Arkansas

Use Cases from the APCD Showcase

Displaying 6 - 10 of 25

Use Cases		Category	Carriers
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. It finds that triage decisions are driven more by geography than clinical need — only 20% of births occurred at risk-appropriate facilities, with over-triage dominating in well-resourced areas and under-triage concentrated in rural areas far from appropriate care. Medicaid-insured infants faced disproportionately higher rates of under-triage, and hospital closures worsened access further. The authors call for reconfiguring the regionalized perinatal system to better match neonatal care resources with actual clinical need.	Population Health, Researchers	Commercial, Medicaid, Medicare
Engagement and retention in HIV care in rural Southern U.S. using an All-Payer Claims Database	This case study evaluates the HIV care continuum in Arkansas, finding that HIV testing, engagement, and retention in care are all below national averages, with particularly worse outcomes among rural residents and women. The authors recommend targeted interventions including expanded HIV testing, provider training, resource reallocation to high-burden communities, and telehealth expansion to reach those most in need.	Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid
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 called out, but the study was not designed to address the many issues raised by outsourcing so much ICU care, including questions about the coordination and continuity of post-ICU care for these patients with high-acuity conditions. The study adds to concerns about VA’s ability to oversee the quality of community care and gaps in the integration of VA-delivered and VA-purchased care.	Consumers, Health Reform, Medicaid, Population Health, Providers	Medicaid
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. These findings underscore the need for strengthened support services and improved continuity of care among vulnerable populations.	Consumers, Insurance Department, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare
Novel approaches in linkage of data sources to explore the associations between purchase of opioid prescriptions during pregnancy and adverse neonatal outcomes	This case study evaluated patterns of opioid purchases by payment source among pregnant women in Arkansas and examine their associations with adverse neonatal outcomes.	Population Health, Providers, Researchers	Commercial