Case Studies

Resource	Category	Carriers	Purpose
Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals (Part 2): July 2014 - June 2015 This report examines case price variation for four common, clinically uncomplicated inpatient surgeries. This is the second in a series of reports… State: Minnesota	Consumers, Health Reform, Researchers	Commercial, Medicaid, Medicare	Cost
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
Potentially Preventable Health Care Events in Minnesota The Minnesota Department of Health used Minnesota claims data from 2012 to analyze administrative healthcare transactions for 4.3 million privately… State: Minnesota	Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Pharmaceutical Spending and Use in Minnesota: 2009-2013 The Minnesota Department of Health utilized claims data from the Minnesota All-Payer Claims Database (MNAPCD) to analyze pharmaceutical spending and… State: Minnesota	Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database The Minnesota Department of Health analyzed the overuse of unnecessary or low-value care throughout the state of Minnesota using data from the MN… State: Minnesota	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Chronic Conditions in Minnesota: New Estimates of Prevalence, Cost and Geographic Variation for Insured Minnesotans, 2012 This report examines chronic disease prevalence and spending for Minnesota residents with health insurance in 2012, using Minnesota’s robust All… State: Minnesota	Consumers, Health Reform, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Chronic Pain Procedures in Minnesota, 2010-2012, Minnesota Department of Health Report to the Minnesota Legislature - 2014 The Minnesota Department of Health released an analysis of chronic pain management services based on data from the state's APCD. This report is… State: Minnesota	Population Health	Commercial	Cost, Utilization
State-Based Risk Adjustment System Assessment Feasibility Study This report provides an assessment of using state APCD data in MN to support a state-based risk adjustment program for the Minnesota market. The… State: Minnesota	Health Reform, Insurance Department	Commercial	Cost, Utilization
Washington APCD Health Measures Dashboards The WA-APCD health measures dashboards offer publicly available data reports which include a comparison of statewide and Accountable Communities of… State: Washington	Consumers, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Massachusetts Commercial Prescription Drug Use and Spending, 2015-2017 This is the second study on prescription drug use and spending released from CHIA. For this analysis, CHIA used a subset of commercial pharmacy… State: Massachusetts	Consumers, Health Reform, Researchers	Commercial	Cost, Utilization
Colorado Telehealth Services Analysis Use of telehealth services was rising before the onset of the novel coronavirus pandemic. From January 2018 to February 2020, telehealth utilization… State: Colorado	Consumers, Population Health	Commercial, Medicaid	Cost, Utilization
Small-Area Variation in the Care of Low-Risk Neonates in Massachusetts and Texas A research study that measures special care days (SCDs) (intermediate or intensive), length of stay, and readmission rates among low-risk neonates… State: Texas	Providers, Researchers	Commercial	Quality, Utilization
Coloradans Accessed Telehealth Services More In March and April 2020 than 2018-2019 Combined The Center for Improving Value in Health Care (CIVHC), using data from the Colorado All Payer Claims Database (CO APCD) updated the Telehealth… State: Colorado	Consumers, Population Health	Commercial, Medicaid	Cost, Utilization
DataByte: Flu Vaccination Trends In this DataByte, Utah’s All Payer Claim Database (APCD) 2020 vaccination data trend is compared with the 2019 vaccination data trend[1]. The APCD… State: Utah	Population Health, Providers	Commercial, Medicaid, Medicare	Cost, Utilization
Medication-assisted Treatment for Opioid Use Disorder in Rhode Island: Who Gets Treatment, and Does Treatment Improve Health Outcomes? The New England Public Policy Center at the Boston Fed recently released a report entitled “Medication-assisted Treatment for Opioid Use Disorder in… State: Rhode Island	Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization
Evaluate Cost of Care to Move Towards Value-Based Economic Model Goal: Assess the completeness of the Colorado Immunization Information System (CIIS) and obtain an accurate count of the number of immunizing… State: Colorado
Evaluate vaccines claims data to assess the completeness of the Colorado Immunization Information System (CIIS). Goal: Assess the completeness of the Colorado Immunization Information System (CIIS) and obtain an accurate count of the number of immunizing… State: Colorado
Health Plan Rate Analysis Background: The purpose of the project is to analyze the medical trends in Colorado and determine the appropriate average trend to be used by… State: Colorado	Health Reform, Insurance Department	Commercial	Cost
Analyze insurance claim trends to determine appropriate health insurance rates Background: The purpose of the project is to analyze the medical trends in Colorado and determine the appropriate average trend to be used by… State: Colorado	Insurance Department
Combining Electronic Medical Records with Claims Data to Identify Opportunities for Improving Outcomes for Medicaid Patients The vision for this network is that it will support a broad array of data uses including development of improved quality metrics using both clinical… State: Colorado	Health Reform, Medicaid, Population Health, Researchers	Medicaid	Cost, Quality

Case Studies

APCD Showcase

APCD Council