Maine
Title or Name of APCD System
  • Maine Health Care Claims Database
Who Maintains the System
  • Maine Health Data Organization
Legal Authority
Investment
  • $4-5 million across MHDO/MHDPC for hardware and staff time since 2002. Compliance and resubmissions for failed edits are time-intensive, especially at first. States that use a common format/harmonize with other states will reduce start-up and reporting
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
Commercial Payers
  • Currently Collected
Third Party Administrators/Self-Funded
  • Currently Collected
Medicaid
  • Currently Collected
Medicare
  • Currently Collected
Other
  • Tables of payer homegrown diagnosis/procedure codes; taxonomy code/physicians
Types of Data Collected 
Medical Claims
  • Currently Collected
Eligibility
  • Currently Collected
Dental
  • Currently Collected
Pharmacy
  • Currently Collected
Other
  • Psuedo-claims for some uninsured
Primary Users/Uses
  • Analyses of cost, quality, system utilization, episodes, and geographical differences.
Contact Information