Case Studies

Resource	Category	Carriers	Purpose
Cost of Covering Individuals in High Risk Pools in 2015 The Center for Improving Value in Health Care (CIVHC) compared the cost of covering individuals under 65 in high risk pools in 2015 between Colorado… State: Colorado	Employers, Insurance Department, Population Health, Providers, Researchers	Commercial	Cost
Data Byte: Emergency Department Severity-Level Trends by Line of Business The Center for Improving Value in Health Care (CIVHC) used 2009-2016 claims data from the Colorado All-Payer Claims Database (APCD) to examine trends… State: Colorado	Consumers, Health Reform, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Average Paid Amounts for Common Health Conditions: Free-standing ER vs. Urgent Care Facility Colorado's Center for Improving Value in Health Care (CIVHC) examined trends in the average paid amount for common health conditions at urgent… State: Colorado	Consumers, Health Reform, Insurance Department, Providers	Commercial	Cost
Interactive Colorado Cost of Care Report Colorado's Center for Improving Value in Health Care (CIVHC) analyzed cost of care for Coloradans across the state using data from 2012-2015.… State: Colorado	Consumers, Employers, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost
First, Do No Harm: Calculating Health Care Waste in Washington State The Washington Health Alliance utilized Milliman's MedInsight Health Waste Calculator to analyze the financial waste generated by unnecessary… State: Washington	Consumers, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Enrollment Trends February 2018 Edition The Massachusetts Center for Health Information and Analysis's (CHIA) annual report looks at the trends in health insurance enrollment from… State: Massachusetts	Employers, Insurance Department, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
Evaluation of the Minnesota Accountable Health Model Minnesota's State Health Access Data Assistance Center (SHADAC) evaluated the success of the State Innovation Model (SIM) initiative from 2015-… State: Minnesota	Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Arkansas All-Payer Claims Database and the Profiles of Individuals Registered for Medical Marijuana (January 2018) The Arkansas All-Payer Claims Database (APCD) examined the profiles of individuals registered for medical marijuana using APCD medical claims data… State: Arkansas	Consumers, Health Reform, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Interactive Condition Prevalence Report Colorado's Center for Improving Value in Healthcare (CIVHC) created an interactive report profiling 11 chronic conditions common to Coloradans.… State: Colorado	Consumers, Employers, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
CompareMaine CompareMaine, formerly known as Maine HealthCost, is a website which allows consumers to view the average cost of common medical procedures across… State: Maine	Consumers, Employers, Insurance Department, Providers	Commercial	Cost, Utilization
Prevalence of Breast Cancer in Arkansas The Arkansas All-Payer Claims Database (APCD) described the county-level variability in the percentage of Arkansas women aged 45-64 who received… State: Arkansas	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization
Total Cost of Care Multi-State Analysis To target the high health care expenditures and utilization The Center for Improving Value in Health Care (CIVHC) reported on Colorado's… State: Colorado	Consumers, Health Reform, Insurance Department, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Association Between Utilization of Chiropractic Services for Treatment of Low-Back Pain and Use of Prescription Opioids. In 2015 data was pull from NH Department of Health and Human service and NH Insurance Department to determine the association of chiropractic… State: New Hampshire	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
NYS Health Connector The New York State Department of Health launched the NYS Health Connector, a web-based application that allows quick access to a wide range of health… State: New York	Consumers, Employers, Insurance Department, Providers, Researchers	Commercial
CompareCare CompareCare's mission is to provide Massachusetts health care consumers the guidance and tools they need to become active partners in navigating… State: Massachusetts	Consumers	Commercial	Cost, Quality
Individual Purchasers in the Massachusetts Health Care System In the 2017 Annual Report on the Performance of the Massachusetts Health Care System, the Center for Health Information and Analysis (CHIA)… State: Massachusetts	Consumers, Employers, Population Health, Researchers	Commercial	Cost, Utilization
Follow the Money: Pharmaceutical Manufacturer Payments and Opioid Prescribing Patterns in New York State Using 2013 - 2015 data from the Open Payments and Medicare drug utilization data, this report examines how payments from opioid manufacturers to… State: New York	Health Reform, Population Health, Providers	Medicare	Cost, Utilization
Population-Level Estimates Of Telemedicine Service Provision Using An All-Payer Claims Database in Minnesota In recent years state and federal policies have encouraged the use of telemedicine by formalizing payments for it. Telemedicine has the potential to… State: Minnesota	Medicaid, Population Health	Commercial, Medicaid, Medicare	Cost, Utilization
Reference-Based Inpatient and Outpatient Payment Reference-Based Inpatient and Outpatient Payment Analysis: Reducing Payment Variation as a Potential Cost-Savings Analysis: Reducing Payment Variation as a Potential Cost-Savings Mechanism A new analysis using data from the Colorado All-Payer Claims Database (CO APCD) shows millions in potential savings for Coloradans with commercial… State: Colorado	Health Reform	Commercial, Medicare	Cost
CIVHC Shop for Care Tool The Center for Improving Value in Health Care (CIVHC) has created an online shopping tool based on information in the Colorado All Payer Claims… State: Colorado	Consumers	Commercial	Cost, Quality

Case Studies

APCD Showcase

APCD Council