Case Studies

Resource	Category	Carriers	Purpose
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
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
Race and Ethnicity Data in the CO APCD Two fields - Race and Hispanic Indicator - became required for payers to submit to the CO APCD in September 2019. This file describes the state of… State: Colorado	Consumers, Health Reform, Population Health		Cost, Quality, Utilization
Quality Measures: Diabetes A1C Testing and Breast Cancer Screening This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored… State: Colorado	Consumers	Commercial, Medicaid, Medicare	Quality
Potential Impact of COVID-19 Temporary Cessation of Elective Procedures This analysis based on paid amounts and utilization of services in the Colorado All Payer Claims Database (CO ACPD) provides a summary of payments… State: Colorado	Consumers, Researchers		Cost, Utilization
Low Value Care in Colorado This report summarizes results for 48 measures of low value care evaluated from 2015 through 2017 for 4.1M insured Coloradans (over 70% of insured… State: Colorado	Consumers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
CO Prescription Drug Spending and the Impact of Drug Rebates In 2019, health insurance payers submitted drug rebate and concession information for 2016, 2017 and 2018 to the CO APCD for the first time. This… State: Colorado	Consumers, Researchers	Commercial, Medicaid, Medicare
Regional Price Variation for Common Procedures These maps illustrate regional variation for 11 common services. This information can help communities understand how their health care prices… State: Colorado	Consumers, Researchers		Cost
Common Procedure Episode Price Breakdown Facility price and quality information available at civhc.org provides total price information for high cost, high volume procedures. This… State: Colorado	Consumers		Cost
Imaging Services Price Variation Data is based on 2017 claims submitted by commercial health insurance payers to the Colorado All Payer Claims Database. Dollar amounts reflect median… State: Colorado	Consumers	Commercial	Cost
State Innovation Model Proxy Measure: Breast Cancer Screening Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial… State: Colorado	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Common Procedure Price Variation Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures. State: Colorado	Consumers, Population Health, Researchers	Commercial	Cost, Utilization
ED Severity Levels by Payer Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Utilization
Legislative District Medical and Pharmacy Total Spend, 2017 & 2018 This analysis provides allowed amounts (paid amounts) for pharmacy and medical care by Colorado legislative district. These data are based on 2017… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Cost

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