Commercial

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
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
Using prescription medication utilization trends to evaluate health system resilience and inform future emergency preparedness The study examines how changes in prescription medication use during the COVID-19 pandemic can reveal strengths and weaknesses in the healthcare syste... State: Colorado	Population Health	Commercial, Medicaid, Medicare	Utilization
Evaluating the impact of health equity zones to mitigate disparities in cancer screening: study of colorectal cancer screening in Rhode Island This case study uses Rhode Island's all-payer claims database (HealthFacts RI) to evaluate whether the state's Health Equity Zones initiativ... State: Rhode Island	Population Health	Commercial, Medicaid	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
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

Commercial

APCD Council