Information to attend the meeting:
To be held immediately following the public hearing; therefore you should utilize the link, meeting ID and call in number above.
MHDO is a state agency that collects health care data and makes those data available to researchers, policy makers, and the public while protecting individual privacy.
The purpose of the organization is to create and maintain a useful, objective, reliable and comprehensive health information database that is used to improve the health of Maine citizens. Learn More
Please see the Proposed Rule itself as well as the Proposed Rule Basis Statement and Summary of Changes document for more details.
Chapter 100: Enforcement Procedures: This proposed rule change is necessary to align the enforcement requirements in Public Law 2021, Chapter 603 and in 90-590 C.M.R. Chapter 247, with the enforcement provisions described in 90-590 C.M.R. Chapter 100: Enforcement Procedures. These proposed changes add a new provision under Section 3. Penalties; fines, for a payor that fails to file supplemental health care data sets and/or to meet the standards for data as defined in 90-590 Chapter 247. Additionally, the definitions for manufacturer and wholesale drug distributor have been updated to align the definitions in 22 MRS Chapter 1683 and 90-590 C.M.R. Chapter 570. The proposed changes are a result of the new requirements in 24-A M.R.S. §6951, including those in PL 2021, c603, “An Act Regarding Reporting on Spending for Behavioral Health Care Services and To Clarify Requirements for Credentialing by Health Insurance Carriers”.
Chapter 247: Uniform Reporting System for Non-Claims Based Payments and Other Supplemental Health Care Data Sets: The primary reason for this rulemaking is for the Board to adopt the changes needed because of PL 2021, c. 603.
Chapter 570: Uniform Reporting System for Prescription Drug Price Data Sets: This rule change is necessary to align the requirements in PL 2021, c305, “An Act To Increase Prescription Drug Pricing Transparency”, with the requirements in 90-590 C.M.R. Ch. 570.
A Virtual Public Hearing will be held October 6, 2022 beginning at 9:00 AM for all three of the proposed rules.
The deadline for public comments for all three proposed rules is October 17, 2022 at 5:00 PM.May 18, 2022 - Launch of MHDO Data Request Portal 2.0
Based on our data users’ feedback, version 2.0 of the MHDO Data Request Portal includes several new features including the ability to download and print the application, copy it and update for future requests and share with others that may be completing certain sections of the application. Here is a link to a demonstration on the new features of the MHDO Data Request Portal: MHDO Data Request Portal 2.0 Users Meeting Demo - YouTube.May 10, 2022 - Proposed Rule Chapter 120: Release of Data to the Public has been Adopted
This rule was adopted and is effective as of May 28, 2022.April 2022 - New MHDO Interactive Data Availability Tableau Reports for both claims and hospital data (inpatient and outpatient encounters).
HCUP Statistical Briefs are developed by the Agency for Healthcare Research and Quality (AHRQ), and provide healthcare statistics on hospital inpatient stays, emergency department visits, and ambulatory surgeries. Topics include medical conditions treated, procedures performed, patient populations served, and quality of care. See the full report here.February 23, 2022 - New Report
Public Law 2021, Chapter 34, requires the Maine Health Data Organization to develop a report on the Best Methods and Definitions to Use in Collecting Data to Better Understand Racial and Ethnic Disparities in the Provision of Health Care in Maine. Here is a copy of the report.February 2022 - NEW Postings
List of NDC’s for Manufacturers drugs that hit one of the triggers as defined in 90-590 CMR Chapter 570, UNIFORM REPORTING SYSTEM FOR PRESCRIPTION DRUG PRICE DATA SETS, section 2. (B)( 1-3); and a list of drug product families for which MHDO intends to request pricing component data from reporting entities.February 2022 - New Report
Public Law 2019, Chapter 244, requires the Maine Quality Forum to develop an annual report beginning January 15, 2020 on primary care spending using claims data from the Maine Health Data Organization. Here is the third annual report: 2022 Annual Report: Primary Care SpendingJanuary 28, 2022 - 2020 Hospital Financial Reports Are Now Available
The Annual Summary Reports of unconsolidated hospital financial data over a five year period (FY 2016-2020) as reported by Maine hospitals is now available. Included are information on profitability, liquidity, capital structure and other common financial ratios. The updated reports can be found on our Hospital Financials web page.January 21, 2022 - New Report: Annual Prescription Drug Pricing Transparency Report
Public Law 2019, Chapter 470, An Act to Further Expand Drug Price Transparency, requires the Maine Health Data Organization to submit an annual report on prescription drug pricing to the Joint Standing Committee on Health Coverage, Insurance and Financial Services. The findings of our second annual report are now available.February 2021 - New Report Public Law, Chapter 244, requires the Maine Quality Forum to develop an annual report beginning January 15, 2020 on primary care spending using claims data from the Maine Health Data Organization. Here is the second annual report: 2021 Annual Report: Primary Care Spending
Public Law, Chapter 470, An Act to Further Expand Drug Price Transparency, requires the Maine Health Data Organization to submit an annual report on prescription drug pricing to the Joint Standing Committee on Health Coverage, Insurance and Financial Services. The findings of our first annual report are now available.New: Report Card On State Price Transparency Laws. Catalyst for Payment Reform and the Source on Healthcare Price and Competition, at the University of California Hastings College of Law, released their 2020 Report highlighting the efforts of states across the country in making health care price information available to consumers. States that scored high in this year’s report are those with robust price transparency laws and useful resources for consumers, such as mandatory websites that display price information at no charge and in a consumer-friendly format. Maine and New Hampshire are the only two states that received a grade of an A. Copy of full Report can be found here: Report Card on State Price Transparency Laws May 2020.
To support interested and or new MHDO data users, the Maine Health Data Organization is pleased to release an online training program for Maine’s All Payer Claims Database (APCD). The training is designed in a modular format so that users can review sections most relevant to their needs. New modules will be added over time. For more information go to MHDO's All-Payer Claims Database On-line Training Program.March 2019 - New Report Public Law, Chapter 406, Section 2, requires the Maine Health Data Organization to develop a plan to collect data from manufacturers related to the cost and pricing of prescription drugs to provide transparency in and accountability for prescription drug pricing. The findings and recommendations of the Maine Health Data Organization are now available.
The Agency for Healthcare Research and Quality (AHRQ) just released a new Healthcare Cost and Utilization Project (HCUP) database – the 2015 Nationwide Emergency Department Sample (NEDS). The MHDO is one of HCUP’s partners and it is the MHDO hospital data that is sent to HCUP that is then integrated into the national ED database. The NEDS was created to enable analyses of emergency department (ED) utilization patterns. Note as reported by AHRQ the ED serves a dual role in the U.S. healthcare system infrastructure, as a point of entry for approximately 50 percent of inpatient hospital admissions and as a setting for treat-and-release outpatient visits. The NEDS contains information about geographic, hospital, and patient characteristics as well as descriptions of the nature of the visits (i.e., common reasons for ED visits, including injuries). The NEDS is the largest all-payer ED database that is publicly available in the United States, containing information from 30.5 million ED visits at 953 hospitals that approximate a 20-percent stratified sample of U.S. hospital-owned EDs. Weights are provided to calculate national estimates representative of 143 million ED visits in the U.S. for calendar year 2015.
The 2015 NEDS is a publicly available database that can be purchased through the HCUP Central Distributor.December 7, 2017 - The MHDO Board of Directors suspends the enforcement of Rule Chapter 630: Uniform System for Reporting Baseline Information and Restructuring Occurrences for Maine Hospitals and Parent Entities, effective with the January 1, 2018 submission, until further action of the board.
The Price Transparency & Physician Quality Report Card 2017 by Altarum and Catalyst was released in early November. The report provides information on how readily consumers can find health care price and quality information in every state across the country. Maine is one of two states that earned an A in price transparency. The report states, "Maine also continues to set a high standard by collecting data in an APCD that includes a full scope of providers and paid amounts. The state’s price transparency website-CompareMaine has clear and easy to understand information on health care costs, and also allows consumers to select facilities for comparison purposes, earning Maine an A again this year."August 29, 2017 - Patient Experience Matters' Report, "Analysis of Patient Experience Over Time, 2012-2014" is available
This report compares the results from Maine's 2012 and 2014 patient experience surveys and shows changes over time from practices across the state, as well as comparisons with national trends. A summary of the key findings are described in the first couple of pages of the executive summary.July 19, 2017 - AHRQ'S HCUP Fast Stats on Opioid-Related Hospital Use Topic Updated
The Agency for Healthcare Research and Quality (AHRQ) has updated the Healthcare Cost and Utilization Project (HCUP) Fast Stats on Opioid-Related Hospital Use topic to include trends in the number of inpatient stays and emergency department (ED) visits by expected primary payer (Medicare, Medicaid, privately insured, and uninsured). MHDO is a partner with HCUP and sends to HCUP the MHDO hospital inpatient data set in order for Maine to be included in these analyses.November 2016 - Consumer Reports ranked MHDO’s website CompareMaine #2 in the country for stand-alone health care transparency websites.
Consumer Reports released a report in November titled Save Money and Get the Best Care from Your Health Plan-New Ratings Help Consumers Navigate Tools, Compare Cost and Quality of Doctors, Hospitals, and Services. Consumer Reports ranked MHDO’s website CompareMaine #2 in the country for stand-alone health care transparency websites. The websites were ranked in the following categories: Ease of use; functionality; content and scope and Reliability. A summary of the report can be found here: http://www.consumerreports.org/media-room/press-releases/2016/11/save_money_and_get_the_best_care_from_your_health_plan/November 2016 - Copy of the final evaluation report of the Maine Patient Centered Medical Home Pilot 2010-2012 is now available.
The MHDO’s all payer claims data (APCD) was used to support the findings. A summary of findings are listed in the first couple of pages of the executive summary.July 26, 2016 2016 Report Card - Maine One of Three States to Recieve an A
The 2016 Report Card on State Price Transparency Laws developed by the Health Care Incentives Improvement Institute (HCI3) and Catalyst for Payment Reform (CPR), gave 43 states an F for failing to meet even minimum standards. Only three states – Maine, New Hampshire, and Colorado– received an A for providing detailed pricing on a variety of procedures through easy-to-use public websites, backed by rich data sources. See the full report.June 20, 2016 Maine Quality Forum releases On-Line training tool on infection prevention
The new training tool is an on-line, eight-hour curriculum designed for infection preventionists working in Maine’s extended care facilities. The curriculum is divided into five stand-alone modules including: general infection control and prevention practices; common infectious diseases; isolation/transmission precautions, surveillance and data collection; performance Improvement, and antibiotic stewardship. A certificate is issued upon completion of all modules. The training can be accessed at: http://maineinfectionpreventionforum.org. The MQF will use feedback from users and emerging trends to update the training periodically. The MQF is also investigating the future possibility of providing continuing education credits (CEUs) to those who successfully complete the trainingDecember 14, 2015 DHHS Newly Created SIM Core Measures Dashboard
After two years of ambitious work led by Maine’s Department of Health and Human Services to improve health, enhance patient experience and reduce healthcare costs, the public can now review trend data on a number of important measures to evaluate progress made toward meeting these goals. The newly created SIM Core Measures dashboard shows trends on core healthcare measures selected by a statewide group of healthcare leaders working on the SIM initiative. The dashboard report compares information from patients whose services are paid for by MaineCare, Medicare, or Commercial insurance. Measures include emergency department use, 30 day hospital readmissions, use of imaging studies for low back pain, developmental screenings for children in the first three years of life, and use of diabetic screenings. See the dashboard report today.