Case Studies

Resource	Category	Carriers	Purpose
Perinatal Care Utilization and Health Equity: Success and Ongoing Challenges From Colorado This study examined perinatal care utilization in Colorado and found that Black birthing people attended more prenatal and pregnancy-related visits… State: Colorado	Consumers, Health Reform, Population Health	Commercial, Medicaid	Quality, Utilization
Identifying Diabetic Ketoacidosis Encounters at Diagnosis Among Children with Type 1 Diabetes in Claims Data This study found that children newly diagnosed with type 1 diabetes who presented with diabetic ketoacidosis (DKA) experienced significantly greater… State: Colorado	Population Health, Providers	Commercial, Medicaid	Quality, Utilization
Bayesian Spatial Analysis of Trends and Disparities in Telehealth Use During the COVID-19 Pandemic: Retrospective Observational Study This study examined telehealth use in Virginia during and after the COVID-19 pandemic and found that telehealth adoption increased dramatically,… State: Virginia	Consumers, Population Health, Providers	Commercial, Medicare	Quality, Utilization
Treatment of opioid use disorder in pregnancy among individuals with and without co-occurring stimulant use disorder: A retrospective cohort study This study found that pregnant individuals with both opioid use disorder (OUD) and stimulant use disorder (StUD) received different types of… State: Utah	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid	Utilization
The Washington State Prescription Drug Affordability Board’s selection of drugs for affordability review This article describes how the Washington State Prescription Drug Affordability Board (PDAB) identifies high-cost prescription drugs for… State: Washington	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Higher intensity care for patients with multiple chronic conditions after hospital-physician integration This study found that hospital–physician integration was associated with higher-intensity healthcare use among patients with multiple chronic… State: Virginia	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
The All‐Payer Claims Database After the Gobeille Supreme Court Decision: Assessing the Impact on Fatal Opioid‐Related Overdose Research This study examined how the 2016 Gobeille v. Liberty Mutual Insurance Co. decision affected the usefulness of state All-Payer Claims Databases (APCDs… State: Massachusetts	Health Reform, Population Health, Researchers	Commercial	Quality, Utilization
The Cost of Adolescent Obesity: A Longitudinal Cohort Study From Ages 15 to 30 This longitudinal study found that obesity during adolescence is associated with substantially higher healthcare spending and poorer health outcomes… State: Arkansas	Population Health, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Scope and characteristics of patients filling medications through specialty pharmacies by ownership type This study examined who uses specialty pharmacies and found that patients filling medications through these pharmacies tend to be older, have greater… State: Arkansas	Consumers, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization
Buprenorphine Treatment Duration and Adherence Among Youth and Subsequent Health Outcomes This study examined healthcare utilization among adults enrolled in Medicaid and found that people with both diabetes and chronic kidney disease used… State: Massachusetts	Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, Utilization
Fragmented Financing in Emergency Department Use Among US Veterans This study found that emergency care for U.S. veterans is often fragmented because many veterans receive emergency department services that are paid… State: New York	Insurance Department, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Curbing the Growing Fragmentation of Veterans' Health Care This article discusses how healthcare for U.S. veterans is becoming increasingly fragmented as more care is delivered outside the Veterans Health… State: New York	Health Reform, Population Health	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Gender-Affirming Chest Masculinization and Nipple–Areolar Complex Reconstruction: An All-Payer Claims Database Analysis This study analyzed 912 gender-affirming chest masculinization surgeries performed in Massachusetts between 2016 and 2020 and found that 70% included… State: Massachusetts	Population Health, Researchers	Commercial, Medicaid	Cost, Utilization
Rural–Urban Differences in Use of Diabetes Self-Management Education and Support in Arkansas, 2015–2019 This study found that adults with diabetes living in rural areas were less likely to participate in Diabetes Self-Management Education and Support (… State: Arkansas	Population Health, Researchers	Commercial, Medicaid	Utilization
Poverty and Mortality Risk in Patients With Colorectal Cancer This study found that colorectal cancer patients living in areas of persistent poverty had a significantly higher risk of death than those living in… State: Arkansas	Population Health, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
Rising Health Care Costs in Wisconsin: The Case for Price Transparency The report highlights growing financial and operational challenges facing healthcare organizations in 2026, including policy uncertainty, increasing… State: Wisconsin	Health Reform, Researchers	Commercial	Cost
Incidence of pediatric chronic tic disorders and feasibility of using the Massachusetts All-Payer Claims Database, 2012-2016 This study found that the Massachusetts All-Payer Claims Database can be used to identify new cases of chronic tic disorders, such as Tourette… State: Massachusetts	Researchers	Commercial, Medicaid, Medicare	Utilization
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… 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… State: Washington	Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization

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