Case Studies

Resource	Category	Carriers	Purpose
BRCA1/2 testing among young women with breast cancer in Massachusetts, 2010-2013: An observational study using state cancer registry and All-Payer claims data Analysis linking Massachusetts' All-Payer Claims Database with Massachusetts Cancer Registry data to assess factors associated with BRCA1/2… State: Massachusetts	Consumers, Employers, Population Health, Providers, Researchers	Commercial, Medicaid	Quality
Health Plans Pay Twice As Much As Medicare A report and online dashboard for exploring prices and potential savings for specific inpatient and outpatient hospital procedures in Oregon. State: Oregon	Consumers, Employers, Insurance Department, Researchers	Commercial, Medicare	Cost
Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data This report analyzes the medical and pharmaceutical costs for diabetes in New Hampshire’s commercial, Medicaid, and Medicare populations. State: New Hampshire	Consumers, Employers, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost
Data Brief: Naloxone Prescription in Response to the Opioid Epidemic Arkansas Center for Health Improvement analysis brief developed to inform and understand the trends and patterns of naloxone prescriptions in… State: Arkansas	Consumers, Health Reform, Population Health, Providers	Commercial, Medicaid	Quality
The New England States’ All-Payer Report on Primary Care Payments The purpose of this report is to use standardized data to identify the percentage of all-payer primary care spending relative to overall healthcare… State: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont	Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Treated Chronic Disease Prevalence and Spending in Minnesota This report provides estimates of prevalence and attributable spending, as well as projections for future attributable spending for diabetes,… State: Minnesota	Population Health	Commercial, Medicaid, Medicare	Cost
Making Health Care More Affordable: A Playbook for Implementing a State Cost Growth Target This playbook provides a program design and implementation roadmap for states that are interested in, or in the process of, establishing a healthcare… State: Connecticut, Oregon, Rhode Island, Washington	Consumers, Employers, Health Reform, Researchers	Commercial	Cost
Arbitration and Using the Balance Billing Data Set An overview of Washington State's Balance Billing Provision Act (BBPA) and arbitration along with useful forms, links, and datasets. State: Washington	Consumers, Insurance Department, Providers, Researchers	Commercial	Cost
The Health Care Cost Trends: Price and Utilization This report from the Oregon Health Authority (OHA) analyzes the growth of health care costs in the commercial market in Oregon between 2013 and 2019. State: Oregon	Consumers, Medicaid, Providers	Commercial, Medicaid, Medicare	Utilization
Extended-age Out-of-Sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claim This analysis provides predictive analytical modeling based on administrative claims history for individualized risk profiles at hospital admission… State: Oregon, Utah	Consumers, Population Health, Researchers	Medicare	Utilization
Telehealth Service Analysis This Analysis provides stakeholders with information to understand telehealth services prior to the onset of COVID-19 and the impact the pandemic has… State: Colorado	Consumers, Population Health, Providers, Researchers	Medicare	Utilization
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals, using… State: Massachusetts	Consumers, Providers, Researchers		Quality
RI APCD Dental Dashboard In May 2022, Rhode Island published an interactive suite of publicly facing reports on dental insurance coverage and utilization using APCD data. State: Rhode Island	Consumers, Insurance Department, Researchers	Commercial, Medicaid, Medicare	Cost
Potentially Avoidable ED Visits An emergency department visit is considered potentially avoidable when the care provided may have been more appropriately managed by a primary care… State: Virginia	Consumers, Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Cost
Even Before Pandemic, Most Arkansans Were Not Making Regular Dentist Visits, ACHI Report Finds This report includes trend information throughout 2019 and 2020 by type of dental treatments, age, and payer type, and displays utilization impacts… State: Arkansas	Consumers, Insurance Department, Population Health, Providers, Researchers	Commercial	Utilization
Using State All-Payer Claims Data to Identify the Active Primary Care Workforce: A Novel Study in Virginia Our novel method of identifying active physicians with a primary care scope provides a realistic size of the primary care workforce in Virginia,… State: Virginia	Providers, Researchers		Utilization
Affordability Dashboard The Affordability Dashboard provides information on health care cost drivers and opportunities to improve the affordability of health care in… State: Colorado	Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost
Transitions in Health Insurance During the Perinatal Period Among Patients With Continuous Insurance Coverage Although health insurance continuity is important during the perinatal period to improve birth outcomes and reduce maternal morbidity and mortality,… State: Massachusetts	Consumers, Insurance Department, Population Health, Researchers	Commercial, Medicaid	Utilization

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