Publications Using the 
MN APCD

Health Care Spending, Prices, and Utilization in Minnesota: 2018 to 2022 (PDF) 
This brief relies upon data from the MN APCD and methods developed by the Health Care Cost Institute (HCCI) to produce population-based estimates of spending, utilization, and prices for medical care and prescription drugs. (December 2024) 
Health Care Spending, Prices, and Utilization in Minnesota: 2018 to 2022—Supplement (PDF)

Predictors of telehealth use after the Minnesota Telehealth Act: analysis using the Minnesota All Payer Claims Database | Health Affairs Scholar 
This article examines telehealth use among commercially insured and Medicare Advantage patients in Minnesota using 2021 and 2022 data from the Minnesota All Payer Claims Database and publicly available data sources. (October 2024)

Study of Telehealth Expansion and Payment Parity: Final Report to the Minnesota Legislature 2024 (PDF) 
This final report to the Minnesota Legislature summarizes findings from a wide range of qualitative and quantitative studies conducted by MDH and its partners. A synthesis of study results suggests the overall conclusion that, to date, telehealth has expanded access to health care without appearing to compromise health care quality or patient satisfaction. The report relies on data from the MN APCD and several other sources. (September 2024)

• Supplement A: Center for Evidence-based Policy (CEbP) (PDF) 
  This supplement by the Center for Evidence-based Policy (CEbP) provides an overview of the existing research on audio-only telehealth and an environmental scan on the use and effectiveness of audio-only telehealth for specific conditions and populations. (September 2024)

  Every effort has been made to make this document accessible. If there are any concerns, please contact the Department of Health at telehealthstudy.health@state.mn.us.

• Supplement B: Minnesota Electronic Health Record Consortium (MNEHRC) (PDF) 
  This supplement by the Minnesota Electronic Health Record Consortium (MNEHRC) uses electronic health record data to analyze outpatient use of telehealth and prevalence of audio-only and audio-visual telehealth use from 2018 to 2022, as well as telehealth's impact on quality of care. (September 2024)
• Supplement C: Mathematica Inc. (PDF) 
  This supplement by Mathematica Inc. evaluates the impact of telehealth expansion and payment parity through the 2021 Minnesota Telehealth Act on the use of health care services covered by private sector health insurance and Medicare Advantage in Minnesota. (September 2024)
• Supplement D: Oliver Wyman Inc. (PDF) 
  This supplement by Oliver Wyman analyzes the impact telehealth services have had on health care spending from 2019 to 2021 and considers the projected influence that telehealth services could have on future premium rates in Minnesota's private sector (commercial) health care market. (September 2024)
• Supplement E: SDK Communications (PDF) 
  This supplement by SDK Communications contains findings from interviews with operations and business analysis leaders of large health care provider systems, small community-centered clinics, and community-based advocates, public health professionals, and individual patients. (September 2024)
• Supplement F: Wilder Research (PDF) 
  This supplement by Wilder Research shares findings from a qualitative study based on interviews with 30 service recipients and 20 health care providers, as well as individual and group interviews with 16 leadership representative and five health plan companies. (September 2024)
• Study of Telehealth Final Report Infographic (PDF) 
  This infographic highlights the key findings of the final report broken down by telehealth availability, use, and access. (September 2024)
• Study of Telehealth Final Report Fact Sheet (PDF) 
  This three-page fact sheet summarizes findings and MDH's recommendations from the final report. (September 2024)

A Snapshot of Sickle Cell Disease and Sickle Cell Trait in Minnesota (PDF) 
This snapshot provides prevalence and demographic information on patients with sickle cell disease and sickle cell trait in Minnesota using the Minnesota All Payer Claims Database (MN APCD) and other data sources. (June 2024)

Health Care Spending, Prices, and Utilization in Minnesota: 2017 to 2021 
This brief relies upon data from the MN APCD and methods developed by the Health Care Cost Institute (HCCI) to produce population-based estimates of spending, use, and prices for medical care and prescription drugs. (November 2023) 
Health Care Spending, Prices, and Utilization in Minnesota: 2017 to 2021 - Supplement

Recommendations to Expand Access to and Use of the Minnesota All Payer Claims Database: Final Report (PDF) 
In this final report to the Minnesota Legislature, nine recommendations are shared to set MDH on a path toward further enhancing the data infrastructure required for data driven health policy making and generating applied research findings to improve access and cost of health care in Minnesota. (September 2023)

Evaluating the Association Between Expanded Coverage of Direct-to-consumer Telemedicine and Downstream Utilization and Quality of Care for Urinary Tract Infections and Sinusitis | Health Services Research (ePDF)
This article, first published January 9, 2023 in Health Services Research, uses 2008 to 2015 data from the MN APCD to compare direct-to-consumer telemedicine and in-person visits in rates of testing, follow-up health care use, and quality for urinary tract infections and sinusitis. (August 2023)

Insurance Coverage Transitions After Disenrollment From Medicaid in Minnesota | JAMA Network Open 
This article published in the April 21, 2023 issue of JAMA Network Open uses data from the MN APCD to examine insurance transitions after Medicaid disenrollment (between January 1, 2018, and February 28, 2019) in Minnesota. (August 2023)

Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018 | Preventing Chronic Disease
This article published in the April 13, 2023 issue of Preventing Chronic Disease uses data from the MN APCD to identify gaps in cardiac rehabilitation use among insured Minnesotans in 2017 and 2018 across insurance types, geographic measures, Social Vulnerability Index quartiles, and comorbidities. (April 2023)

Treated Chronic Disease Prevalence and Spending in Minnesota: Estimated Spending for 2009, 2017, and 2018, Projected Spending for 2017 Through 2028 (PDF)
This report presents the results of the Minnesota Department of Health’s (MDH) work in developing annual estimates of the health care costs directly associated with selected chronic conditions and smoking. (December 2022)
Treated Chronic Disease Prevalence and Spending in Minnesota: Estimated Spending for 2009, 2017, and 2018, Projected Spending for 2017 Through 2028, Supplemental Appendices(PDF)

Health Care Spending, Prices, and Utilization in Minnesota: 2016 to 2020 (PDF)
This brief relies upon data from the MN APCD and methods developed by the Health Care Cost Institute (HCCI) to produce population-based estimates of spending, prices, and use for medical care and prescription drugs. (November 2022)

Recommendation Report for Expanded Access to the Minnesota All Payer Claims Database: Initial Findings (PDF)
This report presents initial findings for developing recommendations about expanded access to the Minnesota All Payer Claims Database (MN APCD) and a road map for developing final recommendations later this year. We present an overview of the MN APCD, provide background information about the emergence of APCDs across the country, document some of the important contributions from research over the years, and sketch out opportunities associated with expanded access to the data for Minnesota. (February 2022)

Treated Chronic Disease Prevalence and Spending in Minnesota: Estimated Spending for 2009 and 2016, Projected Spending for 2016 Through 2027
This report presents the results of the Minnesota Department of Health’s (MDH) work in developing annual estimates of the health care costs directly associated with selected chronic conditions and smoking. (December 2021)
Treated Chronic Disease Prevalence and Spending in Minnesota: Estimated Spending for 2009 and 2016, Projected Spending for 2016 Through 2027, Supplemental Appendices

Blood Pressure Medication Non-Adherence in Minnesota: 2015 (PDF)
This report describes variation in blood pressure medication adherence among Minnesotans and provides strategies to improve adherence. (May 2021)
Blood Pressure Medication Non-Adherence in Minnesota: 2015 - Supplemental Figures and Tables (PDF)

Treated Chronic Disease Prevalence and Costs in Minnesota: Estimated Costs for 2009 and 2015, Projected Costs for 2015 through 2025 (PDF)
This report presents the results of the Minnesota Department of Health’s (MDH) work in developing estimates of the health care costs directly associated with selected chronic conditions and smoking. (December 2019)
Supplemental Appendices (PDF)

Geographic Variation in Hypertension in Minnesota: 2014 (PDF)
This report provides a state and local overview of the prevalence of hypertension in Minnesota, including the first estimates of hypertension prevalence by local communities in Minnesota. (November 2019)
Geographic Variation in Hypertension in Minnesota: 2014 - Supplemental Figures and Tables (PDF)

Population-Level Estimates of Telemedicine Service Provision Using An All-Payer Claims Database | Health Affairs
This article published in the December 2018 issue of Health Affairs reports data from the MN APCD on the patterns of telemedicine use in Minnesota during 2010-2015, across insurance coverage types, provider type, and rurality of patient residence. (December 2018)

Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals (Part 2): July 2014 - June 2015 (PDF)
This report examines case price variation for four common, clinically uncomplicated inpatient surgeries. This is the second in a series of reports focusing on variation in health care prices for common treatments and procedures in Minnesota. (August 2018)

• Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals (Part 2): July 2014 - June 2015, Frequently Asked Questions (PDF)
• Minnesota Health Care: High-Value Reports Designed for and by Employers (PDF)

Patterns of Opioid Prescribing in Minnesota: 2012 and 2015 (PDF)
This issue brief describes opioid prescription patterns in Minnesota in 2012 and 2015. (April 2018)

• Patterns of Opioid Prescribing in Minnesota – Supplemental Tables (PDF)
• Patterns of Opioid Prescribing in Minnesota – Supplemental Technical Information (PDF)

Commercial Case Price Variation among High-Volume Inpatient Treatments in Minnesota Hospitals, July 2014 - June 2015 (PDF)
This report examines case price variation among four common, clinically uncomplicated inpatient treatments in orthopedic and obstetric care. This is the first in a series of reports focusing on variation in health care prices for common treatments and procedures in Minnesota. (January 2018)
Minnesota Health Care: High-Value Reports Designed for and by Employers (PDF)

Treated Chronic Disease Costs in Minnesota - a Look Back and a Look Forward (PDF)
This report describes the results of the Minnesota Department of Health’s (MDH) work in developing estimates of the health care costs directly associated with selected chronic conditions and smoking. (December 2017)

Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database (PDF)
This issue brief presents the first-ever look at a selection of 18 low-value services in Minnesota in 2014. The issue brief presents estimates of use and spending on low-value services in two main categories: diagnostic imaging and disease screening. (May 2017)
Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database - Technical Supplement (PDF)

Pharmaceutical Spending and Use in Minnesota: 2009-2013
This issue brief provides an overview of pharmaceutical spending and use trends in Minnesota from 2009 to 2013. This first analysis in a series of research initiatives distinguishes between prescription trends in retail pharmacy settings and medical settings (such as physicians’ offices and hospital outpatient clinics). The analysis looks at trends in the number of drug claims, total spending and spending per claim. (November 2016)

State-Based Risk Adjustment and Feasibility Study – Report to the Minnesota Legislature
This study, commissioned by the 2013 Minnesota Legislature, investigates the feasibility of state-based risk adjustment in Minnesota's individual and small group markets. In the study, the research team assessed the performance of the federal model with Minnesota data and performed statistical and actuarial modeling of a number of scenarios for Minnesota-based risk adjustment, including the effect of reinsurance. (October 2016)

Chronic Conditions in Minnesota: New Estimates of Prevalence, Cost and Geographic Variation for Insured Minnesotans, 2012 (PDF)
This report examines chronic disease prevalence and spending for Minnesota residents with health insurance in 2012, using Minnesota’s robust All Payers Claims Database (MN APCD). The report presents overall estimates of prevalence and spending for chronic conditions, considering approximately 125 distinct diseases. It also presents more detailed results for 10 select conditions. Estimates are prepared for the state overall, as well as at the county-level. (January 2016)
Chronic Conditions in Minnesota - Supplemental Technical Information (PDF)

Potentially Preventable Health Care Events in Minnesota (PDF)
This report provides a baseline for the volume and associated spending of potentially preventable health care events in Minnesota in 2012. These events comprise emergency department visits, hospital stays and hospital readmissions that could have potentially been prevented with timely access to primary care better care coordination and prescription management; improved health care literacy by patients and better coordination across providers and between patients, their families, providers and social support services. (July 2015)
Potentially Preventable Health Care Events - Supplemental Technical Information (PDF)

Chronic Pain Procedures in Minnesota (PDF)
This report examines the provision of chronic pain management services in Minnesota from 2010 through 2012. The report includes a description of the volume, geographic distribution, facility type, and provider type/specialty of the rendering provider. (January 2015).