CLAIMS DATA SET (MN APCD) Annual Meeting National Association of - - PowerPoint PPT Presentation

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CLAIMS DATA SET (MN APCD) Annual Meeting National Association of - - PowerPoint PPT Presentation

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USE OF THE MINNESOTA ALL PAYER CLAIMS DATA SET (MN APCD) Annual Meeting National Association of Health Data Organizations October 30, 2015 Stefan Gildemeister Director, Health Economics Program 2 Overview Purposes the MN APCD has been

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USE OF THE MINNESOTA ALL PAYER CLAIMS DATA SET (MN APCD)

Annual Meeting National Association of Health Data Organizations October 30, 2015

Stefan Gildemeister Director, Health Economics Program

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SLIDE 2

Overview

  • Purposes the MN APCD has been built for
  • Applications of the MN APCD today
  • Examples
  • Next Steps
  • Longer term priorities

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SLIDE 3

MN APCD Use: A Backward Bending Supply Curve

Other Research Applications Price Transparency

  • Economics 101: Labor

supply grows with wage, until it contracts

  • MN APCD: Transparency

and broader research applications

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SLIDE 4

Current Uses of the MN APCD, 2014 to 2016

Health Care Cost Access Quality Disease Burden Health Care Homes & Readm. SIM/Risk Adj. Evaluation Utilization

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MDH/Health Economics Program, Uses of the MN APCD, August 2015; http://www.health.state.mn.us/healthreform/allpayer/use_of_apcd_fact_sheet.pdf

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SLIDE 5

Pain Management Services in MN: CRNAs

4.7% 64.6% 22.1% 26.9% 21.3% 6.0% 25.7% 1.9% 26.1% 0.6% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Percent of CRNAs Percent of Procedures

Number of Procedures (11,600) Performed by CRNAs (253)

101+ Procedures 21 to 100 Procedures 6 to 20 Procedures 2 to 5 Procedures 1 Procedure

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MDH/Health Economics Program (2014), Chronic Pain Procedures in Minnesota, 2010-2012, Report to the MN Legislature,

  • Jan. 2015
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SLIDE 6

Potentially Preventable Health Care Events, 2012

200 400 600 800 1,000 1,200 1,400 200,000 400,000 600,000 800,000 1,000,000 1,200,000 1,400,000

Health Care Spending, in Mill $ Number of Health Care Events

Hospital Hospital Admissions Emergency Room Visits

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Source : MDH/Health Economics Program (2015), Potentially Preventable Health Care Events in Minnesota, 2012; July 2015.

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Commercial Market Cost Drivers, 2011 to 2013

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68.6% 91.2% 53.8% 64.0% 7.8%

  • 72.0%
  • 0.7%

31.7% 23.6% 80.8% 46.9% 4.3%

  • $200
  • $100

$0 $100 $200 $300 $400 $500 $600 $700 $800 Total Inpatient Hospital Outpatient Hospital Professional Services Millions ($) Price Volume Service Mix

Source: Mathematica Policy Research analysis of Minnesota commercial all-payer claims data; forthcoming in MDH/Health Economics Program (2015), Minnesota Health Care Spending and Projection: 2013.

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Multi-morbidity of Chronic Disease and Health Care Spending, 2012

65.0% 15.0% 7.0% 5.0% 3.0% 1.0% 1.0% 1.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% $1,600 $5,700 $9,800 $13,600 $17,600 $22,300 $27,500 $32,700 $38,600 $44,600 $49,800 $55,700 $62,300 $68,000 $73,900 $78,700 $0 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 0% 10% 20% 30% 40% 50% 60% 70% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+

Annual Health Care Spending Number of MN Residents w/Coverage

Percent w/Chronic Disease Annual Spending

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Source : MDH/Health Economics preliminary analysis of Minnesota All Payers Claims Data (MN APCD), Sept. 2015, forthcoming in: Minnesota Chronic Disease Atlas, 2012.

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The Most Important Graph in Health Policy?

0.0% 0.1% 0.6% 1.5% 3.0% 5.5% 9.7% 17.1% 32.9% 51.1% 76.0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 10 20 30 40 50 60 70 80 90 100

Cumulative Percent of Total Spending Cumulative Percent Population Ordered by Health Care Spending

Minnesota Health Spending is Concentrated Among the Highest Spenders (Minnesota Residents with Insurance Coverage, 2012)

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Top 5% of spenders account for 49% of Top 2% of spenders account for 24% of spending

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Top 5% of spenders account for 49% of spending Top 2% of spenders account for 24% of spending

Source : MDH/Health Economics preliminary analysis of Minnesota All Payers Claims Data (MN APCD), August 2014; chart adapted from NIHCM Foundation analysis.

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SLIDE 10

Pediatric Health Care Use in MN, 2013 to 2014

(Systematic Coefficient of Variation, MN Counties)

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Source : MDH/Health Economics preliminary analysis of Minnesota All Payers Claims Data (MN APCD), Sept. 2015, forthcoming: Pediatric Health Care Use in Minnesota, 2013 to 2014.

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Other Ongoing Research

  • Low-value health care services
  • Prescription drug spending
  • Retail
  • Medical
  • Assessing State Innovation Model implementation in MN
  • Cost
  • Utilization
  • Epidemiological work
  • Traumatic brain injury
  • Readmissions for diabetes
  • Opioid Rx use
  • Antibiotic usage
  • Assessing Data Quality

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SLIDE 12

Additional Information from the Health Economics Program Available Online

  • Health Economics Program Home Page

(www.health.state.mn.us/healtheconomics)

  • Publications

(www.health.state.mn.us/divs/hpsc/hep/publications/index.html)

  • Health Care Market Statistics (Chartbook Updates)

(www.health.state.mn.us/divs/hpsc/hep/chartbook/index.html)

  • Interactive Health Insurance Statistics

https://pqc.health.state.mn.us/mnha/Welcome.action

  • Minnesota APCD

http://www.health.state.mn.us/healthreform/allpayer

Contact the Health Economics Program at: 651-201-3550 or health.hep@state.mn.us

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