Case Studies

Resource Category Carriers
Health Care Costs in Washington Grew 13% between 2016-2019
This report was produced by Onpoint Health Data and used data from Washington’s All-Payer Claims Database (www.hca.wa.gov). It looks at claims…
State: Washington
Consumers, Employers, Insurance Department, Providers, Researchers Commercial
BRCA1/2 testing among young women with breast cancer in Massachusetts, 2010-2013: An observational study using state cancer registry and All-Payer claims data
Analysis linking Massachusetts' All-Payer Claims Database with Massachusetts Cancer Registry data to assess factors associated with BRCA1/2…
Consumers, Employers, Population Health, Providers, Researchers Commercial, Medicaid
Health Plans Pay Twice As Much As Medicare
A report and online dashboard for exploring prices and potential savings for specific inpatient and outpatient hospital procedures in Oregon.
State: Oregon
Consumers, Employers, Insurance Department, Researchers Commercial, Medicare
Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data
This report analyzes the medical and pharmaceutical costs for diabetes in New Hampshire’s commercial, Medicaid, and Medicare populations.
Consumers, Employers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare
Data Brief: Naloxone Prescription in Response to the Opioid Epidemic
Arkansas Center for Health Improvement analysis brief developed to inform and understand the trends and patterns of naloxone prescriptions in…
State: Arkansas
Consumers, Health Reform, Population Health, Providers Commercial, Medicaid
The New England States’ All-Payer Report on Primary Care Payments
The purpose of this report is to use standardized data to identify the percentage of all-payer primary care spending relative to overall healthcare…
Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare
Treated Chronic Disease Prevalence and Spending in Minnesota
This report provides estimates of prevalence and attributable spending, as well as projections for future attributable spending for diabetes,…
State: Minnesota
Population Health Commercial, Medicaid, Medicare
Making Health Care More Affordable: A Playbook for Implementing a State Cost Growth Target
This playbook provides a program design and implementation roadmap for states that are interested in, or in the process of, establishing a healthcare…
Consumers, Employers, Health Reform, Researchers Commercial
Arbitration and Using the Balance Billing Data Set
An overview of Washington State's Balance Billing Provision Act (BBPA) and arbitration along with useful forms, links, and datasets.
State: Washington
Consumers, Insurance Department, Providers, Researchers Commercial
The Health Care Cost Trends: Price and Utilization
This report from the Oregon Health Authority (OHA) analyzes the growth of health care costs in the commercial market in Oregon between 2013 and 2019.
State: Oregon
Consumers, Medicaid, Providers Commercial, Medicaid, Medicare
Extended-age Out-of-Sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claim
This analysis provides predictive analytical modeling based on administrative claims history for individualized risk profiles at hospital admission…
State: Oregon, Utah
Consumers, Population Health, Researchers Medicare
Telehealth Service Analysis
This Analysis provides stakeholders with information to understand telehealth services prior to the onset of COVID-19 and the impact the pandemic has…
State: Colorado
Consumers, Population Health, Providers, Researchers Medicare
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts
We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals, using…
Consumers, Providers, Researchers
RI APCD Dental Dashboard
In May 2022, Rhode Island published an interactive suite of publicly facing reports on dental insurance coverage and utilization using APCD data.
Consumers, Insurance Department, Researchers Commercial, Medicaid, Medicare
Potentially Avoidable ED Visits
An emergency department visit is considered potentially avoidable when the care provided may have been more appropriately managed by a primary care…
State: Virginia
Consumers, Health Reform, Providers, Researchers Commercial, Medicaid, Medicare
Even Before Pandemic, Most Arkansans Were Not Making Regular Dentist Visits, ACHI Report Finds
This report includes trend information throughout 2019 and 2020 by type of dental treatments, age, and payer type, and displays utilization impacts…
State: Arkansas
Consumers, Insurance Department, Population Health, Providers, Researchers Commercial
Using State All-Payer Claims Data to Identify the Active Primary Care Workforce: A Novel Study in Virginia
Our novel method of identifying active physicians with a primary care scope provides a realistic size of the primary care workforce in Virginia,…
State: Virginia
Providers, Researchers
Affordability Dashboard
The Affordability Dashboard provides information on health care cost drivers and opportunities to improve the affordability of health care in…
State: Colorado
Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare
Transitions in Health Insurance During the Perinatal Period Among Patients With Continuous Insurance Coverage
Although health insurance continuity is important during the perinatal period to improve birth outcomes and reduce maternal morbidity and mortality,…
Consumers, Insurance Department, Population Health, Researchers Commercial, Medicaid
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