Maryland
Category
Title or Name of APCD System
- Maryland Health Care Commission Medical Care Data Base (MCDB)
Who Maintains the System
- Maryland Health Care Commission
Legal Authority
Investment
- Approximately $1 million dollars/year (Contractual funds for ongoing collection $400k/year, plus extramural analytic costs for research; policy analyses $250k/year, plus intramural studies/analytics; system maintenance $250,000/year, plus $100,000 for ov
Submission Rules
Data Submission Guide
Data Request Process
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
Commercial Payers
- Currently Collected
Third Party Administrators/Self-Funded
- Currently Collected
Medicaid
- Currently Collected
Medicare
- Currently Collected
Other
- No VA, self-pay, uninsured, or stand-alone TPA payers.
Types of Data Collected
Medical Claims
- Currently Collected
Eligibility
- Currently Collected
Pharmacy
- Currently Collected
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
Consumer Website
Contact Information
For more information please contact Ken Yeates-Trotman at kenneth.yeates-trotman@maryland.gov.
Use Cases from the APCD Showcase
Displaying 1 - 5 of 5
| Use Cases | Category | Carriers | |
|---|---|---|---|
This report evaluates the use, cost, and insurance impact of menopause-related treatments—especially prescription drugs—within Maryland’s healthcare system. It’s designed to inform policy decisions about coverage and potential mandates. |
Health Reform, Insurance Department | Commercial | |
This mandate study uses Maryland's All-Payer Claims Database (APCD) to estimate the fiscal impact of requiring Medicaid and commercial insurers to cover aesthetic and restorative care for domestic violence survivors, finding that the mandate would result in modest premium increases across all market segments while highlighting significant data gaps — including the inability to identify DV-related claims — that underscore the need for improved tracking of DV/IPV injuries in administrative data. |
Consumers, Health Reform, Insurance Department | Commercial, Medicaid | |
This study quantifies a major shift in locus of VA critical care, a likely outcome of expanded non-VA health insurance coverage that was previously called out, but the study was not designed to address the many issues raised by outsourcing so much ICU care, including questions about the coordination and continuity of post-ICU care for these patients with high-acuity conditions. The study adds to concerns about VA’s ability to oversee the quality of community care and gaps in the integration of VA-delivered and VA-purchased care. |
Consumers, Health Reform, Medicaid, Population Health, Providers | Medicaid | |
Patient-centered medical homes in Maryland’s multipayer demonstration disrupted the pattern of recurrently high expenditure among the costliest patients and improved continuity of care. |
Consumers, Health Reform, Providers, Researchers | Commercial | |
This study examines changes in healthcare expenditure and utilization in the individual and small group markets following the implementation of new insurance provisions from the ACA. The analysis relies on 2013 and 2014 data from Maryland’s Medical Care Database (MCDB). |
Employers, Health Reform, Insurance Department | Commercial |