Case Studies

Resource Category Carriers Purpose
Making Health Care More Affordable: A Playbook for Implementing a State Cost Growth Target
This playbook provides a program design and implementation roadmap for states that are interested in, or in the process of, establishing a healthcare…
State: Connecticut, Oregon, Rhode Island, Washington
 Consumers, Employers, Health Reform, Researchers Commercial Cost
Arbitration and Using the Balance Billing Data Set
An overview of Washington State's Balance Billing Provision Act (BBPA) and arbitration along with useful forms, links, and datasets.
State: Washington
 Consumers, Insurance Department, Providers, Researchers Commercial Cost
The Health Care Cost Trends: Price and Utilization
This report from the Oregon Health Authority (OHA) analyzes the growth of health care costs in the commercial market in Oregon between 2013 and 2019.
State: Oregon
 Consumers, Medicaid, Providers Commercial, Medicaid, Medicare Utilization
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
Telehealth Service Analysis
This Analysis provides stakeholders with information to understand telehealth services prior to the onset of COVID-19 and the impact the pandemic has…
State: Colorado
 Consumers, Population Health, Providers, Researchers Medicare Utilization
New Hampshire Children and Teens Experiencing Mental Health Disorders: An Analysis of 2019 Healthcare Claims Data
This analysis contains 2019 pediatric medical and pharmacy claims data from commercial and Medicaid payers in New Hampshire.
State: New Hampshire
 Consumers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid Cost
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts
We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals, using…
State: Massachusetts
 Consumers, Providers, Researchers Quality
RI APCD Dental Dashboard
In May 2022, Rhode Island published an interactive suite of publicly facing reports on dental insurance coverage and utilization using APCD data.
State: Rhode Island
 Consumers, Insurance Department, Researchers Commercial, Medicaid, Medicare Cost
Potentially Avoidable ED Visits
An emergency department visit is considered potentially avoidable when the care provided may have been more appropriately managed by a primary care…
State: Virginia
 Consumers, Health Reform, Providers, Researchers Commercial, Medicaid, Medicare Cost
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
Using State All-Payer Claims Data to Identify the Active Primary Care Workforce: A Novel Study in Virginia
Our novel method of identifying active physicians with a primary care scope provides a realistic size of the primary care workforce in Virginia,…
State: Virginia
 Providers, Researchers 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
Identifying Potential Overuse of Non-Evidence-Based Health Care in Utah: A Report for the Utah Health Data Committee
In 2020, H.B. 195 - Identifying wasteful healthcare spending, which enacted UCA §26-33a-117-Identifying potential overuse of non-evidence-based…
State: Utah
 Consumers, Health Reform, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Transitions in Health Insurance During the Perinatal Period Among Patients With Continuous Insurance Coverage
Although health insurance continuity is important during the perinatal period to improve birth outcomes and reduce maternal morbidity and mortality,…
State: Massachusetts
 Consumers, Insurance Department, Population Health, Researchers Commercial, Medicaid Utilization