Case Studies

Resource Category Carriers Purpose
State Innovation Model Proxy Measure: Breast Cancer Screening
Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial…
State: Colorado
 Consumers, Population Health, Providers, Researchers Commercial, Medicaid, Medicare Cost, Quality, Utilization
Common Procedure Price Variation
Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures.
State: Colorado
 Consumers, Population Health, Researchers Commercial Cost, Utilization
ED Severity Levels by Payer
Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes…
State: Colorado
 Researchers Commercial, Medicaid, Medicare Utilization
Legislative District Medical and Pharmacy Total Spend, 2017 & 2018
This analysis provides allowed amounts (paid amounts) for pharmacy and medical care by Colorado legislative district. These data are based on 2017…
State: Colorado
 Researchers Commercial, Medicaid, Medicare Cost
Behavioral Health and Substance Use Disorder Claims
This report provides the volume and allowed amounts for behavioral health claims (including substance use disorder claims), and separate volume and…
State: Colorado
 Population Health Commercial, Medicaid, Medicare Utilization
Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis
This study determined the patient, provider, and health care system characteristics that are associated with receipt of low-value services.
State: Virginia
 Providers, Researchers Quality
The role of all-payer claims databases to expand central cancer registries: Experience from Colorado
A study from Colorado linking ACPD and Cancer registry claims
State: Colorado
 Population Health, Providers, Researchers Commercial, Medicaid, Medicare Quality
Report: Arkansas Patients Often Face Financial Barriers to Necessary Follow-Up Colonoscopies
This assessment examined current prevalence of and access to colorectal cancer (CRC) screenings and CRC disease incidence. ACHI also projected the…
State: Arkansas
 Health Reform, Medicaid, Population Health Medicaid Utilization
Clone of Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin
In this cohort study with a difference-in-differences analysis of 60 990 childbirths, Medicaid expansion was associated with higher rates of…
State: Arkansas
 Consumers, Health Reform, Medicaid, Population Health Medicaid Utilization
Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin
This study used an all-payer, Wisconsin statewide claims database to assess screening variability across health systems and to determine whether a…
State: Wisconsin
 Consumers, Health Reform, Providers Commercial, Medicaid, Medicare Utilization
Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015
In this cross-sectional study of 22 788 diabetic adults with incomes between 75% and 200% of the federal poverty level, drug utilization across…
State: Colorado
 Consumers, Insurance Department, Medicaid Commercial, Medicaid Utilization
Factors Associated With Opioid Overdose After an Initial Opioid Prescription
Scott Weiner, MD, MPH, Department of Emergency Medicine, Brigham and Women's Hospital, led a team of investigators in conducting a cohort study…
State: Oregon
 Consumers, Population Health, Providers, Researchers Commercial, Medicaid Utilization
Employer Site of Service Analysis Brief
This report investigates the potential cost savings available with outpatient procedures by comparing costs for services performed at hospitals to…
State: Colorado
 Employers, Health Reform, Researchers Commercial Cost
Health Care Costs in Washington Grew 13% between 2016-2019
This report was produced by Onpoint Health Data and used data from Washington’s All-Payer Claims Database (www.hca.wa.gov). It looks at claims…
State: Washington
 Consumers, Employers, Insurance Department, Providers, Researchers Commercial Cost
BRCA1/2 testing among young women with breast cancer in Massachusetts, 2010-2013: An observational study using state cancer registry and All-Payer claims data
Analysis linking Massachusetts' All-Payer Claims Database with Massachusetts Cancer Registry data to assess factors associated with BRCA1/2…
State: Massachusetts
 Consumers, Employers, Population Health, Providers, Researchers Commercial, Medicaid Quality
Health Plans Pay Twice As Much As Medicare
A report and online dashboard for exploring prices and potential savings for specific inpatient and outpatient hospital procedures in Oregon.
State: Oregon
 Consumers, Employers, Insurance Department, Researchers Commercial, Medicare Cost
Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data
This report analyzes the medical and pharmaceutical costs for diabetes in New Hampshire’s commercial, Medicaid, and Medicare populations.
State: New Hampshire
 Consumers, Employers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Cost
Data Brief: Naloxone Prescription in Response to the Opioid Epidemic
Arkansas Center for Health Improvement analysis brief developed to inform and understand the trends and patterns of naloxone prescriptions in…
State: Arkansas
 Consumers, Health Reform, Population Health, Providers Commercial, Medicaid Quality
The New England States’ All-Payer Report on Primary Care Payments
The purpose of this report is to use standardized data to identify the percentage of all-payer primary care spending relative to overall healthcare…
State: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
 Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare Utilization
Treated Chronic Disease Prevalence and Spending in Minnesota
This report provides estimates of prevalence and attributable spending, as well as projections for future attributable spending for diabetes,…
State: Minnesota
 Population Health Commercial, Medicaid, Medicare Cost