Maine

Title or Name of APCD System: 
Maine Health Care Claims Database
Category: 
Existing
Who Maintains the System: 
Maine Health Data Organization
First Year APCD Collected Data: 
2003
APCD Snapshot: 
Maine Health Data Organization, Maine Health Management Coalition and the Maine Health Info Center leveraged a voluntary aggregation pilot into a statewide initiative. Large employers needed cost data as well. Carriers were interested in a broader view of utilization across the system. Hospitals wanted a payment website.
Number of Commercial Sources of Claims Data: 
89

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial PayersYes--
Third Party Administrators/Self-FundedYes--
MedicaidYes--
MedicareYes--
OtherPsuedo-claims for some uninsured
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
DentalYes--
PharmacyYes--
OtherTables of payer homegrown diagnosis/procedure codes; taxonomy code/physicians
Primary Users/Uses: 
Analyses of cost, quality, system utilization, episodes, and geograhpical differences.
State Specific Resources: 
Contact Information: 

For more information please contact Karynlee Harrington at Karynlee.harrington@maine.gov