Researchers

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
Leveraging Population-Level and Multipayer Claims Data to Estimate Changes in Prostate Cancer Screening at the Small-Area Level This case study uses the Colorado's All-Payer Claims Database (CO APCD) to measure prostate screening procedures in men ages 55-69, finding that ... State: Colorado	Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
Physical therapy utilization among firearm injury survivors: an analysis of linked trauma database and medical claims data This case study uses the Washington State All-Payer Claims Database (APCD) linked with a trauma registry to analyze the utilization of physical therap... State: Washington	Population Health, Researchers	Commercial, Medicaid, Medicare	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
Novel approaches in linkage of data sources to explore the associations between purchase of opioid prescriptions during pregnancy and adverse neonatal outcomes This case study links Arkansas APCD and PDMP data to assess prescribed opioid exposure during pregnancy, demonstrating that combining both data source... State: Arkansas	Population Health, Researchers	Commercial, Medicaid	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
Treatment of opioid use disorder in pregnancy among individuals with and without co-occurring stimulant use disorder: A retrospective cohort study This case study uses Utah APCD data to compare treatment patterns among pregnant individuals with opioid use disorder (OUD) who also had a co-occurrin... State: Utah	Consumers, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
An Examination of Trends in Low-Value Opioid Prescribing for Acute Low Back Pain in Rural vs. Non-Rural Virginia This case study uses Virginia APCD data to examine low-value opioid prescribing for acute low back pain among over 850,000 insured residents from 2019... State: Virginia	Consumers, Health Reform, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Guideline-Concordant Care and Clinician and Clinic Characteristics for Patients With Schizophrenia This case study finds that for patients with schizophrenia in Massachusetts, psychiatric nurse practitioners and mental health clinics delivered care ... State: Massachusetts	Medicaid, Providers, Researchers	Commercial, Medicaid	Quality
Inequitable Access to Risk-Appropriate Neonatal Care: Evidence from a Regionalized Perinatal System in Arkansas This case study analyzes a decade of birth data in Arkansas to evaluate whether newborns receive care at the appropriate level of neonatal facility. I... State: Arkansas	Population Health, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization

Researchers

APCD Council