Health Reform

Resource	Category	Carriers	Purpose
Perinatal Care Utilization and Health Equity: Success and Ongoing Challenges From Colorado This study examined perinatal care utilization in Colorado and found that Black birthing people attended more prenatal and pregnancy-related visits th... State: Colorado	Consumers, Health Reform, Population Health	Commercial, Medicaid	Quality, Utilization
The Washington State Prescription Drug Affordability Board’s selection of drugs for affordability review This article describes how the Washington State Prescription Drug Affordability Board (PDAB) identifies high-cost prescription drugs for affordability... State: Washington	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Higher intensity care for patients with multiple chronic conditions after hospital-physician integration This study found that hospital–physician integration was associated with higher-intensity healthcare use among patients with multiple chronic conditio... State: Virginia	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
The All‐Payer Claims Database After the Gobeille Supreme Court Decision: Assessing the Impact on Fatal Opioid‐Related Overdose Research This study examined how the 2016 Gobeille v. Liberty Mutual Insurance Co. decision affected the usefulness of state All-Payer Claims Databases (APCDs)... State: Massachusetts	Health Reform, Population Health, Researchers	Commercial	Quality, Utilization
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

Health Reform

APCD Council