Case Studies

Resource	Category	Carriers	Purpose
Z-Coding for Social Contributors to Health in Colorado Federally Qualified Health Centers This study looked at the prevalence of social contributor Z codes for patients receiving services through Colorado’s Federally Qualified Health… State: Colorado	Consumers	Commercial, Medicaid	Cost, Quality, Utilization
Mental Health Service Cost and Use Trends & Dashboard The Washington APCD has created a searchable dashboard using behavioral health-specific claims to better understand the cost of mental health… State: Washington	Consumers	Commercial	Cost
Pediatric Asthma Population Risk Stratification using k-Means Clustering Incorporating social determinants of health to identify distinct pediatric asthma patient groups can help stratify populations by their risk of… State: Arkansas	Researchers	Commercial	Quality
Analysis of proposed legislation to provide dental coverage for individuals with head and neck cancers The Colorado Division of Insurance (DOI) commissioned Milliman, Inc. to review a potential legislative proposal that would require all commercial… State: Colorado	Insurance Department	Commercial	Cost
A comprehensive mixed-methods analysis of women’s cardiovascular health needs in Georgia, United States This study looked at why women in rural Georgia, United States are at higher risk for high blood pressure and heart disease. Health data was gathered… State: Georgia	Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Urban-Rural Healthcare Access Dashboard The goal of the Urban-Rural Healthcare Access dashboard is to show how healthcare access and usage differ between urban and rural areas in Georgia.… State: Georgia	Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Recommendations for Prevention and Control of Influenza in Children, 2025–2026: Technical Report This technical report summarizes recent influenza seasons, morbidity and mortality in children, vaccine effectiveness, and vaccination coverage, and… State: Massachusetts	Population Health	Commercial	Utilization
Comorbidity and Multimorbidity in Adults With Congenital Heart Disease: Findings From a Multi‐Site Population‐Based Study This study leverages the CO APCD and other state data resources to study Congenital Heart Disease comorbidities in adults living with the condition. State: Colorado	Population Health	Commercial	Utilization
Equilibrium Effects on Health Care Price Information Focusing on medical imaging procedures, this paper examines the equilibrium effect of a unique statewide price transparency website. Price… State: New Hampshire	Consumers	Commercial	Cost
Evaluating the association between expanded coverage of direct-to-consumer telemedicine and downstream utilization and quality of care for urinary tract infections and sinusitis Comparing direct-to-consumer (DTC) telemedicine and in-person visits in rates of testing, follow-up health care use, and quality for urinary tract… State: Minnesota	Population Health, Researchers	Commercial	Quality, Utilization
Addressing a Measurement Gap by Linking State All-Payer Claims Database with State Cancer Registry Data A limitation of the central cancer registries to examine associations between mammography use and cancer diagnosis is their lack of cancer screening… State: Rhode Island	Consumers, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
Hospital Facility Prices Declined As A Result Of Oregon’s Hospital Payment Cap Hospital prices for commercially insured people are high and vary widely, prompting states to seek ways to control hospital price growth. In October… State: Oregon	Consumers, Employers, Health Reform, Insurance Department	Commercial, Medicare	Utilization
Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022 The objective of this study was to estimate trends in maternal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) in Maine using the… State: Maine	Consumers, Insurance Department, Population Health, Researchers	Medicaid, Medicare	Utilization
Rare fungal infection gains prevalence in new region The epidemiology of blastomycosis in Vermont, USA, is poorly understood. Using insurance claims data, we estimated the mean annual blastomycosis… State: Vermont	Consumers, Providers, Researchers	Commercial, Medicaid, Medicare
In Three States, Growth In Prescription Drug Spending Is Unaffordable Even When Accounting For Rebates Over the past five years, several states have implemented statewide cost growth targets to increase transparency and accountability around the… State: Connecticut, Oregon, Rhode Island	Consumers, Insurance Department, Researchers	Commercial	Cost
Use of New Audio-Only Telemedicine Claim Modifiers Policymakers at both the state and federal levels face decisions about coverage of audio-only telemedicine amid a dearth of reliable data due to… State: Washington	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
Small Intervention, Big Impact: Health Care Cost Reductions Related to Medically Tailored Nutrition Food is a critical aspect of health care for people living with illnesses like congestive heart failure, chronic obstructive pulmonary disease, and… State: Colorado	Consumers, Health Reform, Insurance Department, Population Health, Providers		Cost
Impact of the Patient-Centered Medical Home on Consistently High-Cost Patients Patient-centered medical homes in Maryland’s multipayer demonstration disrupted the pattern of recurrently high expenditure among the costliest… State: Maryland	Consumers, Health Reform, Providers, Researchers	Commercial	Cost, Quality
Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018 Cardiac rehabilitation (CR) is an evidence-based secondary prevention program designed to improve cardiovascular health after a cardiac event. The… State: Minnesota	Consumers, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization
Profile of the Primary Care Physician Workforce in Arkansas "Healthcare provider shortages continue to be one of the most pressing challenges faced by healthcare organizations and communities seeking to… State: Arkansas	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality

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