Maine
Title or Name of APCD System:
Maine Health Care Claims Database
Category:
Existing
Who Maintains the System:
Maine Health Data Organization
Website:
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 Payers | Yes | -- |
| Third Party Administrators/Self-Funded | Yes | -- |
| Medicaid | Yes | -- |
| Medicare | Yes | -- |
| Other | Psuedo-claims for some uninsured | |
| Types of Data Collected | Currently Collected | Planned Collection |
|---|---|---|
| Medical Claims | Yes | -- |
| Eligibility | Yes | -- |
| Dental | Yes | -- |
| Pharmacy | Yes | -- |
| Other | Tables of payer homegrown diagnosis/procedure codes; taxonomy code/physicians | |
Primary Users/Uses:
Analyses of cost, quality, system utilization, episodes, and geograhpical differences.
Consumer Website:
Contact Information:
For more information please contact Karynlee Harrington at Karynlee.harrington@maine.gov.