The Institute for Health Policy and Practice's efforts in the area of Health Analytics and Informatics transforms health data into actionable information to support data-driven decision-making.
For more information, contact Bethany Swanson at Bethany.Swanson@unh.edu
Projects and Initiatives
To better understand a broad range of issues related to the cost and utilization of health care services, IHPP maintains a suite of analytic reports based on NH medical, pharmacy and dental claims data. The NH Claims Report Suite contains measures of types of service, burden of specific diseases and conditions, and use of medications, with the ability to drill down by population and geographic characteristics. This work was funded with support from the Endowment for Health and the New Hampshire Department of Health and Human Services (NH DHHS). For more information about the data sources, please see the methods tabs within the report suite. To learn more about the commercial claims data, visit nhchis.com.
The NH Claims Report Suite works with Chrome, Firefox, Edge, and Safari browsers.
Suggested citation: Institute for Health Policy and Practice. (2020). NH Claims Report Suite. [Dashboard]. Durham, NH: Center for Health Analytics and Informatics.
The APCD Council, formerly known as RAPHIC, is a federation of government, private, nonprofit, and academic organizations focused on improving the development and deployment of state-based all payer claims databases. The Council provides early stage technical assistance to states, develops Federal and payer partnerships, promotes data standards, and conducts educational events. The APCD Council is convened and coordinated by IHPP and the National Association of Health Data Organizations (NAHDO).
Analytics for NH Department of Health and Human Services
Our team provides analysis of claims data to DPHS in an effort to study prevalence, cost and utilization of healthcare services for several chronic diseases, including diabetes, hypertension and cancer from Medicare, Medicaid and commercial claims data.
- Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data
- Health Care Claims and Mental Health ED Utilization
We are also providing claims data analysis for a study of behavioral-health related mortality in Medicaid, a joint project between the Division of Public Health Services and the Office of Medicaid.
Quality Assurance for NH All-Payer Claims Data (APCD)
IHPP develops protocols and completes the QA process for NH CHIS data to support the work of the NH Department of Health and Human Services.
NH Medicaid Quality Information System
With funding from the Centers for Medicaid and Medicare Services Adult Medicaid Quality program, IHPP is contracted with NH DHHS to develop and maintain the NH Medicaid Quality Information System.
HealthWRQS
IHPP partners with the NH Department of Health and Human Services to support NH HealthWRQS, a web-based query analysis system that allows public health practitioners the ability to query data and view reports instantly about the health of New Hampshire communities.
Resources and Publications
Covering the Care: Pregnancy Tops the List of Highest Out-Of-Pocket Costs for NH’s Commercially Insured
February 2025
This data brief presents a retrospective analysis of available medical claims data from New Hampshire’s commercial insurance plans. This brief focuses on conditions with the highest average out-of-pocket costs paid by commercially insured members in 2022. It also examines how out-of-pocket costs for those conditions have changed over a seven-year period (2016-2022). The analysis is based on claims data from January 2016 – December 2022 and is analyzed at the overall population level and by member gender. It is part of a series of analytic briefs examining the rate of the most common health conditions and treatment costs for those respective conditions.
Covering the Care: Pharmaceutical Utilization and Per-Member-Per-Month Costs
January 2025
This data brief presents a retrospective descriptive analysis of pharmaceutical utilization and its associated costs by utilizing available pharmacy claims data from three of New Hampshire’s insurance payers: commercial, NH Medicaid, and NH Medicare. The brief identifies the top ten drug classes by number of prescriptions filled and their per-member-per-month costs. The analysis is based on the most recent calendar year of pharmacy claims data available (January – December 2022).
Covering the Care: Pharmaceutical Utilization and Per-Member-Per-Month Costs
Covering the Care: Most Costly Health Conditions – Metabolic Disorders, Hemophilia, Cancers, and Transplants Top the List
February 2025
This data brief presents a retrospective analysis of available medical claims data from New Hampshire’s commercial, Medicaid, and Medicare insurance programs. This brief focuses on the conditions that incur the highest medical costs, regardless of their prevalence among the population. Metabolic disorders, hemophilia, certain cancers, and transplants were identified across all three payers as some of the costliest conditions. Most of these conditions have low prevalence and could, in some instances, be considered rare. There is variability in the prevalence of these conditions by payer type and there is a variability in the costs paid by payer type, with commercial insurance consistently having the highest costs. The analysis uses administrative medical claims data from January to December 2022.
Assessment Tools for Evaluating Primary Care Services and Delivery from the Consumer and Provider Perspective
February 2024
Develop a synthesis of tools and recommendations for collecting data from patients and clinicians related to primary care services and care delivery. Create a report of recommended tools that have been used and validated, ideally with an appendix of the actual survey instruments when they are available and can be used either with permission or for a fee.
February 2024
As a part of the Endowment for Health’s comprehensive strategy to improve the health of the people in New Hampshire (NH), the foundation invests in the University of New Hampshire Institute for Health Policy and Practice Health (UNH IHPP) to research and inform statewide health law and policy. Specifically, funding in 2023 focused on the provision of primary care in NH, which IHPP addressed through two reports and a focus group. The reports included a landscape on existing best-practice literature in primary care and, a review of assessment tools for evaluating primary care services and delivery. This paper provides a summary and findings of the focus group.
September 2023
A shortage of specialty providers and numerous barriers to care access have resulted in a lack of essential youth behavioral health care in New Hampshire. Over the past decade, there have been efforts across NH to address this through Behavioral Health Integration (BHI), from multi-year initiatives to practice-level training or self-funded quality improvement projects. Despite the best efforts of many, the resulting increase in service capacity has been extremely limited. In order to inform future work in BHI, this assessment compiles the experiences, thoughts, and beliefs of primary care professionals and payers pertaining to the current availability, delivery, and payment methodologies of behavioral health services in primary care.
The Current State of Behavioral Health in Primary Care for NH Youth Report
September 2023
Investing in Primary Care: Advancing Nursing Education Workforce
September 2023
NH Children and Teens Experiencing Mental Health Disorders: An Analysis of 2019-2021 Health Care Claims Data
April 2023
COVID-19 Pharmacy Claims Recovery Analysis
January 2023
COVID-19 Claims Recovery Analysis
December 2022
In April of 2022, the Institute for Health Policy and Practice (IHPP), in collaboration with the Department of Health and Human Services (DHHS) and the NH Pediatric Improvement Partnership (NH PIP), published the first version of the Mental Health Care Access in Pediatrics (MCAP) report, New Hampshire Children and Teens Experiencing Mental Health Disorders: An Analysis of 2019 Healthcare Claims Data. This report builds on the work of that publication, providing an analysis that explores care patterns in 2020, at the beginning of the 2020 COVID-19 pandemic. This update also includes an additional section focused on the providers of mental health care based on medical and pharmaceutical claims data.
New Hampshire Child and Teen Mental Health: An Analysis and Comparison of 2019-2020 Healthcare Claims Data
April 2022
The NH Mental Health Care Access in Pediatrics (MCAP) program is a collaborative effort of the NH Department of Health and Human Services and the NH Pediatric Improvement Partnership housed at the UNH Institute for Health Policy and Practice. Funded by the Health Resources and Services Administration, the focus of MCAP is to promote behavioral health integration in pediatric primary care. MCAP provides: 1) training to pediatric and family practice clinicians in assessing and treating common pediatric mental health conditions through an annual Project ECHO® learning series, 2) clinician-to-clinician teleconsultation services, and 3) an annually updated referral directory of pediatric mental/behavioral health services in New Hampshire. To inform its programming, MCAP funded this analysis of 2019 pediatric medical and pharmacy claims data from commercial and NH Medicaid payers. Specifically, MCAP sought to examine health care claims for NH’s pediatric population to provide a descriptive analysis of:
- The burden of pediatric mental health conditions as defined by the percentage of children under age 18 with mental health conditions,
- Mental health conditions and comorbidities with other mental health conditions, and
- Mental health medical and pharmaceutical service utilization to produce measures of treatment.
August 2021
The Center for Health Analytics, with funding from the Children's Health Foundation, has published their oral health report which analyzes dental claims to understand patterns of oral health care services, in addition to use of fluoride and patterns of care during the COVID-19 pandemic.
March 2021
The Center for Health Analytics (CHA) at the Institute for Health Policy and Practice (IHPP) has released a new report, Cost and Utilization of Treatment for Diabetes in New Hampshire: Analysis of Medical and Pharmacy All-Payer Claims Data. By utilizing tables from IHPP's NH Claims Report Suite, CHA analyzed measures of cost and utilization for Commercial (NHCHIS), NH Medicaid and NH Medicare beneficiaries who are indicated to have diabetes and/or the related heart conditions of Congestive Heart Failure, Hypertension and Cardiovascular Disease. This report includes an overview of how diabetes and the selected heart conditions compare to the 20 most common conditions for each payer population as well as a comparison of costs and utilization of drugs classified as anti-diabetic agents to the top 10 drug classes by total scripts. The report also analyzes variations of costs for beneficiaries with diabetes or the selected heart conditions with and without co-morbidities. This project was funded by the Division of Public Health Services at NH Department of Health and Human Services.
June 2020
The Institute for Health Policy and Practice, leveraging the UNH Survey Center's Granite State Panel, conducted a survey of NH adults to understand some of the immediate impacts of COVID-19 since January 2020. The survey includes 1155 respondents, and was fielded from April 16-20, 2020.
2020
To better understand a broad range of issues related to the cost and utilization of health care services, IHPP maintains a suite of analytic reports based on NH medical, pharmacy and dental claims data. The NH Claims Report Suite contains measures of types of service, burden of specific diseases and conditions, and use of medications, with the ability to drill down by population and geographic characteristics. This work was funded with support from the Endowment for Health and the New Hampshire Children's Health Foundation. For more information about the data sources, please see the methods tabs within the report suite. To learn more about the commercial claims data, visit nhchis.org.
January 2019
A comprehensive analysis of oral health claims data prepared by the Institute for Health Policy and Practice in collaboration with the Center for Health Analytics. This project coincides with the release of the Oral Health Report Suite, an on-line tool that is based on NH Medicaid fee-for-service and commercial dental claims data.
March 2018
A brief highlighting the value of APCDs in informing health system change.
Informing Health System Change- Use of All-Payer Claims Databases
2017
A shortage of specialty providers and numerous barriers to care access have resulted in a lack of essential youth behavioral health care in New Hampshire. Over the past decade, there have been efforts across NH to address this through Behavioral Health Integration (BHI), from multi-year initiatives to practice-level training or self-funded quality improvement projects. Despite the best efforts of many, the resulting increase in service capacity has been extremely limited. In order to inform future work in BHI, this assessment compiles the experiences, thoughts, and beliefs of primary care professionals and payers pertaining to the current availability, delivery, and payment methodologies of behavioral health services in primary care.
National Oral Health Conference Poster
September 2015
This report was created by the APCD Council with assistance and support from the New York State Health Foundation (NYSHealth). The authors of this report would like to thank NYSHealth for its funding and content support. Thanks also are extended to the New York State Department of Health for its input, content, and organizational support during this project. Finally, we would like to thank the many New York stakeholders and the interviewees from states other than New York whose thoughtful comments created the backbone for this report.
Support for this work was provided by NYSHealth. The mission of NYSHealth is to expand health insurance coverage, increase access to high-quality health care services, and improve public and community health. The views presented here are those of the authors and not necessarily those of the New York State Health Foundation or its directors, officers, and staff.
New York's All-Payer Database: A New Lens for Consumer Transparency
February 2015
With support from the Gary and Mary West Health Policy Center, the APCD Council has developed a manual for states to develop all-payer claims databases. The manual is a first of its-kind resource that provides states with detailed guidance on common data standards, collection, aggregation and analysis involved with establishing these databases.
May 2015
This document provides model legislation for APCD program development, based on the review of existing state APCD legislation (15 states at the time of the writing), anaylsis of other key federal and state regulations and statutes related to data collection and release and state experience with the legislative process.
September 2014
The primary task for this report is to summarize the work to develop a set of recommendations about the type of information that can be included in supplemental data submissions from the health insurance payers for inclusion in the MCDB, beginning with collection of 2014 data in 2015, and a mechanism for that collection process.
May 2014
All-payer claims databases are being developed in states across the nation to fill gaps in information about the health care system. The value of such databases is becoming more apparent as these databases mature and are used more frequently to help states better understand their health care utilization and costs.
January 2014
Over the past 10 years, a growing number of states have established state-sponsored all-payer claims database (APCD) systems to fill critical information gaps for state agencies, to support health care and payment reform initiatives, and to address the need for transparency in health care at the state-level to support consumer, purchaser, and state agency reform efforts. States with APCDs are responding to a need for comprehensive, multipayer data that allows states and other stakeholders to understand the cost, quality, and utilization of health care for their citizens. The purpose of this paper is to assist states embarking on APCD initiatives by highlighting key considerations for building statewide APCDs and potential solutions based on experiences in early-adopting APCD states.
The Basics of All-Payer Claims Databases: A Primer for States
2012
This report presents a summary of the costs to states associated with the development of AllPayer Claims Databases (APCDs). The findings are based on information gathered from states that have implemented APCDs, including review of state vendor contract documents and telephone interviews with state contacts. Both current and expired contract documents were reviewed.
October 2011
In 2008, the emergence of All Payer Claims Databases (APCD) was not only promising in terms of the potential of APCDs to explain and bend the cost curve of rising health care costs, but also presented a potential problem if each of the 50 states did not require the use of national standards for collecting the data from the payers. The APCD Council was formed to respond to this problem. With a learning network of states, insurers, vendors, and other stakeholders who are advancing the knowledge and development of All-Payer Claims Databases (APCD)1 , the APCD Council has been involved in the advocacy for and development of standards for APCD data collection for three years. Our work has been supported to date by The Commonwealth Fund, Academy Health’s State Coverage Initiative, Agency for Healthcare Research and Quality, National Governor’s Association, and with direct funding from UNH and NAHDO.
June 2011
This fact sheet focuses on the potential contributions of APCDs to health reform. Given the breadth of health reform, and the multiple possible uses of APCD data, this fact sheet is not intended to be a comprehensive review, but should serve to highlight some key opportunities available to states that have APCDs.
January 2011
Standardization of Data Collection in All-Payer Claims Databases
May 2010
This brief provides an overview of statewide APCDs and covers the following topics:
- What are APCDs?
- In what states do APCDs currently exist and what states are exploring APCDs?
- Why develop APCDs? • Who are the stakeholders of APCD systems?
- What are the major concerns or challenges related to APCDs and how they have been addressed?
- How are states using APCD information?
- How are APCDs governed and funded?
2010
All-Payer Claims Databases (APCDs) are large-scale databases that systematically collect health care claims data from a variety of payer sources. States are seeking assistance and tools to promote and strengthen the health and health care delivery for their populations. In establishing APCDs, states have identified several important uses of APCD data.
All-Payer Claims Databases in Public Health and Medicaid: A Fact Sheet
May 2008-Present
The APCD Council is a learning collaborative of government, private, non-profit, and academic organizations focused on improving the development and deployment of state-based all payer claims databases(APCD). The Council's work focuses on shared learning amongst APCD stakeholders, early stage technical assistance to states and catalyzing states to achieve mutual goals.
