Cost

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 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
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
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
Low-Value and No-Value Care in Healthcare: A Narrative Review This narrative review summarizes the concepts of low- and no-value care (LNVC), the <br /> drivers behind them, and potential strategies for de-imple... State: Virginia	Health Reform, Population Health, Researchers	Commercial, Medicare	Cost, Quality
Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals The report examines the price case variation for four common, clinically uncomplicated inpatient treatments in orthopedic and obstetric care based on ... State: Minnesota	Population Health, Providers, Researchers	Commercial, Medicaid	Cost
Treated Chronic Disease Costs in Minnesota - a Look Back and a Look Forward This report analyzes the treatment of chronic disease costs in Minnesota for a subset of chronic diseases and risk factors, including diabetes, hypert... State: Minnesota	Providers, Researchers	Commercial, Medicaid	Cost
Georgia Telehealth Dashboard The intent of the Telehealth dashboard is to provide insights into the trends and characteristics of telehealth services in Georgia. Specifically, the... State: Georgia	Population Health, Researchers	Commercial, Medicaid	Cost, Utilization

Cost

APCD Council