Case Studies

Resource	Category	Carriers	Purpose
Utah Primary Care Spend Calculation Project The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this primary care spend report for the Utah Academy of Family… State: Utah	Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality
Nationwide Evaluation of Health Care Prices Paid by Private Health Plans: Findings from Employer-Led Transparency Initiative 3.0 Using data from 2016 to 2018, the authors document variation in facility prices for the commercially insured population, reporting differences in…	Employers, Providers	Commercial, Medicare	Cost
Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative 2.0 This is the first broad-based study that reports prices paid by private health plans to hospitals identified by name and to groups of hospitals under…	Consumers, Employers	Commercial, Medicaid	Cost
Blood Pressure Medication Non-Adherence in Minnesota: 2015 May 2021 This report describes variation in blood pressure medication adherence among Minnesotans and provides strategies to improve adherence. State: Minnesota	Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Opportunities to Bend the Cost Curve: Reduce Cesarean Delivery Rates in Colorado Analysis of claims data from the APCD indicates that reducing the rate of cesarean deliveries in Colorado by just 10 percent (consistent with the… State: Colorado	Consumers, Health Reform, Medicaid, Population Health	Commercial, Medicaid	Cost, Utilization
Commercial Payer Per Capita Cost of Care by County Map 2011 Data based on residence of patient and includes 1.2 million commercially individuals. Does not include long-term care or dental or any claims related… State: Colorado		Commercial	Cost
Primary Care Expenditures Summary of current primary care expenditures and investment in Washington The Office of Financial Management was required to conduct a study of primary care expenditures in Washington State. The final report was submitted… State: Washington
State Innovation Model (SIM) Proxy Measure: Asthma Colorado's State Innovation Model (SIM) seeks to measure and improve care for Coloradans living with chronic asthma. Relying on Colorado all-… State: Colorado	Consumers, Population Health, Providers, Researchers	Commercial	Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Hypertension The Center For Improving Value in Health Care (CIVHC) analyzed hypertension in adults across the nation, with a special focus on those in Colorado.… State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Diabetes The Center For Improving Value in Health Care (CIVHC) analyzed diabetes in adults aged 18-75 across the nation with a special focus on those in… State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality
Analyze Health CT Website This website allows Connecticut residents access to healthcare information derived from historic claims data. Reports published by Analyze Health CT… State: Connecticut	Consumers, Health Reform, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Spatial Analysis Study: The Development of Primary Care Service Areas for the State of Vermont, VHCURES, February 2013 The Vermont Healthcare Claims Uniform Reporting and Evaluation System (VHCURES), Vermont’s all-payer claims database, was used in combination with… State: Vermont	Population Health, Providers, Researchers	Commercial, Medicaid	Cost, Utilization
Children’s Health Insurance Programs in New Hampshire Access, Prevention, Care Management, Utilization, and Payments (State Fiscal Year 2010) This study evaluated a variety of health care measures to compare children enrolled in New Hampshire Medicaid (excluding severely disabled children… State: New Hampshire	Medicaid, Population Health	Commercial, Medicaid	Cost, Utilization
OnPoint - Tri-State Variation in Health Services Utilization and Expenditures in Northern New England This report is the first multi-state analysis using statewide all-payer commercial claims data. The analysis includes selected measures of health… State: Vermont	Population Health, Providers	Commercial	Cost, Utilization
NH Medicaid Report Card website This website allows recipients, providers, and policy makers to view population-based health snapshots of people served by the Medicaid program. State: New Hampshire	Medicaid, Population Health	Medicaid	Cost, Quality, Utilization
Utah Healthscape: Maternity Costs This Healthscape highlights the median costs for having a baby in Utah. The costs cover routine, uncomplicated care for a mother and baby. Some… State: Utah	Consumers	Commercial	Cost
Oregon Hospital Payment Report This report details the median amounts paid by commercial insurers for the most common inpatient and outpatient procedures performed in Oregon… State: Oregon	Consumers, Health Reform, Providers, Researchers	Commercial	Cost
Primary Care Spending in Oregon This data includes claims-based and non-claims based payments made to health care providers in 2019. Data was obtained from OHA's All-Payer All… State: Oregon	Health Reform, Insurance Department, Medicaid, Researchers	Commercial, Medicare	Cost
COVID-19 Testing Price Variation This dataset explores price variation for COVID-19 testing based on where Coloradans received the test in terms of setting (ER, Outpatient facility,… State: Colorado	Population Health		Cost
Anesthesiology, Radiology, and Emergency Physician Payments The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by… State: Colorado	Insurance Department	Commercial	Cost

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