Insurance Department
| Resource | Category | Carriers | Purpose |
|---|---|---|---|
| Health Insurance Claim Denials The article explains that health insurance claim denials are becoming increasingly common in the U.S., affecting everything from preventive care to ma...
State: Massachusetts |
Consumers, Insurance Department, Researchers | Commercial, Medicare | Cost, Quality, Utilization |
| Kidney Screening Care Coverage Analysis The report supports preventive kidney screening coverage as a cost-effective public health strategy that could improve early diagnosis, reduce severe ...
State: Colorado |
Health Reform, Insurance Department, Population Health | Commercial | Cost, Utilization |
| Maryland Medical Assistance Program and Health Insurance – Required Coverage for Menopause-Related Treatment, Care, and Training of Clinicians This report evaluates the use, cost, and insurance impact of menopause-related treatments—especially prescription drugs—within Maryland’s healthcare s...
State: Maryland |
Health Reform, Insurance Department | Commercial | Utilization |
| Maryland Medical Assistance Program and Health Insurance – Required Coverage for Aesthetic Services and Restorative Care for Victims of Domestic Violence This mandate study uses Maryland's All-Payer Claims Database (APCD) to estimate the fiscal impact of requiring Medicaid and commercial insurers t...
State: Maryland |
Consumers, Health Reform, Insurance Department | Commercial, Medicaid | Cost, Utilization |
| Corporate Moral Hazard In U.S. Health Insurance: Churn And Denial Rates This dissertation uses the New Hampshire APCD to examine whether commercial insurers increase claim denial rates ahead of the predictable transition t...
State: New Hampshire |
Health Reform, Insurance Department, Researchers | Commercial, Medicaid, Medicare | Cost, Utilization |
| Aligning Incentives or Gaming the System? The Impact of Insurer-Physician Acquisitions This case study uses Colorado APCD data to examine a 2017 insurer-physician acquisition, finding that integration inflated Medicare Advantage diagnosi...
State: Colorado |
Health Reform, Insurance Department, Researchers | Commercial, Medicare | Cost, Utilization |
| Delay in breast cancer surgery: evaluating patient, healthcare access, and social vulnerability predictors This case study identified disparities in delay in breast cancer surgery persist across race, healthcare access, and community-level vulnerability. Th...
State: Arkansas |
Consumers, Insurance Department, Medicaid, Population Health, Providers | Commercial, Medicaid, Medicare | Quality, Utilization |
| Analysis of proposed legislation to provide dental coverage for individuals with head and neck cancers The Colorado Division of Insurance (DOI) commissioned Milliman, Inc. to review a potential legislative proposal that would require all commercial heal...
State: Colorado |
Insurance Department | Commercial | Cost |
| 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 2...
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 mos...
State: Maine |
Consumers, Insurance Department, Population Health, Researchers | Medicaid, Medicare | Utilization |