Case Studies

Resource Category Carriers Purpose
Common Procedure Price Variation
Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures.
State: Colorado
 Consumers, Population Health, Researchers Commercial Cost, Utilization
Community Checkup: Improving Health Care in Washington State
A recent Washington Health Alliance report examined the cost of healthcare through an equity lens, and found that where people live in the state has…
State: Washington
 Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid Cost, Quality, Utilization
CompareCare
CompareCare's mission is to provide Massachusetts health care consumers the guidance and tools they need to become active partners in navigating…
State: Massachusetts
 Consumers Commercial Cost, Quality
CompareMaine
CompareMaine, formerly known as Maine HealthCost, is a website which allows consumers to view the average cost of common medical procedures across…
State: Maine
 Consumers, Employers, Insurance Department, Providers Commercial Cost, Utilization
Copayments for Chiropractic Care and Physical Therapy Services
This report examines the overarching effects of the legislation with specific attention devoted to the the relationship between cost and access.…
State: New Hampshire
 Consumers, Insurance Department, Providers, Researchers Commercial Cost, Utilization
Core Metrics Dashboard for Risk Adjusted Measures
The Maine State Innovation Model (SIM) Core Measures dashboard shows trends on core healthcare measures selected by a statewide group of healthcare…
State: Maine
 Consumers, Health Reform, Insurance Department, Population Health, Researchers Commercial, Medicare Utilization
Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data
This report analyzes the medical and pharmaceutical costs for diabetes in New Hampshire’s commercial, Medicaid, and Medicare populations.
State: New Hampshire
 Consumers, Employers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Cost
Cost Driver Spot Analysis: Avoidable ED Use
A cost driver analysis based on commercial health payer data in the Colorado All Payer Claims Database (CO APCD) shows that Colorado could save an…
State: Colorado
 Consumers, Population Health, Researchers Commercial Cost
Cost Driver Spot Analysis: Drug Cost Savings Potential Vimovo and Duexis
The Center for Improving Value in Health Care (CIVHC) examined trends in Vimovo and Duexis prescriptions from 2012-2016 using data from the Colorado…
State: Colorado
 Consumers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid Cost, Utilization
Cost Driver Spot Analysis: Payment Variation by Payer
This report discusses significant variation in payments for hip and knee replacements between private health insurance payers and Medicare in…
State: Colorado
 Consumers, Health Reform, Medicaid, Researchers Commercial, Medicare Cost
Cost Driver Spot Analysis: Regional Price Variation for High Volume Services January 2017
The Center for Improving Value in Health Care (CIVHC) analyzed 2014 commercial claims data for high volume procedures in six regions of Colorado to…
State: Colorado
 Consumers, Employers, Providers, Researchers Commercial Cost, Utilization
Cost of Covering Individuals in High Risk Pools in 2015
The Center for Improving Value in Health Care (CIVHC) compared the cost of covering individuals under 65 in high risk pools in 2015 between Colorado…
State: Colorado
 Employers, Insurance Department, Population Health, Providers, Researchers Commercial Cost
Cost Transparency in Colorado Hospitals
Data from this project will provide a baseline for these consumers to evaluate whether they are being charged appropriately.  More broadly, this…
State: Colorado
 Cost
COVID-19 Prevalence and Trends Among Pregnant and Postpartum Individuals in Maine by Rurality and Pregnancy Conditions
To estimate COVID-19 diagnosis prevalence and trends among pregnant and postpartum individuals in Maine by rurality and common pregnancy conditions.
State: Maine
 Consumers, Population Health, Researchers Commercial Quality
COVID-19 Testing Price Variation
This dataset explores price variation for COVID-19 testing based on where Coloradans received the test in terms of setting (ER, Outpatient facility,…
State: Colorado
 Population Health Cost
Current Uses of the MN APCD
This resource details all use cases produced using Minnesota claims as of October 2017.
State: Minnesota
 Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
Data Brief: Naloxone Prescription in Response to the Opioid Epidemic
Arkansas Center for Health Improvement analysis brief developed to inform and understand the trends and patterns of naloxone prescriptions in…
State: Arkansas
 Consumers, Health Reform, Population Health, Providers Commercial, Medicaid Quality
Data Byte: Emergency Department Severity-Level Trends by Line of Business
The Center for Improving Value in Health Care (CIVHC) used 2009-2016 claims data from the Colorado All-Payer Claims Database (APCD) to examine trends…
State: Colorado
 Consumers, Health Reform, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Data Byte: In/Out of Network Costs
Median In and Out of Network Commercial Professional Fee Paid amounts for laparoscopic appendectomy, laparoscopic cholecystectomy and small intestine…
State: Colorado
 Insurance Department, Population Health, Researchers Commercial Cost
Data Byte: Low Birthweight and Birth Outcomes in Colorado
This analysis presents the number and count of deliveries and births that occurred between 2014-2018 for Commercially insured and Medicaid insured…
State: Colorado
 Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Researchers Commercial, Medicaid Cost, Utilization