Maryland
Title or Name of APCD System:
Maryland Health Care Commission Medical Care Data Base (MCDB)
Category:
Existing
Who Maintains the System:
Maryland Health Care Commission
First Year APCD Collected Data:
1998
APCD Snapshot:
The system in Maryland was set up for policy uses. Transparency applications are limited and physician/provider comparative quality uses are very limited. The APCD is better at supporting system wide comparisons versus quality.
Number of Commercial Sources of Claims Data:
35
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 | No VA, self pay, uninsured, or stand alone TPA payers. | |
| Types of Data Collected | Currently Collected | Planned Collection |
|---|---|---|
| Medical Claims | Yes | -- |
| Eligibility | Yes | -- |
| Pharmacy | Yes | -- |
| Other | DME Excluded; Medical data collection expanding to full in 2011---adding race/ethnicity/language also, pursuing these aggressively; Added pharmaceutical hospital claims data in 2010, from carriers | |
Primary Users/Uses:
Analyses of cost, efficiency, system utilization, and currently pushing to enhance geographic/racial difference capabilites.
Future Plans:
Full eligibility in 2011, adding race/ethnicity/language.
Consumer Website:
Contact Information:
For more information please contact Ken Yeates-Trotman at kenneth.yeates-trotman@maryland.gov.