Insurance Department

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
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
Delay in breast cancer surgery: evaluating patient, healthcare access, and social vulnerability predictors This case study identified disparities in delay in breast cancer surgery persist across race, healthcare access, and community-level vulnerability. Th... State: Arkansas	Consumers, Insurance Department, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, Utilization
Analysis of proposed legislation to provide dental coverage for individuals with head and neck cancers The Colorado Division of Insurance (DOI) commissioned Milliman, Inc. to review a potential legislative proposal that would require all commercial heal... State: Colorado	Insurance Department	Commercial	Cost
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
Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022 The objective of this study was to estimate trends in maternal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) in Maine using the mos... State: Maine	Consumers, Insurance Department, Population Health, Researchers	Medicaid, Medicare	Utilization
In Three States, Growth In Prescription Drug Spending Is Unaffordable Even When Accounting For Rebates Over the past five years, several states have implemented statewide cost growth targets to increase transparency and accountability around the drivers... State: Connecticut, Oregon, Rhode Island	Consumers, Insurance Department, Researchers	Commercial	Cost
Small Intervention, Big Impact: Health Care Cost Reductions Related to Medically Tailored Nutrition Food is a critical aspect of health care for people living with illnesses like congestive heart failure, chronic obstructive pulmonary disease, and di... State: Colorado	Consumers, Health Reform, Insurance Department, Population Health, Providers		Cost

Insurance Department

APCD Council