OHIC Data Hub

As part of the Health Spending Accountability and Transparency Program, OHIC collaborated with an analytics consultant and the Health Care Cost Trends Steering Committee to develop interactive dashboards that utilize All-Payer Claims Database (APCD) data. These dashboards provide transparent reporting on trends in the cost and use of healthcare services in Rhode Island. The purpose is to inform provider organizations, payers, purchasers, policymakers, and state residents interested in improving the affordability of healthcare in Rhode Island.

The dashboards employ common methods for analyzing healthcare spending. Because alternative methods will produce different results, the measures reported here may differ from those generated by the Rhode Island Medicaid program. Individuals eligible for both Medicaid and Medicare, known as dual eligibles, are included only under their primary insurance coverage.

Although we believe the information, analysis, and methodology presented in the Cost Trends reports are accurate, reporting errors may impact the tool's calculations. Users assume responsibility for determining the tool's suitability for their purposes and use it at their own risk. OHIC may modify the information and analysis without notice.

This dashboard summarizes health care utilization and spending measures across Rhode Island and its counties. This supports understanding and analysis of health care cost drivers to generate insights into policy options for slowing spending growth within the state. Pharmacy spending data does not account for manufacturer rebates.

This dashboard facilitates analysis of retail pharmacy spending, enabling comparison of cost and utilization metrics by drug category and identification of the drugs that constitute the greatest proportion of total spend. Pharmacy spending data does not account for manufacturer rebates.

This dashboard enables analysis of medical pharmacy spending by comparing cost and utilization metrics across drug categories, highlighting the drugs that represent the largest proportion of total spend. Users can examine spending and utilization trends at both the state and county levels. The dashboard employs the Restructured BETOS Classification System (RBCS) to categorize utilization and spending, using Berenson-Eggers Type of Service (BETOS) codes assigned to each Healthcare Common Procedure Coding System (HCPCS) procedure code. The BETOS coding system was primarily developed for analyzing growth in Medicare expenditures. All results are based on analysis of commercial claims and Medicaid data.

This dashboard utilizes the Restructured BETOS Classification System (RBCS) categories to analyze utilization and spending for outpatient and professional procedures. Berenson-Eggers Type of Service (BETOS) codes are assigned for each Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure code. The BETOS Coding system was developed primarily for analyzing the growth in Medicare expenditures. Reports include care received by Rhode Island residents, including care rendered out-of-state.

This dashboard enables users to compare spending and utilization measures by diagnosis category, with a focus on identifying mental health disorders that represent a significant proportion of total spending in Rhode Island. The dashboard also highlights variations in utilization and spending by age group, gender, market (including commercial insurance, Medicaid, and Medicare Advantage), and service category or care setting. Mental health disorders have been identified and grouped by diagnosis category, using the International Classification of Diseases, 10th Revision (ICD-10) classification system adopted by the World Health Organization (WHO).