Medicare

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
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
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
County-level medical debt and treatment initiation among individuals newly diagnosed with cancer This case study examined the relationship between county-level medical debt and timely cancer treatment initiation, finding that patients in counties ... State: Colorado	Health Reform, Population Health, Providers	Commercial, Medicaid, Medicare	Cost, Quality
Provider networks for pulmonary hypertension in Massachusetts: Implications for improving referrals to expert care This case study found significant gaps in connections to expert care, even among providers caring for patients at risk for pulmonary arterial hyperten... State: Massachusetts	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, 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
Pregnancy outcomes among medically complex populations with high risk of pregnancy mortality in Virginia: a retrospective observational study This case study uses Virginia APCD data to examine how many pregnant people have severe medical conditions or complications for which abortion may be ... State: Virginia	Consumers, Health Reform, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization
Bayesian Spatial Analysis of Trends and Disparities in Telehealth Use During the COVID-19 Pandemic: Retrospective Observational Study This study aims to assess disparities in telehealth use across Virginia, focusing on demographic, socioeconomic, and geographic factors influencing ac... State: Virginia	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization

Medicare

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