Case Studies

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… 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,… 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… 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… 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… 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-… 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… State: Virginia	Consumers, Health Reform, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Guideline-Concordant Care and Clinician and Clinic Characteristics for Patients With Schizophrenia This case study finds that for patients with schizophrenia in Massachusetts, psychiatric nurse practitioners and mental health clinics delivered care… State: Massachusetts	Medicaid, Providers, Researchers	Commercial, Medicaid	Quality
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.… State: Arkansas	Population Health, Researchers	Commercial, Medicaid, Medicare	Quality, Utilization
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… State: Arkansas	Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	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 drivers behind them, and potential strategies for de-… State: Virginia	Health Reform, Population Health, Researchers	Commercial, Medicare	Cost, Quality
Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018 This case study examines health insurance coverage gaps among Colorado young adults at two age-based cutoffs — losing Medicaid at 19 and aging off… State: Colorado	Consumers, Employers, Providers	Commercial, Medicaid	Utilization
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… State: Minnesota	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Utilization
Exogenous Testosterone Is Associated with Lower Odds of Stroke in Young Men: An Exploratory Analysis of the Colorado Claims Database The abstract reports that establishing a stroke transition-of-care clinic — where patients are seen by neurology within two weeks after hospital… State: Colorado	Population Health	Commercial	Quality
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… State: Arkansas, California, Colorado, Connecticut, Florida, Georgia, Georgia, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New York, Oregon, Rhode Island, Texas, Utah, Vermont, Virginia, Washington, Wisconsin	Consumers, Health Reform, Medicaid, Population Health, Providers	Medicaid	Utilization
Medicaid Accountable Care Model Designs and Maternal Health Measures In this study, both Medicaid ACO models were associated with improved outcomes, but with some differences between models, suggesting that states… State: Massachusetts	Medicaid, Population Health	Medicaid	Utilization
Evaluation of colorectal cancer screening practices in Rhode Island, 2011–2021 This study examined colorectal cancer screening patterns in Rhode Island from 2011–2021. It found disparities in screening use based on sex,… State: Rhode Island	Population Health, Providers	Commercial	Quality
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.… State: Arkansas	Consumers, Insurance Department, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, Utilization

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