Case Studies

Resource Category Carriers Purpose
Leading Indicators for Oregon's Health Care Transformation
The Oregon Health Authority published this report on using data from their state All-Payer All-Claims Database. The report examines the outcomes of…
State: Oregon
Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare 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
Spending and Use Among Maryland's Privately Fully Insured
This study examines changes in healthcare expenditure and utilization in the individual and small group markets following the implementation of new…
State: Maryland
Employers, Health Reform, Insurance Department Commercial Cost, Utilization
The Evolving Landscape of Health Care Reform and Health Care Spending in Maryland
This study focuses on Maryland's health care spending following their initiative to meet the 'triple aims' of health care reform:…
State: Maryland
Health Reform, Providers, Researchers Commercial Cost
Payment for Professional Services In Maryland: Factors Contributing to Variation and Comparison to Public Payers
This study examines variation in payment rate among commercial carriers in Maryland and compares this with Medicare and Medicaid payment rates. The…
State: Maryland
Health Reform, Insurance Department, Providers Commercial, Medicaid, Medicare Cost
Payment for Professional Services in Maryland
Private payment rates for professional services in Maryland are compared with Medicare and Medicaid payment rates for the same services. Data and…
State: Maryland
Health Reform, Medicaid, Providers Commercial, Medicaid, Medicare Cost
Impact of the Assignment of Benefits Legislation
The Maryland Health Care Commission's report assesses the impact of the Assignment of Benefits and Reimbursement of Nonpreferred Providers law…
State: Maryland
Consumers, Health Reform, Insurance Department, Providers Commercial Cost
Assessment of Changes in Advanced Imaging Referrals by Orthopedists 2010-2012
This study examines the trends in prescribing magnetic resonance imaging (MRI) services in Maryland following the divestiture of ownership of MRI…
State: Maryland
Health Reform, Insurance Department, Providers Commercial, Medicaid, Medicare Utilization
Utah Health Status Update: Using Clinical Risk Groups to Analyze the Utah All Payer Claims Data
Utah All Payer Claims Database (APCD) uses the 3M Clinical Risk Group (CRG) software to show clinically-meaningful categories using diagnoses,…
State: Utah
Insurance Department, Medicaid, Population Health, Researchers Commercial, Medicaid Cost, Utilization
Small Geographic Area Variations in Prescription Drug Use
This study seeks to quantify variation in pediatric pharmacotherapy across small geographic regions and payer type (commercial or Medicaid). All-…
State: Maine
Consumers, Medicaid, Providers, Researchers Commercial, Medicaid Utilization
NH HealthCost Website
The HealthCost website (http://www.nhhealthcost.org/) provides information for consumers and employers about the price of medical care in New…
Consumers, Employers, Insurance Department, Providers, Researchers Commercial Cost, Quality, 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
Prescription Use among Children with Autism Spectrum Disorders in Northern New England: Intensity and Small Area Variation
This report measures the intensity of prescription use and regional variation of psychotropic and two non-psychotropic drugs among children with…
State: Maine
Consumers, Population Health, Providers, Researchers Commercial, Medicaid 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…
Consumers, Employers, Insurance Department Commercial Utilization
Enrollment Trends: July 2016 Edition
Enrollment Trends monitors health insurance coverage in Massachusetts. Coverage is defined as primary, medical insurance administered by the top 14…
Consumers, Employers, Health Reform, Insurance Department, Medicaid, Researchers Commercial, Medicaid, Medicare Utilization
Performance of the Massachusetts Health Care System: Annual Report September 2016
The Center for Health Information and Analysis' (CHIA) annual report on the Massachusetts healthcare system monitors quality and cost trends…
Consumers, Employers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
MassHealth Baseline Statistics from the MA APCD
This report provides baseline information about MassHealth's eligibility and claims data. MassHealth is the Commonwealth's combined…
Health Reform, Insurance Department, Medicaid, Providers, Researchers Medicaid, Medicare Cost, Utilization
Quick Cost and Plan Finder
Connect for Health Colorado and the Center for Improving Value in Health Care (CIVHC) partnered to develop the Quick Cost and Plan Finder Tool that…
State: Colorado
Consumers, Health Reform, Insurance Department Commercial Cost, Quality
Risk-Adjustment Methods for All-Payer Comparative Performance Reporting in Vermont
This research study evaluates the effectiveness of different risk-adjustment models for comparing claims data for populations served by Medicare,…
State: Vermont
Health Reform, Medicaid, Population Health, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization