Health Care Market Reports
The Division of Health Care Finance collects and maintains a large amount of data from Medicaid, the Children's Health Insurance Program (CHIP) and the State Employee Health Plan (SEHP). In addition, in cooperation with the Kansas Insurance Department, DHCF maintains the Kansas Health Insurance Information System (KHIIS), which includes health care data from individual and small-group private insurance plans.
These datasets are being combined using a tool called the Data Analytic Interface (DAI), a multi-payer administrative claims database initiative sponsored by the Division of Health Care Finance and the Kansas Insurance Department. The DAI went into production in early 2010 with Medicaid and SEHP data. The KHIIS module is currently under implementation. With the DAI, DHCF is now able, among other things, to compare prices paid for health care services and utilization across different insurance plans, and across time.
These reports are developed and reviewed under the aegis of the Kansas Health Data Consortium - a collaborative, multi-stakeholder advisory committee on data-driven policy with membership spanning across key sectors of the health and health care industry. The reports provide summary and comparative data on health care cost, utilization, service patterns and trends, and other key descriptive snapshots of the health care market. Multiple data sources provide input to the Data Consortium process, as indicated within parentheses next to each category below in the format (date reviewed by the Consortium, data source). Some of the reports below are developmental drafts and are not to be used for reporting purposes whenever identified as such.
Market price index comparisons: Medicaid vs. SEHP
Provider Services, Durable Medical Equipment,and Pharmacy(4-7-10, DAI)
2009 Medicaid-SEHP Pricing Comparison for Provider Services by Type
Durable Medical Equipment Cost Comparisons
Pharmacy Cost and Utilization
Physician, Hospital Inpatient, and Dental Services (7-22-10, DAI)
Physician Services by Procedure Group
Hospital Inpatient Services
Dental Service
Insurance mandates
Claims and Charges for Selected Services Affected By Mandates: 2006 and 2007 (3-26-09, KHIIS)
Mandates Overview
Mandates Summary
Bone Density Screenings KHIIS Data State Fiscal Year 2006 and 2007 (3-26-09, KHIIS)
Sample Mandate – Bone Density Screening
Insurance premiums and market characteristics
Summary Premium Report (10-6-09, KHIIS)
KHIIS Premium Report
Private insurance market share (12-1-09, Form 100 submissions to KID)
Private Insurance Market Statistics – Table
Private Insurance Market Statistics – Graphs
Provider payments
Provider Specialties Payments (3-26-09, KHIIS)
2006 Provider Specialties Payments
2007 Provider Specialties Payments
Hospital Payments (3-26-09, KHIIS)
2006 Hospital Payments
2007 Hospital Payments
Allowed to Charge Ratio by Drug Group (8-3-09, KHIIS)
Allowed to Charge Ratio by Drug Group
Beneficiary expenditures
Patient Responsibility as a Percent of Allowed (8-3-09, KHIIS)
Patient Responsibility as a Percent of Allowed
Average Patient Responsibility ($) by Drug Group (8-3-09, KHIIS)
Average Patient Responsibility ($) by Drug Group
Percent Share of Total Payments For Each Drug Group (8-3-09, KHIIS)
Percent Share of Total Payments For Each Drug Group
Summary Table of 2007 Rx Drug Claim For KHIIS (8-3-09, KHIIS)
Summary Table of 2007 Rx Drug Claim For KHIIS
Summary Table of 2007 Rx Drug Claim For Medicaid (8-3-09, Medicaid All Claims Data)
Summary Table of 2007 Rx Drug Claim For Medicaid
Summary Table of 2007 Rx Drug Claim For State employee health plan (8-3-09, SEHP All Claims Data)
Summary Table of 2007 Rx Drug Claim For SEHP
Membership and demographics
KHIIS Member/claim by County Report (10-6-09, KHIIS)
KHIIS Member/claim by County Report
KHIIS Geomaps (10-6-09, KHIIS) including:
- Active Members by County – 2007
- Claims Submitted by County – 2007
- Total Paid by County – 2007
KHIIS Geomaps
Medical trends and utilization
Utilization and payment statistics by age and diagnosis group (12-1-09, KHIIS)
Utilization and Payment Statistics by Diagnosis Group – Table
Utilization and Payment Statistics by Diagnosis Group – Graph
Paid Claims by line of business, diagnosis group, and age (2-3-10, KHIIS)
Utilization and Payments by Line of Business and Diagnosis Group - Summary
Paid Claims by Diagnostic Category and Line of Business
Paid Claims Volume
Paid Claims by Line of Business
Percentage of Paid Claims by Line of Business and Age Group
Outpatient rehabilitation therapy services (12-1-09, KHIIS)
Outpatient Rehabilitative Therapy Services – Table
Outpatient Rehabilitative Therapy Graphs:
Unique Claims
Unique Billing Providers
Unique Consumers
Net Paid Amount
Change from Previous Year
Net Paid per Consumer
Detailed proceedings and materials of all Data Consortium Meetings are available by date at: http://www.kdheks.gov/hcf/data_consortium/previous_meetings.html