Case Studies

Resource	Category	Carriers	Purpose
Emergency Department Use for Mental Health Reasons in Colorado The Emergency Department (ED) Mental Health-Related report provides stakeholders the opportunity to compare utilization and cost metrics for ED… State: Colorado	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Current Uses of the MN APCD This resource details all use cases produced using Minnesota claims as of October 2017. State: Minnesota	Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Touchpoints - Opportunities to predict and prevent opioid overdose: A cohort study This study uses data from the Massachusetts APCD. Researchers found found eight touchpoints which were associated with increased risk of fatal opioid… State: Massachusetts	Health Reform, Population Health, Researchers	Commercial	Utilization
Patterns of Opioid Prescribing in Minnesota: 2012 and 2015 The Minnesota Department of Health, Health Economics Program, using 2012 and 2015 data from the MN APCD, produced a brief looking at the rates of… State: Minnesota	Consumers, Employers, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals (Part 2): July 2014 - June 2015 This report examines case price variation for four common, clinically uncomplicated inpatient surgeries. This is the second in a series of reports… State: Minnesota	Consumers, Health Reform, Researchers	Commercial, Medicaid, Medicare	Cost
Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database The Minnesota Department of Health analyzed the overuse of unnecessary or low-value care throughout the state of Minnesota using data from the MN… State: Minnesota	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Washington APCD Health Measures Dashboards The WA-APCD health measures dashboards offer publicly available data reports which include a comparison of statewide and Accountable Communities of… State: Washington	Consumers, Population Health, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Massachusetts Commercial Prescription Drug Use and Spending, 2015-2017 This is the second study on prescription drug use and spending released from CHIA. For this analysis, CHIA used a subset of commercial pharmacy… State: Massachusetts	Consumers, Health Reform, Researchers	Commercial	Cost, Utilization
Colorado Telehealth Services Analysis Use of telehealth services was rising before the onset of the novel coronavirus pandemic. From January 2018 to February 2020, telehealth utilization… State: Colorado	Consumers, Population Health	Commercial, Medicaid	Cost, Utilization
Small-Area Variation in the Care of Low-Risk Neonates in Massachusetts and Texas A research study that measures special care days (SCDs) (intermediate or intensive), length of stay, and readmission rates among low-risk neonates… State: Texas	Providers, Researchers	Commercial	Quality, Utilization
Coloradans Accessed Telehealth Services More In March and April 2020 than 2018-2019 Combined The Center for Improving Value in Health Care (CIVHC), using data from the Colorado All Payer Claims Database (CO APCD) updated the Telehealth… State: Colorado	Consumers, Population Health	Commercial, Medicaid	Cost, Utilization
Medication-assisted Treatment for Opioid Use Disorder in Rhode Island: Who Gets Treatment, and Does Treatment Improve Health Outcomes? The New England Public Policy Center at the Boston Fed recently released a report entitled “Medication-assisted Treatment for Opioid Use Disorder in… State: Rhode Island	Population Health, Providers, Researchers	Commercial, Medicaid	Quality, Utilization
New Long-Term Opioid Prescription-Filling Behavior Arising in the 15 Months After Orthopaedic Surgery in Virginia This study determined the rates of long-term opioid prescription-filling behavior after common orthopaedic surgical procedures in patients who were… State: Virginia	Consumers, Population Health, Researchers	Commercial	Utilization
Small-Area Variation in the Care of Low-Risk Neonates in Massachusetts and Texas A research study that measures special care days (SCDs) (intermediate or intensive), length of stay, and readmission rates among low-risk neonates… State: Massachusetts, Texas	Providers, Researchers	Commercial	Quality, Utilization
Pharmacy Quality Alliance Opioid Prescribing Measurers in Washington State, 2014-18 Washington State Office of Financial Management staff used the WA-APCD to run Pharmacy Quality Alliance Opioid Prescribing Measures for 2014-2018. State: Washington	Consumers, Employers, Health Reform, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Colon Cancer Screening and Colonoscopy Billing This analysis helps to answer, of the people who have a fecal screener: 1. How many insured lives in Colorado have a colonoscopy within a year?, and… State: Colorado	Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Nurse Midwife Payment Evaluation The Nurse Midwife Payment Evaluation data set provides payment comparisons for common procedures provided by Nurse Midwives, OB/GYNs, Primary Care… State: Colorado	Consumers, Insurance Department, Medicaid, Researchers	Commercial, Medicaid, Medicare	Cost
End Stage Renal Disease and Dialysis Dependence The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the… State: Colorado	Consumers, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Determinants Associated With Longitudinal Adherence to Annual Lung Cancer Screening: A Retrospective Analysis of Claims Data This investigation was undertaken to assess links between lung cancer screening (LCS) annual adherence and demographic, comorbidity, health care… State: Colorado	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Utah Primary Care Spend Calculation Project The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this primary care spend report for the Utah Academy of Family… State: Utah	Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality

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