OIC Data-Driven Insights
The Washington State Office of the Insurance Commissioner (OIC) safeguards insurance consumers and regulates the insurance industry.
OIC projects
OIC uses WA-APCD data to improve our understanding of market dynamics to promote a stable insurance market that includes healthy competition based on quality and cost. OIC projects include:
- Exploring data and its best application in market analytics.
- Understanding trends in service utilization and network access.
- Assessing the impacts of pricing on consumer utilization and plan choice.
- Preparing analytical reports and analysis for interested parties.
How is WA-APCD data used to create OIC reports?
Mental health dashboard
The information on the mental health dashboard helps policymakers and stakeholders better understand how consumers use mental health services and the cost of those services. The dashboard includes WA-APCD claims between 2017 - 2022 for all state-regulated health plans and Washington’s Public and School Employee Health Benefit Programs (PEBB/SEBB).
View the mental health dashboard.
Cost trend analysis dashboards
The cost trend analysis dashboards show trends in health care costs, including:
- Commercial claims
- Hospital inpatient and outpatient
- Health care professional claims
- Prescription drug spending
- Analysis of types of inpatient, mental health, and ambulance services
View the dashboards:
Balance billing dataset
The Balance Billing Protection Act (BBPA) protects consumers from getting billed by a nonparticipating (out-of-network) provider for services at a participating (in-network) hospital. This includes both inpatient and outpatient services or ambulatory surgical centers.
View the balance billing dataset.
Fertility treatment analysis
This report analyzes utilization, cost data, and an estimated cost analysis for implementing a fertility treatment benefit per the Department of Health’s (DOH) sunrise review for Apple Health (Medicaid), Employee and Retiree Benefits (ERB) programs, and fully-insured commercial health plans. The benefit cost is expressed as both a total annual cost and as a per member per month cost for plan years 2024–2027.
View the fertility treatment cost analysis.
Affordability studies
The following are examples of WA-APCD data used in legislative reports: