measurement Gap by Linking State All-Payer Claims Database with State Cancer Registry Data A limitation of the central cancer registries to examine associations between mammography use and cancer diagnosis is their lack of cancer screening… State: Rhode Island	Consumers, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
Advance Care Planning Code Volumes This analysis seeks to understand usage of the advanced care planning CPT code, 99497, from 2016 (the first year implemented) to 2018 for all… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Utilization
Affordability Dashboard The Affordability Dashboard provides information on health care cost drivers and opportunities to improve the affordability of health care in… State: Colorado	Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost
All-Payer Total Cost of Care Interactive Visualization All-Payer Total Cost of Care Interactive Visualization. Requires Tableau log-in. State: Vermont	Employers, Health Reform, Insurance Department, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost
Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin This study used an all-payer, Wisconsin statewide claims database to assess screening variability across health systems and to determine whether a… State: Wisconsin	Consumers, Health Reform, Providers	Commercial, Medicaid, Medicare	Utilization
Analysis of Inflammatory Bowel Disease Treatments and Medications to Identify Best Practices Betterpath is building a tool that takes an individual patient’s medical data and compares it to the larger patient cohort in order to compare and… State: Colorado			Cost
Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database The Minnesota Department of Health analyzed the overuse of unnecessary or low-value care throughout the state of Minnesota using data from the MN… State: Minnesota	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization

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