Medicaid

Resource	Category	Carriers	Purpose
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
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
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
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
Small Geographic Area Variations in Prescription Drug Use This study seeks to quantify variation in pediatric pharmacotherapy across small geographic regions and payer type (commercial or Medicaid). All-payer... State: Maine	Consumers, Medicaid, Providers, Researchers	Commercial, Medicaid	Utilization
Prescription Use among Children with Autism Spectrum Disorders in Northern New England: Intensity and Small Area Variation This report measures the intensity of prescription use and regional variation of psychotropic and two non-psychotropic drugs among children with autis... State: Maine	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid	Utilization
Enrollment Trends: July 2016 Edition Enrollment Trends monitors health insurance coverage in Massachusetts. Coverage is defined as primary, medical insurance administered by the top 14 co... State: Massachusetts	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Researchers	Commercial, Medicaid, Medicare	Utilization
Performance of the Massachusetts Health Care System: Annual Report September 2016 The Center for Health Information and Analysis' (CHIA) annual report on the Massachusetts healthcare system monitors quality and cost trends over... State: Massachusetts	Consumers, Employers, Health Reform, Insurance Department, Medicaid, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization

Medicaid

APCD Council