Researchers

Resource Category Carriers Purpose
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 ...
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...
State: Oregon, Utah
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.
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...
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.
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
Using State All-Payer Claims Data to Identify the Active Primary Care Workforce: A Novel Study in Virginia
Our novel method of identifying active physicians with a primary care scope provides a realistic size of the primary care workforce in Virginia, small...
State: Virginia
Providers, Researchers Utilization