Health Reform

Resource	Category	Carriers	Purpose
Curbing the Growing Fragmentation of Veterans' Health Care This article discusses how healthcare for U.S. veterans is becoming increasingly fragmented as more care is delivered outside the Veterans Health Admi... State: New York	Health Reform, Population Health	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Rising Health Care Costs in Wisconsin: The Case for Price Transparency The report highlights growing financial and operational challenges facing healthcare organizations in 2026, including policy uncertainty, increasing c... State: Wisconsin	Health Reform, Researchers	Commercial	Cost
Kidney Screening Care Coverage Analysis The report supports preventive kidney screening coverage as a cost-effective public health strategy that could improve early diagnosis, reduce severe ... State: Colorado	Health Reform, Insurance Department, Population Health	Commercial	Cost, Utilization
Maryland Medical Assistance Program and Health Insurance – Required Coverage for Menopause-Related Treatment, Care, and Training of Clinicians This report evaluates the use, cost, and insurance impact of menopause-related treatments—especially prescription drugs—within Maryland’s healthcare s... State: Maryland	Health Reform, Insurance Department	Commercial	Utilization
Maryland Medical Assistance Program and Health Insurance – Required Coverage for Aesthetic Services and Restorative Care for Victims of Domestic Violence This mandate study uses Maryland's All-Payer Claims Database (APCD) to estimate the fiscal impact of requiring Medicaid and commercial insurers t... State: Maryland	Consumers, Health Reform, Insurance Department	Commercial, Medicaid	Cost, Utilization
Corporate Moral Hazard In U.S. Health Insurance: Churn And Denial Rates This dissertation uses the New Hampshire APCD to examine whether commercial insurers increase claim denial rates ahead of the predictable transition t... State: New Hampshire	Health Reform, Insurance Department, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
County-level medical debt and treatment initiation among individuals newly diagnosed with cancer This case study examined the relationship between county-level medical debt and timely cancer treatment initiation, finding that patients in counties ... State: Colorado	Health Reform, Population Health, Providers	Commercial, Medicaid, Medicare	Cost, Quality
Aligning Incentives or Gaming the System? The Impact of Insurer-Physician Acquisitions This case study uses Colorado APCD data to examine a 2017 insurer-physician acquisition, finding that integration inflated Medicare Advantage diagnosi... State: Colorado	Health Reform, Insurance Department, Researchers	Commercial, Medicare	Cost, Utilization
Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018 This case study uses Colorado APCD data to examine insurance gaps at the age-19 Medicaid and age-26 commercial coverage cutoffs, finding that roughly ... State: Colorado	Consumers, Health Reform, Medicaid, Population Health, Providers	Commercial, Medicaid	Utilization
Pregnancy outcomes among medically complex populations with high risk of pregnancy mortality in Virginia: a retrospective observational study This case study uses Virginia APCD data to examine how many pregnant people have severe medical conditions or complications for which abortion may be ... State: Virginia	Consumers, Health Reform, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization

Health Reform

APCD Council