Medicare

Resource	Category	Carriers	Purpose
Using prescription medication utilization trends to evaluate health system resilience and inform future emergency preparedness The study examines how changes in prescription medication use during the COVID-19 pandemic can reveal strengths and weaknesses in the healthcare syste... State: Colorado	Population Health	Commercial, Medicaid, Medicare	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
Provider networks for pulmonary hypertension in Massachusetts: Implications for improving referrals to expert care This case study found significant gaps in connections to expert care, even among providers caring for patients at risk for pulmonary arterial hyperten... State: Massachusetts	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, 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
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
Bayesian Spatial Analysis of Trends and Disparities in Telehealth Use During the COVID-19 Pandemic: Retrospective Observational Study This study aims to assess disparities in telehealth use across Virginia, focusing on demographic, socioeconomic, and geographic factors influencing ac... State: Virginia	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization
Inequitable Access to Risk-Appropriate Neonatal Care: Evidence from a Regionalized Perinatal System in Arkansas This case study analyzes a decade of birth data in Arkansas to evaluate whether newborns receive care at the appropriate level of neonatal facility. I... State: Arkansas	Population Health, Researchers	Commercial, Medicaid, Medicare	Quality, 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
Predictors of telehealth use after the Minnesota Telehealth Act: analysis using the Minnesota All Payer Claims Database This research article examines telehealth use in Minnesota following the 2021 Minnesota Telehealth Act, finding that younger patients, those with depr... State: Minnesota	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization

Medicare

APCD Council