Health

Resource	Category	Carriers	Purpose
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 th... State: Colorado	Consumers, Health Reform, Providers, Researchers	Commercial	Cost, Utilization
Leading Indicators for Oregon's Health Care Transformation The Oregon Health Authority published this report on using data from their state All-Payer All-Claims Database. The report examines the outcomes of tr... State: Oregon	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Utilization
2008-2009 Professional Services Utilization: Trends Among Privately Insured Patients This report examines the use of professional health services by privately insured Maryland residents in 2009 and the payments made to practitioners fo... State: Maryland	Health Reform, Insurance Department, Providers	Commercial	Cost
Spending and Use Among Maryland's Privately Fully Insured This study examines changes in healthcare expenditure and utilization in the individual and small group markets following the implementation of new in... State: Maryland	Employers, Health Reform, Insurance Department	Commercial	Cost, Utilization
The Evolving Landscape of Health Care Reform and Health Care Spending in Maryland This study focuses on Maryland's health care spending following their initiative to meet the 'triple aims' of health care reform: slowi... State: Maryland	Health Reform, Providers, Researchers	Commercial	Cost
Payment for Professional Services In Maryland: Factors Contributing to Variation and Comparison to Public Payers This study examines variation in payment rate among commercial carriers in Maryland and compares this with Medicare and Medicaid payment rates. The im... State: Maryland	Health Reform, Insurance Department, Providers	Commercial, Medicaid, Medicare	Cost
Payment for Professional Services in Maryland Private payment rates for professional services in Maryland are compared with Medicare and Medicaid payment rates for the same services. Data and figu... State: Maryland	Health Reform, Medicaid, Providers	Commercial, Medicaid, Medicare	Cost
Impact of the Assignment of Benefits Legislation The Maryland Health Care Commission's report assesses the impact of the Assignment of Benefits and Reimbursement of Nonpreferred Providers law en... State: Maryland	Consumers, Health Reform, Insurance Department, Providers	Commercial	Cost
Assessment of Changes in Advanced Imaging Referrals by Orthopedists 2010-2012 This study examines the trends in prescribing magnetic resonance imaging (MRI) services in Maryland following the divestiture of ownership of MRI devi... State: Maryland	Health Reform, Insurance Department, Providers	Commercial, Medicaid, Medicare	Utilization
Utah Health Status Update: Using Clinical Risk Groups to Analyze the Utah All Payer Claims Data Utah All Payer Claims Database (APCD) uses the 3M Clinical Risk Group (CRG) software to show clinically-meaningful categories using diagnoses, procedu... State: Utah	Insurance Department, Medicaid, Population Health, Researchers	Commercial, Medicaid	Cost, Utilization

Health

APCD Council