Case Studies

Resource	Category	Carriers	Purpose
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
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: 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
Trends in Teen Pregnancy Rates for CO Medicaid Population 2009-2014 The Center for Improving Value in Health Care (CIVHC) analyzed Colorado All-Payer Claims Database (APCD) data from 2009-2014 to examine trends in… State: Colorado	Consumers, Medicaid, Population Health, Providers, Researchers	Medicaid	Quality
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
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
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
Average Paid Amounts for Common Health Conditions: Free-standing ER vs. Urgent Care Facility Colorado's Center for Improving Value in Health Care (CIVHC) examined trends in the average paid amount for common health conditions at urgent… State: Colorado	Consumers, Health Reform, Insurance Department, Providers	Commercial	Cost
Interactive Colorado Cost of Care Report Colorado's Center for Improving Value in Health Care (CIVHC) analyzed cost of care for Coloradans across the state using data from 2012-2015.… State: Colorado	Consumers, Employers, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost
Utah Health Status Update: Initial Diagnosis of Opioid Naive Patients The Utah Department of Health's September 2017 Health Status Update features significant public health events that occurred in the state. The… State: Utah	Consumers, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Cost, Quality, 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
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
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
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
Arkansas All-Payer Claims Database and the Profiles of Individuals Registered for Medical Marijuana (January 2018) The Arkansas All-Payer Claims Database (APCD) examined the profiles of individuals registered for medical marijuana using APCD medical claims data… State: Arkansas	Consumers, Health Reform, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Interactive Condition Prevalence Report Colorado's Center for Improving Value in Healthcare (CIVHC) created an interactive report profiling 11 chronic conditions common to Coloradans.… State: Colorado	Consumers, Employers, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
Analysis of New Hampshire Commercial Insurance Claim Data Related to Substance Use Disorder: Reimbursement Rates The New Hampshire Insurance Department contracted with Compass Health Analytics to study reimbursement rates among commercial insurers for claims… State: New Hampshire	Consumers, Insurance Department, Providers, Researchers	Commercial	Cost
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
Prevalence of Breast Cancer in Arkansas The Arkansas All-Payer Claims Database (APCD) described the county-level variability in the percentage of Arkansas women aged 45-64 who received… State: Arkansas	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization

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