Case Studies

Resource Category Carriers Purpose
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
Bundled Payments for Palliative Care in Colorado
Background: The purpose of this project is to gather information about the impact of a bundled palliative care service on patient medical and…
State: Colorado
 Medicaid Cost
Determine Insurance and Provider Composition Across Colorado
Data Analyzed: Total charges, allowed, plan paid, and member liability for all claims in the APCD database by county and payer.  In addition, Lockton…
State: Colorado
Bundled Payment Development for Orthopedic Care
Goal: This healthcare provider wanted to be able to analyze de-identified medical claims data for total knee and hip replacements and spinal fusion…
State: Colorado
Assist Family Planning Centers with Setting Rates
Background: The majority of family planning service clinics are publicly funded and serve a very high-need population. Having good data to help them…
State: Colorado
 Insurance Department, Population Health Commercial, Medicaid Cost, Utilization
Hospital Bundled Payment Opportunity Analysis
This bundled payment analysis seeks to conduct bundled payment analysis to identify where Colorado hospitals may have opportunities to reduce…
State: Colorado
Analyze loss data by geographic area to determine appropriate geographic rating areas for Colorado
Background: The purpose of the project is to analyze loss experience for the 2014 geographic rating areas, and determine if revised geographic rating…
State: Colorado
 Insurance Department
Impact Study of Project Angel Heart’s Home-Delivered Meals
Through this study, Project Angel Heart hopes to examine the cost patterns of clients prior to service, during service, and post- service, as well as…
State: Colorado
 Population Health, Researchers Commercial, Medicaid Cost