Case Studies

Resource Category Carriers
Quality Measures: Diabetes A1C Testing and Breast Cancer Screening
This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored…
State: Colorado
Consumers Commercial, Medicaid, Medicare
Potential Impact of COVID-19 Temporary Cessation of Elective Procedures
This analysis based on paid amounts and utilization of services in the Colorado All Payer Claims Database (CO ACPD) provides a summary of payments…
State: Colorado
Consumers, Researchers
Low Value Care in Colorado
This report summarizes results for 48 measures of low value care evaluated from 2015 through 2017 for 4.1M insured Coloradans (over 70% of insured…
State: Colorado
Consumers, Researchers Commercial, Medicaid, Medicare
CO Prescription Drug Spending and the Impact of Drug Rebates
In 2019, health insurance payers submitted drug rebate and concession information for 2016, 2017 and 2018 to the CO APCD for the first time. This…
State: Colorado
Consumers, Researchers Commercial, Medicaid, Medicare
Regional Price Variation for Common Procedures
These maps illustrate regional variation for 11 common services. This information can help communities understand how their health care prices…
State: Colorado
Consumers, Researchers
Common Procedure Episode Price Breakdown
Facility price and quality information available at civhc.org provides total price information for high cost, high volume procedures. This…
State: Colorado
Consumers
Imaging Services Price Variation
Data is based on 2017 claims submitted by commercial health insurance payers to the Colorado All Payer Claims Database. Dollar amounts reflect median…
State: Colorado
Consumers Commercial
State Innovation Model Proxy Measure: Breast Cancer Screening
Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial…
State: Colorado
Consumers, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
Common Procedure Price Variation
Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures.
State: Colorado
Consumers, Population Health, Researchers Commercial
ED Severity Levels by Payer
Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes…
State: Colorado
Researchers Commercial, Medicaid, Medicare
Legislative District Medical and Pharmacy Total Spend, 2017 & 2018
This analysis provides allowed amounts (paid amounts) for pharmacy and medical care by Colorado legislative district. These data are based on 2017…
State: Colorado
Researchers Commercial, Medicaid, Medicare
Behavioral Health and Substance Use Disorder Claims
This report provides the volume and allowed amounts for behavioral health claims (including substance use disorder claims), and separate volume and…
State: Colorado
Population Health Commercial, Medicaid, Medicare
Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis
This study determined the patient, provider, and health care system characteristics that are associated with receipt of low-value services.
State: Virginia
Providers, Researchers
The role of all-payer claims databases to expand central cancer registries: Experience from Colorado
A study from Colorado linking ACPD and Cancer registry claims
State: Colorado
Population Health, Providers, Researchers Commercial, Medicaid, Medicare
Report: Arkansas Patients Often Face Financial Barriers to Necessary Follow-Up Colonoscopies
This assessment examined current prevalence of and access to colorectal cancer (CRC) screenings and CRC disease incidence. ACHI also projected the…
State: Arkansas
Health Reform, Medicaid, Population Health Medicaid
Clone of Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin
In this cohort study with a difference-in-differences analysis of 60 990 childbirths, Medicaid expansion was associated with higher rates of…
State: Arkansas
Consumers, Health Reform, Medicaid, Population Health Medicaid
Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin
This study used an all-payer, Wisconsin statewide claims database to assess screening variability across health systems and to determine whether a…
State: Wisconsin
Consumers, Health Reform, Providers Commercial, Medicaid, Medicare
Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015
In this cross-sectional study of 22 788 diabetic adults with incomes between 75% and 200% of the federal poverty level, drug utilization across…
State: Colorado
Consumers, Insurance Department, Medicaid Commercial, Medicaid
Factors Associated With Opioid Overdose After an Initial Opioid Prescription
Scott Weiner, MD, MPH, Department of Emergency Medicine, Brigham and Women's Hospital, led a team of investigators in conducting a cohort study…
State: Oregon
Consumers, Population Health, Providers, Researchers Commercial, Medicaid
Employer Site of Service Analysis Brief
This report investigates the potential cost savings available with outpatient procedures by comparing costs for services performed at hospitals to…
State: Colorado
Employers, Health Reform, Researchers Commercial
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