For the 2007–2011 Vermont Health Care Cost and Utilization Report, the Health Care Cost Institute (HCCI) presented state-level benchmarked statistics of healthcare spending, utilization, prices, and service intensity for the population of individuals younger than 65 and covered by employer-sponsored private health insurance (ESI). The data behind these statistics came from the Green Mountain Care Board’s All Payer Claims Database created by the state of Vermont and containing data provided by nearly all insurers (public and private) in the state. The current iteration of the Maryland Health Care Commission (MHCC)’s Medical Care Data Base (MCDB) supports the collection of post-adjudicated claims data for medical (institutional and professional), dental, and pharmacy claims, as well as member and provider information. This project seeks to identify ways for Maryland to receive information about two key areas that are not currently captured in the MCDB: plan benefit design and non-claims based payments.

 

 

Document Preview