Case Studies

Resource	Category	Carriers	Purpose
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
Nationwide Evaluation of Health Care Prices Paid by Private Health Plans: Findings from Employer-Led Transparency Initiative 3.0 Using data from 2016 to 2018, the authors document variation in facility prices for the commercially insured population, reporting differences in…	Employers, Providers	Commercial, Medicare	Cost
Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative 2.0 This is the first broad-based study that reports prices paid by private health plans to hospitals identified by name and to groups of hospitals under…	Consumers, Employers	Commercial, Medicaid	Cost
Blood Pressure Medication Non-Adherence in Minnesota: 2015 May 2021 This report describes variation in blood pressure medication adherence among Minnesotans and provides strategies to improve adherence. State: Minnesota	Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Primary Care Expenditures Summary of current primary care expenditures and investment in Washington The Office of Financial Management was required to conduct a study of primary care expenditures in Washington State. The final report was submitted… State: Washington
State Innovation Model (SIM) Proxy Measure: Asthma Colorado's State Innovation Model (SIM) seeks to measure and improve care for Coloradans living with chronic asthma. Relying on Colorado all-… State: Colorado	Consumers, Population Health, Providers, Researchers	Commercial	Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Hypertension The Center For Improving Value in Health Care (CIVHC) analyzed hypertension in adults across the nation, with a special focus on those in Colorado.… State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Diabetes The Center For Improving Value in Health Care (CIVHC) analyzed diabetes in adults aged 18-75 across the nation with a special focus on those in… State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality
Analyze Health CT Website This website allows Connecticut residents access to healthcare information derived from historic claims data. Reports published by Analyze Health CT… State: Connecticut	Consumers, Health Reform, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Oregon Hospital Payment Report This report details the median amounts paid by commercial insurers for the most common inpatient and outpatient procedures performed in Oregon… State: Oregon	Consumers, Health Reform, Providers, Researchers	Commercial	Cost

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