Researchers
Resource | Category | Carriers | Purpose |
---|---|---|---|
The New England States’ All-Payer Report on Primary Care Payments The purpose of this report is to use standardized data to identify the percentage of all-payer primary care spending relative to overall healthcare sp...
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Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers | Commercial, Medicaid, Medicare | Utilization |
Making Health Care More Affordable: A Playbook for Implementing a State Cost Growth Target This playbook provides a program design and implementation roadmap for states that are interested in, or in the process of, establishing a healthcare ...
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Consumers, Employers, Health Reform, Researchers | Commercial | Cost |
Arbitration and Using the Balance Billing Data Set An overview of Washington State's Balance Billing Provision Act (BBPA) and arbitration along with useful forms, links, and datasets.
State: Washington |
Consumers, Insurance Department, Providers, Researchers | Commercial | Cost |
Extended-age Out-of-Sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claim This analysis provides predictive analytical modeling based on administrative claims history for individualized risk profiles at hospital admission th...
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Consumers, Population Health, Researchers | Medicare | Utilization |
Telehealth Service Analysis This Analysis provides stakeholders with information to understand telehealth services prior to the onset of COVID-19 and the impact the pandemic has ...
State: Colorado |
Consumers, Population Health, Providers, Researchers | Medicare | Utilization |
New Hampshire Children and Teens Experiencing Mental Health Disorders: An Analysis of 2019 Healthcare Claims Data This analysis contains 2019 pediatric medical and pharmacy claims data from commercial and Medicaid payers in New Hampshire.
State: New Hampshire |
Consumers, Insurance Department, Medicaid, Providers, Researchers | Commercial, Medicaid | Cost |
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals, using phys...
State: Massachusetts |
Consumers, Providers, Researchers | Quality | |
RI APCD Dental Dashboard In May 2022, Rhode Island published an interactive suite of publicly facing reports on dental insurance coverage and utilization using APCD data.
State: Rhode Island |
Consumers, Insurance Department, Researchers | Commercial, Medicaid, Medicare | Cost |
Potentially Avoidable ED Visits An emergency department visit is considered potentially avoidable when the care provided may have been more appropriately managed by a primary care pr...
State: Virginia |
Consumers, Health Reform, Providers, Researchers | Commercial, Medicaid, Medicare | Cost |
Even Before Pandemic, Most Arkansans Were Not Making Regular Dentist Visits, ACHI Report Finds This report includes trend information throughout 2019 and 2020 by type of dental treatments, age, and payer type, and displays utilization impacts as...
State: Arkansas |
Consumers, Insurance Department, Population Health, Providers, Researchers | Commercial | Utilization |