Case Studies

Resource	Category	Carriers	Purpose
MassHealth Baseline Statistics from the MA APCD This report provides baseline information about MassHealth's eligibility and claims data. MassHealth is the Commonwealth's combined… State: Massachusetts	Health Reform, Insurance Department, Medicaid, Providers, Researchers	Medicaid, Medicare	Cost, Utilization
VA Healthcare Pricing Transparency The Virginia Health Information (VHI) released a price transparency report highlighting price differences of over 30 services across different… State: Virginia	Consumers, Health Reform, Providers	Commercial	Cost, Utilization
Arkansas Medicare Provider Episode Report: Bilateral Cataract Removal with Lens Implant The Arkansas APCD analyzed data correlations between the mean episode costs stratified by surgeons and the episode volume of bilateral cataract… State: Arkansas	Medicaid, Population Health, Providers, Researchers	Medicare	Cost
Arkansas Medicare Chronic Conditions Report The Arkansas Center for Health Improvement analyzed chronic conditions in Medicare beneficiaries within the 75 Arkansas counties. Using data from the… State: Arkansas	Health Reform, Medicaid, Population Health, Providers, Researchers	Medicare	Cost, Utilization
Arkansas Medicare HbA1c Utilization Report The Arkansas Center for Health Improvement analyzed type II diabetes among Arkansas Medicare beneficiaries aged 65 years and over within the 75… State: Arkansas	Consumers, Medicaid, Population Health, Providers, Researchers	Medicare	Quality, Utilization
Oregon All Payer All Claims Database (APAC) Use Case Document In this use case report, the Oregon Health Authority (OHA) demonstrates the various ways in which All Payer All Claims Data is utilized in the state… State: Oregon	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Arkansas Medicare Diabetes Report This report was created as a supplement to the Arkansas Medicare Chronic Conditions Report as it provides a more detailed analysis of diabetes and… State: Arkansas	Health Reform, Medicaid, Population Health, Providers, Researchers	Medicare	Utilization
Potentially Avoidable ED Visits in 2015 Virginia Health Information analyzed the growing overuse of unnecessary care throughout the state using data from the Virginia All Payer Claims… State: Virginia	Consumers, Employers, Health Reform, Insurance Department, Population Health, Providers, Researchers		Cost, Quality, Utilization
Annual Report on the Performance of the Massachusetts Health Care System: 2017 The Center for Health Information and Analysis (CHIA)'s 2017 Annual Report on the Performance of the Massachusetts Healthcare System analyzes… State: Massachusetts	Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality
CO APCD Annual Report 2016 Colorado's All Payer Claims Database (APCD) released its 2016 annual report detailing the organization's success in advancing the triple… State: Colorado	Consumers, Employers, Health Reform, Insurance Department, Population Health, Providers, Researchers	Commercial	Cost, Quality, Utilization
Cost Driver Spot Analysis: Regional Price Variation for High Volume Services January 2017 The Center for Improving Value in Health Care (CIVHC) analyzed 2014 commercial claims data for high volume procedures in six regions of Colorado to… State: Colorado	Consumers, Employers, Providers, Researchers	Commercial	Cost, Utilization
A Snapshot of Hepatitis C in Colorado This report from the Center for Improving Value in Health Care (CIVHC) finds that most Coloradans with the Hepatitis C virus are not being treated… State: Colorado	Consumers, Health Reform, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
Cost Driver Spot Analysis: Payment Variation by Payer This report discusses significant variation in payments for hip and knee replacements between private health insurance payers and Medicare in… State: Colorado	Consumers, Health Reform, Medicaid, Researchers	Commercial, Medicare	Cost
Cost Driver Spot Analysis: Avoidable ED Use A cost driver analysis based on commercial health payer data in the Colorado All Payer Claims Database (CO APCD) shows that Colorado could save an… State: Colorado	Consumers, Population Health, Researchers	Commercial	Cost
Cost Driver Spot Analysis: Drug Cost Savings Potential Vimovo and Duexis The Center for Improving Value in Health Care (CIVHC) examined trends in Vimovo and Duexis prescriptions from 2012-2016 using data from the Colorado… State: Colorado	Consumers, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid	Cost, Utilization
Trends in Teen Pregnancy Rates for CO Medicaid Population 2009-2014 The Center for Improving Value in Health Care (CIVHC) analyzed Colorado All-Payer Claims Database (APCD) data from 2009-2014 to examine trends in… State: Colorado	Consumers, Medicaid, Population Health, Providers, Researchers	Medicaid	Quality
EpiPen Prescription Cost Trends The Center for Improving Value in Health Care (CIVHC) analyzed trends in EpiPen prescription costs from 2009-2016 for Medicaid and commercial payers… State: Colorado	Consumers, Employers, Insurance Department, Medicaid, Researchers	Commercial, Medicaid	Cost
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

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