Utilization

Resource	Category	Carriers	Purpose
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
Reclassifying Primary Care: A Decision Tree Approach to Improving Workforce Estimates and Research Using Claims Data This case study uses Virginia APCD data to develop and validate a decision tree classifier for identifying primary care clinicians in claims data, fin... State: Virginia	Employers, Providers	Commercial	Utilization
Medicaid Reimbursement for Maternal Depression Screening and Care for Postpartum Depression This case study uses Colorado APCD data to evaluate the state's 2014 Medicaid reimbursement policy for postpartum depression screening during wel... State: Colorado	Medicaid	Commercial, Medicaid	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
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
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
Treatment of opioid use disorder in pregnancy among individuals with and without co-occurring stimulant use disorder: A retrospective cohort study This case study uses Utah APCD data to compare treatment patterns among pregnant individuals with opioid use disorder (OUD) who also had a co-occurrin... State: Utah	Consumers, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	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
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

Utilization

APCD Council