Case Studies

Resource	Category	Carriers	Purpose
Evaluating the association between expanded coverage of direct-to-consumer telemedicine and downstream utilization and quality of care for urinary tract infections and sinusitis Comparing direct-to-consumer (DTC) telemedicine and in-person visits in rates of testing, follow-up health care use, and quality for urinary tract… State: Minnesota	Population Health, Researchers	Commercial	Quality, Utilization
Addressing a Measurement Gap by Linking State All-Payer Claims Database with State Cancer Registry Data A limitation of the central cancer registries to examine associations between mammography use and cancer diagnosis is their lack of cancer screening… State: Rhode Island	Consumers, Medicaid, Population Health, Researchers	Commercial, Medicaid, Medicare	Utilization
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… 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… State: Maine	Consumers, Insurance Department, Population Health, Researchers	Medicaid, Medicare	Utilization
Rare fungal infection gains prevalence in new region The epidemiology of blastomycosis in Vermont, USA, is poorly understood. Using insurance claims data, we estimated the mean annual blastomycosis… State: Vermont	Consumers, Providers, Researchers	Commercial, Medicaid, Medicare
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… State: Connecticut, Oregon, Rhode Island	Consumers, Insurance Department, Researchers	Commercial	Cost
Use of New Audio-Only Telemedicine Claim Modifiers Policymakers at both the state and federal levels face decisions about coverage of audio-only telemedicine amid a dearth of reliable data due to… State: Washington	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
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… State: Colorado	Consumers, Health Reform, Insurance Department, Population Health, Providers		Cost
Impact of the Patient-Centered Medical Home on Consistently High-Cost Patients Patient-centered medical homes in Maryland’s multipayer demonstration disrupted the pattern of recurrently high expenditure among the costliest… State: Maryland	Consumers, Health Reform, Providers, Researchers	Commercial	Cost, Quality
Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018 Cardiac rehabilitation (CR) is an evidence-based secondary prevention program designed to improve cardiovascular health after a cardiac event. The… State: Minnesota	Consumers, Population Health, Providers	Commercial, Medicaid, Medicare	Utilization
Profile of the Primary Care Physician Workforce in Arkansas "Healthcare provider shortages continue to be one of the most pressing challenges faced by healthcare organizations and communities seeking to… State: Arkansas	Health Reform, Providers, Researchers	Commercial, Medicaid, Medicare	Quality
The Health Care Costs of Extreme Heat “A new report produced by an interdisciplinary group of faculty, staff and students at Virginia Commonwealth University and published by the Center… State: Virginia	Consumers, Health Reform, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Naloxone Prescription in Response to the Opioid Epidemic In response to the opioid epidemic, policies to expand access to the overdose-reversal drug naloxone — e.g., allowing pharmacists to dispense… State: Arkansas	Consumers, Insurance Department, Population Health, Providers	Commercial, Medicaid	Utilization
Association between hypertensive disorders of pregnancy and cardiovascular diseases within 24 months after delivery Despite the well-known association between hypertensive disorders of pregnancy and cardiovascular diseases, there are limited data on which specific… State: Maine	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Asthma Quality Measurement and Adverse Outcomes in Medicaid-Enrolled Children To determine the association between the asthma medication ratio (AMR) quality measure and adverse outcomes among Medicaid-enrolled children with… State: Arkansas	Consumers, Medicaid, Population Health, Researchers	Medicaid	Utilization
Review of Third-Party Specialty Pharmacy Use for Clinician-Administered Drugs "In this report, required by Section 130 of Chapter 47 of the Acts of 2017, the Massachusetts Health Policy Commission (HPC) examines the… State: Massachusetts	Consumers, Health Reform, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicare	Cost, Utilization
Healthcare Payments Data (HPD) Snapshot The Healthcare Payments Data Snapshot is an overview of data currently available as submitted in the HPD System with visualizations that allow users…	Consumers, Insurance Department, Medicaid, Researchers	Commercial, Medicaid, Medicare	Utilization
COVID-19 Prevalence and Trends Among Pregnant and Postpartum Individuals in Maine by Rurality and Pregnancy Conditions To estimate COVID-19 diagnosis prevalence and trends among pregnant and postpartum individuals in Maine by rurality and common pregnancy conditions. State: Maine	Consumers, Population Health, Researchers	Commercial	Quality
Insurance Coverage Transitions After Disenrollment From Medicaid in Minnesota Little is known about where, or how quickly, people gain new health insurance after exiting Medicaid. Understanding these dynamics may be… State: Minnesota	Consumers, Medicaid, Population Health, Providers, Researchers	Medicaid	Cost
Female Reproductive Factors and Risk of New-Onset Heart Failure: Findings From UK Biobank The study sought to investigate the association of multiple female reproductive factors with the risk of HF.	Consumers, Population Health, Researchers	Commercial	Quality

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