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:

  1. Active Members by County – 2007
  2. Claims Submitted by County – 2007
  3. 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