Cost

Resource	Category	Carriers	Purpose
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
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
NH HealthCost Website The HealthCost website (http://www.nhhealthcost.org/) provides information for consumers and employers about the price of medical care in New Hampshir... State: New Hampshire	Consumers, Employers, Insurance Department, Providers, Researchers	Commercial	Cost, Quality, Utilization
Green Mountain Care Board Price Variation Analysis The GMCB referenced a January 2012 report commissioned by the Department of Vermont Health Access that found “there was significant variation in the a... State: Vermont	Consumers, Employers, Providers	Commercial	Cost, 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
MassHealth Baseline Statistics from the MA APCD This report provides baseline information about MassHealth's eligibility and claims data. MassHealth is the Commonwealth's combined Medicaid... State: Massachusetts	Health Reform, Insurance Department, Medicaid, Providers, Researchers	Medicaid, Medicare	Cost, Utilization

Cost

APCD Council