Health Reform

Resource	Category	Carriers	Purpose
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
An Examination of Trends in Low-Value Opioid Prescribing for Acute Low Back Pain in Rural vs. Non-Rural Virginia This case study uses Virginia APCD data to examine low-value opioid prescribing for acute low back pain among over 850,000 insured residents from 2019... State: Virginia	Consumers, Health Reform, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Low-Value and No-Value Care in Healthcare: A Narrative Review This narrative review summarizes the concepts of low- and no-value care (LNVC), the <br /> drivers behind them, and potential strategies for de-imple... State: Virginia	Health Reform, Population Health, Researchers	Commercial, Medicare	Cost, Quality
Curbing the Growing Fragmentation of Veterans’ Health Care This study quantifies a major shift in locus of VA critical care, a likely outcome of expanded non-VA health insurance coverage that was previously ca... State: Arkansas, California, Colorado, Connecticut, Florida, Georgia, Georgia, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New York, Oregon, Rhode Island, Texas, Utah, Vermont, Virginia, Washington, Wisconsin	Consumers, Health Reform, Medicaid, Population Health, Providers	Medicaid	Utilization
Health Care Spending, Prices, and Utilization in Minnesota: 2018 to 2022 This issue brief relies upon data from the Minnesota All Payer Claims Database (MN APCD) to examine trends in per-person health care spending, prices,... State: Minnesota	Consumers, Employers, Health Reform	Commercial	Cost, Quality, Utilization
Hospital Facility Prices Declined As A Result Of Oregon’s Hospital Payment Cap Hospital prices for commercially insured people are high and vary widely, prompting states to seek ways to control hospital price growth. In October 2... State: Oregon	Consumers, Employers, Health Reform, Insurance Department	Commercial, Medicare	Utilization
Use of New Audio-Only Telemedicine Claim Modifiers Policymakers at both the state and federal levels face decisions about coverage of<br /> audio-only telemedicine amid a dearth of reliable data due t... State: Washington	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization

Health Reform

APCD Council