Health Reform

Resource	Category	Carriers	Purpose
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
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 Reform

APCD Council