Medicare
| Resource | Category | Carriers | Purpose |
|---|---|---|---|
| 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 liv...
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 drug...
State: Colorado |
Consumers, Researchers | Commercial, Medicaid, Medicare | |
| State Innovation Model Proxy Measure: Breast Cancer Screening Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial payers...
State: Colorado |
Consumers, Population Health, Providers, Researchers | Commercial, Medicaid, Medicare | Cost, Quality, 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 and...
State: Colorado |
Researchers | Commercial, Medicaid, Medicare | Cost |
| Advance Care Planning Code Volumes This analysis seeks to understand usage of the advanced care planning CPT code, 99497, from 2016 (the first year implemented) to 2018 for all Colorado...
State: Colorado |
Researchers | Commercial, Medicaid, Medicare | Utilization |
| Behavioral Health and Substance Use Disorder Claims This report provides the volume and allowed amounts for behavioral health claims (including substance use disorder claims), and separate volume and al...
State: Colorado |
Population Health | Commercial, Medicaid, Medicare | Utilization |
| The role of all-payer claims databases to expand central cancer registries: Experience from Colorado A study from Colorado linking ACPD and Cancer registry claims
State: Colorado |
Population Health, Providers, Researchers | Commercial, Medicaid, Medicare | Quality |
| Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin This study used an all-payer, Wisconsin statewide claims database to assess screening variability across health systems and to determine whether a pat...
State: Wisconsin |
Consumers, Health Reform, Providers | Commercial, Medicaid, Medicare | Utilization |
| Health Plans Pay Twice As Much As Medicare A report and online dashboard for exploring prices and potential savings for specific inpatient and outpatient hospital procedures in Oregon.
State: Oregon |
Consumers, Employers, Insurance Department, Researchers | Commercial, Medicare | Cost |