Case Studies

Resource	Category	Carriers	Purpose
Snapshot Report - Total Imaging Services (High Cost Imaging) The following report shows utilization of services by geography (rate of High Cost Imaging services per thousand people in the area) as well as… State: Colorado		Commercial, Medicaid	Cost, Utilization
Snapshot Report – MRI of the knee The following report shows utilization of services by geography (rate of MRIs of the Knee per thousand people in the area) as well as average… State: Colorado		Commercial, Medicaid	Cost, Utilization
Snapshot Report – Knee Arthroscopy The following report shows utilization of services by geography (rate of Knee Arthroscopy per thousand people in the area) as well as average… State: Colorado		Commercial, Medicaid	Cost, Utilization
Snapshot Report – Vaginal Deliveries The following report shows utilization of services by geography (rate of Vaginal Deliveries per thousand people in the area) as well as average… State: Colorado		Commercial, Medicaid	Cost, Utilization
Medicaid Per Capita Cost of Care by County Map 2011 Data based on residence of 792,000 individuals. Cost of care does not include care for which claims are not submitted (i.e. HMOs and behavioral… State: Colorado		Medicaid	Cost
MA My HealthCare Options Website MyHealthCareOptions is a web-based health care resource created and managed by the Commonwealth of Massachusetts Health Care Quality and Cost Council… State: Massachusetts	Consumers, Employers, Providers	Commercial	Cost, Quality, Utilization
The Dartmouth Atlas of Children's Health Care of Northern New England The project published an Atlas and the project's first journal paper was released online August 2014 in Pediatrics (Weinstein SJ, House SA,… State: New Hampshire	Researchers	Commercial, Medicaid, Medicare	Quality
Massachusetts Health Care Coverage: Enrollment Trends The July 2015 edition of the Massachusetts Health Care Coverage: Enrollment Trends, offers new insights into changes in health insurance coverage… State: Massachusetts	Consumers, Health Reform, Insurance Department, Medicaid, Population Health	Commercial, Medicaid, Medicare	Utilization
Analysis of Inflammatory Bowel Disease Treatments and Medications to Identify Best Practices Betterpath is building a tool that takes an individual patient’s medical data and compares it to the larger patient cohort in order to compare and… State: Colorado			Cost
Hospital Variation in Health Care Utilization by Children with Medical Complexity The Dartmouth Institute for Health Policy & Clinical Practice completed this follow-on study to its 2013 Dartmouth Atlas of Children’s Health… State: Vermont	Consumers, Population Health, Researchers	Commercial	Cost, Quality, Utilization
Vermont’s Community-Oriented All-Payer Medical Home Model Reduces Expenditures and Utilization While Delivering High-Quality Care This study was published in the national journal "Population Health Management" and evaluates the Vermont Blueprint for Health’s overall… State: Vermont	Consumers, Health Reform, Population Health, Researchers	Commercial	Cost, Quality, Utilization
Potentially Preventable Emergency Room Visits Using data from the Rhode Island APCD, HealthFacts RI, the State of RI can now track potentially preventable emergency room visits over time,… State: Rhode Island	Consumers, Health Reform, Medicaid, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
Vermont Hospital Service Area (HSA) Profiles The Vermont Blueprint's HSA Profiles contain a broad set of population-based measures based on eligibility and claims data supplied to the state… State: Vermont	Consumers, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Assessment of Vermont’s Claims Database to Support Insurance Rate Review, VHCURES, July 2011 In collaboration with Compass Health Analytics and Onpoint Health Data, the State of Vermont Department of Banking, Insurance, Securities, and Health… State: Vermont	Health Reform, Insurance Department	Commercial	Cost
A Preliminary Look at Chronic Conditions in Rhode Island If you are concerned about your family's health and the health of your community, then you have likely heard about chronic conditions like… State: Rhode Island	Consumers, Medicaid, Population Health	Commercial, Medicaid, Medicare	Cost, Utilization
Vermont’s Community-Oriented All-Payer Medical Home Model Reduces Expenditures and Utilization While Delivering High-Quality Care Patient-centered medical home programs using different design and implementation strategies are being tested across the United States, and the impact… State: Vermont	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Massachusetts My Healthcare Options Massachusetts led the nation in 2006 with a comprehensive health care reform law and the establishment of a new Marketplace: the Massachusetts Health… State: Massachusetts	Consumers, Health Reform, Insurance Department, Population Health	Commercial, Medicare	Utilization
Health Care Cost and Utilization Report This is the first report by the Health Care Cost Institute (HCCI) in cooperation with the Green Mountain Care Board (GMCB) about the health care… State: Vermont	Consumers, Medicaid, Population Health, Providers	Commercial	Cost, Utilization
Core Metrics Dashboard for Risk Adjusted Measures The Maine State Innovation Model (SIM) Core Measures dashboard shows trends on core healthcare measures selected by a statewide group of healthcare… State: Maine	Consumers, Health Reform, Insurance Department, Population Health, Researchers	Commercial, Medicare	Utilization
CIVHC Utilization Spot Analysis: Free Standing Emergency Departments This report finds that Coloradans using new free standing emergency departments (FSEDs) for non-life threatening conditions are paying more than if… State: Colorado	Consumers, Health Reform, Providers, Researchers	Commercial	Cost, Utilization

Case Studies

APCD Showcase

APCD Council