Case Studies

Resource Category Carriers Purpose
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…
Consumers, Medicaid, Population Health, Researchers Commercial, Medicaid, Medicare Utilization
Hospital Facility Prices Declined As A Result Of Oregon’s Hospital Payment Cap
Hospital prices for commercially insured people are high and vary widely, prompting states to seek ways to control hospital price growth. In October…
State: Oregon
Consumers, Employers, Health Reform, Insurance Department Commercial, Medicare Utilization
Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022
The objective of this study was to estimate trends in maternal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) in Maine using the…
State: Maine
Consumers, Insurance Department, Population Health, Researchers Medicaid, Medicare Utilization
Rare fungal infection gains prevalence in new region
The epidemiology of blastomycosis in Vermont, USA, is poorly understood. Using insurance claims data, we estimated the mean annual blastomycosis…
State: Vermont
Consumers, Providers, Researchers Commercial, Medicaid, Medicare
In Three States, Growth In Prescription Drug Spending Is Unaffordable Even When Accounting For Rebates
Over the past five years, several states have implemented statewide cost growth targets to increase transparency and accountability around the…
Consumers, Insurance Department, Researchers Commercial Cost
Use of New Audio-Only Telemedicine Claim Modifiers
Policymakers at both the state and federal levels face decisions about coverage of audio-only telemedicine amid a dearth of reliable data due to…
State: Washington
Health Reform, Providers, Researchers Commercial, Medicaid, Medicare Quality, Utilization
Small Intervention, Big Impact: Health Care Cost Reductions Related to Medically Tailored Nutrition
Food is a critical aspect of health care for people living with illnesses like congestive heart failure, chronic obstructive pulmonary disease, and…
State: Colorado
Consumers, Health Reform, Insurance Department, Population Health, Providers Cost
Impact of the Patient-Centered Medical Home on Consistently High-Cost Patients
Patient-centered medical homes in Maryland’s multipayer demonstration disrupted the pattern of recurrently high expenditure among the costliest…
State: Maryland
Consumers, Health Reform, Providers, Researchers Commercial Cost, Quality
Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Cardiac rehabilitation (CR) is an evidence-based secondary prevention program designed to improve cardiovascular health after a cardiac event. The…
State: Minnesota
Consumers, Population Health, Providers Commercial, Medicaid, Medicare Utilization
Profile of the Primary Care Physician Workforce in Arkansas
"Healthcare provider shortages continue to be one of the most pressing challenges faced by healthcare organizations and communities seeking to…
State: Arkansas
Health Reform, Providers, Researchers Commercial, Medicaid, Medicare Quality
The Health Care Costs of Extreme Heat
“A new report produced by an interdisciplinary group of faculty, staff and students at Virginia Commonwealth University and published by the Center…
State: Virginia
Consumers, Health Reform, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Naloxone Prescription in Response to the Opioid Epidemic
In response to the opioid epidemic, policies to expand access to the overdose-reversal drug naloxone — e.g., allowing pharmacists to dispense…
State: Arkansas
Consumers, Insurance Department, Population Health, Providers Commercial, Medicaid Utilization
Association between hypertensive disorders of pregnancy and cardiovascular diseases within 24 months after delivery
Despite the well-known association between hypertensive disorders of pregnancy and cardiovascular diseases, there are limited data on which specific…
State: Maine
Population Health, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Asthma Quality Measurement and Adverse Outcomes in Medicaid-Enrolled Children
To determine the association between the asthma medication ratio (AMR) quality measure and adverse outcomes among Medicaid-enrolled children with…
State: Arkansas
Consumers, Medicaid, Population Health, Researchers Medicaid Utilization
Review of Third-Party Specialty Pharmacy Use for Clinician-Administered Drugs
"In this report, required by Section 130 of Chapter 47 of the Acts of 2017, the Massachusetts Health Policy Commission (HPC) examines the…
Consumers, Health Reform, Insurance Department, Population Health, Providers, Researchers Commercial, Medicare Cost, Utilization
Healthcare Payments Data (HPD) Snapshot
The Healthcare Payments Data Snapshot is an overview of data currently available as submitted in the HPD System with visualizations that allow users…
Consumers, Insurance Department, Medicaid, Researchers Commercial, Medicaid, Medicare Utilization
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
Insurance Coverage Transitions After Disenrollment From Medicaid in Minnesota
Little is known about where, or how quickly, people gain new health insurance after exiting Medicaid. Understanding these dynamics may be…
State: Minnesota
Consumers, Medicaid, Population Health, Providers, Researchers Medicaid Cost
Female Reproductive Factors and Risk of New-Onset Heart Failure: Findings From UK Biobank
The study sought to investigate the association of multiple female reproductive factors with the risk of HF.
Consumers, Population Health, Researchers Commercial Quality
Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
An article published in the April 13, 2023 issue of the CDC's 'Preventing Chronic Disease' journal uses data from the Minnesota All…
State: Minnesota
Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Quality, Utilization