Case Studies

Resource Category Carriers Purpose
Pharmacy Quality Alliance Opioid Prescribing Measurers in Washington State, 2014-18
Washington State Office of Financial Management staff used the WA-APCD to run Pharmacy Quality Alliance Opioid Prescribing Measures for 2014-2018.
State: Washington
 Consumers, Employers, Health Reform, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
Colon Cancer Screening and Colonoscopy Billing
This analysis helps to answer, of the people who have a fecal screener: 1. How many insured lives in Colorado have a colonoscopy within a year?, and…
State: Colorado
 Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Cost, Utilization
Nurse Midwife Payment Evaluation
The Nurse Midwife Payment Evaluation data set provides payment comparisons for common procedures provided by Nurse Midwives, OB/GYNs, Primary Care…
State: Colorado
 Consumers, Insurance Department, Medicaid, Researchers Commercial, Medicaid, Medicare Cost
End Stage Renal Disease and Dialysis Dependence
The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the…
State: Colorado
 Consumers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Cost, Utilization
Determinants Associated With Longitudinal Adherence to Annual Lung Cancer Screening: A Retrospective Analysis of Claims Data
This investigation was undertaken to assess links between lung cancer screening (LCS) annual adherence and demographic, comorbidity, health care…
State: Colorado
 Population Health, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Utah Primary Care Spend Calculation Project
The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this primary care spend report for the Utah Academy of Family…
State: Utah
 Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality
Nationwide Evaluation of Health Care Prices Paid by Private Health Plans: Findings from Employer-Led Transparency Initiative 3.0
Using data from 2016 to 2018, the authors document variation in facility prices for the commercially insured population, reporting differences in…
 Employers, Providers Commercial, Medicare Cost
Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative 2.0
This is the first broad-based study that reports prices paid by private health plans to hospitals identified by name and to groups of hospitals under…
 Consumers, Employers Commercial, Medicaid Cost
Blood Pressure Medication Non-Adherence in Minnesota: 2015 May 2021
This report describes variation in blood pressure medication adherence among Minnesotans and provides strategies to improve adherence.
State: Minnesota
 Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid Utilization
Primary Care Expenditures Summary of current primary care expenditures and investment in Washington
The Office of Financial Management was required to conduct a study of primary care expenditures in Washington State. The final report was submitted…
State: Washington
State Innovation Model (SIM) Proxy Measure: Asthma
Colorado's State Innovation Model (SIM) seeks to measure and improve care for Coloradans living with chronic asthma. Relying on Colorado all-…
State: Colorado
 Consumers, Population Health, Providers, Researchers Commercial Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Hypertension
The Center For Improving Value in Health Care (CIVHC) analyzed hypertension in adults across the nation, with a special focus on those in Colorado.…
State: Colorado
 Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Diabetes
The Center For Improving Value in Health Care (CIVHC) analyzed diabetes in adults aged 18-75 across the nation with a special focus on those in…
State: Colorado
 Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality
Analyze Health CT Website
This website allows Connecticut residents access to healthcare information derived from historic claims data. Reports published by Analyze Health CT…
State: Connecticut
 Consumers, Health Reform, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
Oregon Hospital Payment Report
This report details the median amounts paid by commercial insurers for the most common inpatient and outpatient procedures performed in Oregon…
State: Oregon
 Consumers, Health Reform, Providers, Researchers Commercial Cost
Primary Care Spending in Oregon
This data includes claims-based and non-claims based payments made to health care providers in 2019. Data was obtained from OHA's All-Payer All…
State: Oregon
 Health Reform, Insurance Department, Medicaid, Researchers Commercial, Medicare Cost
COVID-19 Testing Price Variation
This dataset explores price variation for COVID-19 testing based on where Coloradans received the test in terms of setting (ER, Outpatient facility,…
State: Colorado
 Population Health Cost
Anesthesiology, Radiology, and Emergency Physician Payments
The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by…
State: Colorado
 Insurance Department Commercial Cost
Race and Ethnicity Data in the CO APCD
Two fields - Race and Hispanic Indicator -  became required for payers to submit to the CO APCD in September 2019. This file describes the state of…
State: Colorado
 Consumers, Health Reform, Population Health Cost, Quality, Utilization
Quality Measures: Diabetes A1C Testing and Breast Cancer Screening
This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored…
State: Colorado
 Consumers Commercial, Medicaid, Medicare Quality