Current Data Requests

The Maine Health Data Organization has, in accordance with Rule Chapter 120: Release of Data to the Public, instituted a process for the purpose of notifying users and providers of health care data when the MHDO receives a request for health data and accepts that request. In addition to sending electronic notification to interested parties and to providers that are responsible for the submission of the data, we provide the summary page of data requests below.

For all data requests, the data providers or other interested parties may submit comments related to the data request to the Executive Director. To be considered, comments must be received by the Executive Director in writing or by electronic notification no later than thirty business days after the initial posting of the data request on the MHDO web site. If the Executive Director determines that (a.) the comments received are of significant enough importance to delay the release of data and/or (b.) additional information is required from the requesting party to address the comments; then the data shall not be released until the additional information has been received from the requesting party and an additional review is conducted by the Executive Director or the MHDO Data Release Subcommittee, as applicable, to ensure that the requesting party conforms to all applicable requirements of this chapter.

The Executive Director will bring all comments received from the data providers and or other interested parties for the release of Level III Data to the MHDO Data Release Subcommittee for consideration.

Individuals who want to opt out of a specific Level III data request may do so by completing this MHDO Choice Disclosure Form no later than 30 business days after the initial posting of the data request. If you opt out of Level III data requests, you will remain opted out unless you choose to opt back in via completion of the MHDO Choice Disclosure Form.

NOTE: If you would like to be notified when new data requests are posted, please email your request.

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Request NumberRequesting PartyAffiliationDate Posted Comment Close DateSpecific Data RequestPurpose of Request/Benefits to the Citizens of Maine/Public Reporting PlansDate of Data Release
2022061001Raymond, Ruby, Dir. of DevelopmentMaine Cancer Foundation6-17-20228-2-2022Level II Q1 2015 - Q4 2022 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility, Hospital Inpatient and Hospital Outpatient data released at the City/Zip and Date of Birth level and with Practitioner Identifiers.Level II Data Request: The purpose of this project is to create Maine's first comprehensive Cancer Blueprint, to increase knowledge and awareness of issues related to cancer, expand access to care, and support lifestyle changes to reduce cancer risk by exploring inequities and variations in cancer rates, by examining factors that may influence cancer risk, and analyzing how factors such as social determinants of health, race, ethnicity, insurance status, and socio-economic status influence health outcomes. Under contract with the Human Services Research Institute (HSRI), the Maine Cancer Foundation (MCF) plans to use the MHDO data to assist in identifying variations in cancer incidence, mortality, cost, screening rates, and access to care across Maine. The MHDO dataset may also be used in the development of ad hoc reporting requests directed by an advisory group formed by the MCF and comprised of clinical and other public health experts. Benefit to Citizens of Maine: The information developed for the Blueprint will be publicly available to Maine clinical experts, residents and others who are interested in actionable statistics related to cancer in Maine. 
2022041201Linehan, Patrick, Production AssociateABC New6-6-20227-19-2022Ad Hoc Request - 2018, 2019, 2020 & 2021 ECT Treatments identified in MHDO Claims Data.To be used in a news story about the use of ECT treatments in the country. ABC news is looking into the use of Electroconvulsive therapy throughout the United States and want to understand how often the procedure is used and how much money was spent on it in the state of Maine over the past 4 years. Benefit to Citizens of Maine: The MHDO data will help us understand how frequently the procedure is conducted in Maine. Because the procedure is controversial, the people of Maine should know how frequently it is practiced in their state. 
2021121401Weiss, Diane, Dir. Business IntelligenceInterMed, P.A.6-3-20227-19-2022Level II Q3 2021 - Q2 2022 Medical Claims and Medical Eligibility at the City/Zip and Age level including Practitioner Identifiers.Level II Data Request: InterMed is requesting an additional year of the most current MHDO claims data that will be used to continue their work specific to identifying opportunities to improve access, quality, and cost of care. Analyses include identifying where patients are driving long distances to receive regular care for chronic conditions like diabetes. Identify potential locations to expand services including community based ambulatory care, partnerships with employers and regional health systems that will improve access. InterMed also plans on using claims data to better understand the uptake of telehealth and opportunities to enhance those services and potentially integrate remote monitoring for hard to control conditions like hypertension. InterMed will use MHDO data to develop strategies to address clinical and social determinants of health. For example, using diagnosis to risk stratify populations and inform personalized healthcare services like care coordinators and dietitians for the highest risk populations. Benefit to Citizens of Maine: InterMed's use of the MHDO data will directly impact quality and operational improvement activities in our organization and thus benefit our patients. This data will help inform our decisions regarding the allocation of primary care and specialty services and enable us to develop targeted new programs. 
2022050601Lincoln, Rebecca, EPHT Prog. CoordinatorMaine CDC Enviro. Public Health Tracking Prog.5-9-20226-21-2022Ad-Hoc report for the Maine CDC for an analysis of carbon monoxide (CO) poisoning. MHDO data sources are Level II CY 2018 and 2019 Hospital Inpatient and Outpatient encounters.Level II Data Request: Under the 'Rules for Control of Notifiable Conditions', mandated reporters, including healthcare providers, medical laboratories, and healthcare facilities must report all cases of carbon monoxide (CO) poisoning to the Maine CDC within 48 hours. In keeping with this mandate, Maine CDC's Environmental Public Health Tracking (EPHT) Program routinely utilizes MHDO administrative data to identify records with billing codes related to CO poisoning that have not been previously reported. With this information, the Maine CDC can continue to develop focused strategies for the prevention of CO poisoning of Maine residents. 
2019062504Harrington, Karynlee, DirectorMaine Quality Forum4-19-20226-1-2022Level II Q1 2016 - Q4 2021 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility released at the City/Zip and Date of Birth level including Practitioner Identifiers, Payer Group ID, Payer Name/ID and Anonymous Payer Name/ID; and non-claims based payments, including supplemental data sets defined in Public Law 2022, Chapter 603.Level II Data Request: Both Public Law 244, An Act to Establish Transparency in Primary Care Spending; and Public Law 2022, An Act Regarding Reporting on Behavioral Health Care Services and to Clarify the Requirements for Credentialing by Health Insurance Carriers, requires the Maine Quality Forum (MQF) to produce an annual spending report for primary care and behavioral health care services in Maine using data from the Maine Health Data Organization. The report will include the percentage paid (claims and non-claims payments) as a percentage of the respective total medical expenditures for primary care and behavioral health care by commercial insurers, the MaineCare program, Medicare, and the State Employee Plan and the Maine Education Association Benefits Trust; as well as the average percentage of total medical expenditures paid for primary care and behavioral health care across all payors. The reports will be submitted in January 2023 to the Commissioner of the Department of Health and Human Services and the joint standing committee of the Legislature having jurisdiction over health coverage and health insurance matters. 
2022020201Nelson, Sheila, Program Manager, Adolescent HealthDHHS, Maine CDC3-14-20224-26-2022Level II Q1 2016 - Q4 2020 Medical Claims released at the member City/Zip, and Date of Birth level.Level II Data Request: The purpose of this study is to use MHDO's all-payer claims data to explore claims related to suicide attempts and suicide ideation. Specifically, the Maine CDC's Adolescent Health and Injury Prevention Program in collaboration with the University of Southern Maine's Muskie School of Public Health is interested in examining health care utilization patterns prior to and after an emergency department visit and/or hospitalization for a suicide attempt. Results from these analyses will allow the Maine CDC to identify opportunities for primary prevention and better understand follow-up care received following a suicide attempt. Benefit to Citizens of Maine: Results from these analyses will be used to train and health care providers about care around a suicide attempt. This will ensure better care for those at-risk for self-harm and may reduce Maine's suicide morbidity and mortality rates. 
2021112301Bradshaw, Jay, Executive DirectorMaine Ambulance Association3-14-20224-26-2022Level II Q1 2019 - Q3 2021 Medical Claim Data including Practitioner Identifiers.Level II Data Request: MHDO's claims data will be used to analyze ambulance services provided in Maine, including revenue sources and access. The analysis of revenue streams from all payors will be used to examine opportunities to improve financial support for EMS services across the State. Benefit to Citizens of Maine: improvements to the services EMS providers deliver to Maine citizens, including improved quality and access. 
2022020401Harakall, Maryann, Maternal and Child Health Dir.DHHS, Maine CDC3-10-20224-22-2022Level II Q1 2016 - Q1 2022 Hospital Inpatient data released at the Member City/Zip and Date of Birth level.Level II Data Request: In 2021 Maine received funds to become part of the National Alliance for Innovation on Maternal Health (AIM). This initiative involves engaging hospitals in the implementation of patient safety bundles designed to improve the quality of health care provided to women around the time of pregnancy. The goal of the AIM initiative is to reduce maternal mortality and morbidity. Maine selected to focus on maternal hypertension as the state's first QI initiative. The Maine CDC will use the MHDO's hospital data to conduct these analyses; the MHDO data will also support ongoing monitoring of maternal morbidity to assess the effectiveness of the implementation of these evidence-based practices in Maine hospitals. Benefit to Citizens of Maine: Maine people will benefit from a data-driven approach to implementing best practices related to reducing maternal morbidity. 
2021091501Taylor, Patrick, Dr., MD, MBA, Pres and CEOYork Hospital1-28-20223-14-2022Level II Q1 2017 - Q3 2021 Hospital Inpatient and Outpatient Encounters including Practitioner Identifiers released at the Age and County Level.Level II Data Request: York Hospital will use MHDO data to keep abreast of the evolving healthcare landscape around services needed and resource allocations especially to better understand the impact of the COVID 19 pandemic and its impact on the health needs of our patient population. MHDO data will also be used to appropriately optimize resource allocations. Zip code level data will allow York Hospital to understand important care delivery factors like distances traveled by patients to receive services. Provider identification data will inform decision-making regarding future placement of services and providers and/or collaborative efforts to improve access to health care services. MHDO data will also allow York Hospital to strategically plan for the needs of non-COVID patients. Benefit to Citizens of Maine: York Hospital will conduct these analyses and others as needed to support individual projects and help provide a strategic framework with the ultimate goal of providing the people of Maine with the right care of the highest quality, at the right time, in the right place. 
2017081603Chawla, Chiahui, Bur. Chief, PH Statistics and InformaticsNH DHHS12-10-20213-22-2022Level II Q1 - Q4 2022 Hospital Inpatient and Outpatient Encounter data released at the City/Zip and DOB level. Level II Data Request: This request is a modification of a previously approved request to include the following additional year of data - CY2022. On-going surveillance of hospital encounters plays in important role in understanding and reacting to disease and injury. NH Division of Public Health Services (NH DPHS) has several programs that address acute disease, chronic disease, and injury. NH DPHS is the lead agency responsible for detecting and responding to health emergencies such as infection disease outbreaks and exposures to health hazards. Discharge and outpatient visits data on NH residents from hospitals in Maine are important, especially for border towns. Without out-of-state hospital data, public health analysis will not be reliable. This request is to obtain hospital encounters for both inpatient and outpatient on NH residents treated in hospitals in Maine. The purpose for the collection of such data is to assess the health of the citizens of NH, to identify specific health threats in NH, to support research into the cause of disease or injury, and to generally improve the public health of the State. NH state laws also provide for the protection of the confidentiality of information and data relative to specific individuals, while assuring appropriate accessibility of this data for legitimate public health activities. To accomplish its statutory mission, DPHS must analyze selected data from MHDO. Several NH DPHS programs have collaboration projects with state/local agencies or programs in Maine. For example, the NH Environmental Public Health Tracking (NH EPHT) Program has been working with ME Environmental Public Health Tracking (ME EPHT) Program for years on climate change, heat stress, Lyme disease and social vulnerability index projects using hospital discharge and outpatient encounter data. Benefit to Citizens of Maine: Because of the data sharing and collaboration, people of ME are benefiting from the project results in terms of determining vulnerable areas and impacts on public health. 
2021061501King, Nicholas,Senior Decision Support AnalystMaine General11-24-20211-11-2022Level II Q1 2021 - Q4 2021 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility, Dental Claims, Dental Eligibility, Hospital Inpatient and Outpatient Encounter data including Practitioner Identifiers released at the City/Zip and Age level.Level II Data Request: As the third largest healthcare system in the state, MaineGeneral Health is entrusted with the responsibilities of both safeguarding the health of residents in 86 communities in central Maine, and for providing them with the healthcare services they need. Decisions on optimal allocation of our resources to best serve this population can be informed by access to MHDO data leading to improved care for those communities. This data would enable us in achieving our goals of improving health and wellbeing, enhancing treatment outcomes, offering timely access to quality care, and providing seamless care coordination to those within the state we serve. It would also enable reporting of market share data with our member organizations or prospective affiliates with the goal of improving care for all Maine residents. Data will also assist us in supporting member organizations taking on the responsibilities and risks of Accountable Care Organizations and Medicare Share Savings Program participation, as well as commercial payer contracts. Supporting MaineGeneral Health and its members' Certificate of Need applications, and Maine Shared Community Health Needs Assessment, as well as strategic and service line work medical staff development, and facility planning are all additional important uses of this data which ultimately allow us to provide excellent care to the residents of Maine. Benefit to Citizens of Maine: Specifically, MHDO data will be used to affect improvements in the quality and safety of our services and identify cost-saving opportunities, providing tangible benefits to the people of Maine. 
2021020301Merchant, Gary, RepresentativeNew Hampshire House of Representatives11-19-20211-6-2022The names of the pharmaceutical entities registered in the MHDO Prescription Drug Price Data Portal and company information limited to entity type (manufacturer, wholesale distributor or pharmacy benefits manager), federal tax ID, address, city, state, zip code and country.Data Request: The New Hampshire Prescription Drug Affordability Board requests the following information to understand the landscape of pharmaceutical entities that may manufacture products distributed in new Hampshire and other states. This information will assist the board to meet its' statutory obligations and requirements outlined in New Hampshire RSA 126-BB. Benefit to Citizens of Maine: N/A 
2021020303York, Andrew, Pharm.D., J.D. Executive DirectorMaryland Prescription Drug Affordability Board11-19-20211-6-2022The names of the pharmaceutical entities registered in the MHDO Prescription Drug Price Data Portal and company information limited to entity type (manufacturer, wholesale distributor or pharmacy benefits manager), federal tax ID, address, city, state, zip code and country.Maryland requests the following information to understand the landscape of pharmaceutical entities that may manufacture products that are distributed in Maryland and other states. This information will help the Maryland Prescription Drug Affordability Board on their work to catalogue and collect data on manufacturers in the drug supply chain. Benefit to Citizens of Maine: N/A 
2021101301Jorgeson, David, Dir. of Data AnalyticsME Dept. of Health & Human Services, MaineCare11-10-202112-28-2021Level II Q3 2020 - Q2 2021 Medical Claims, Medical Eligibility, Dental Claims, Dental Eligibility including Group Name and Payer Name/ID released at the County and Age level.Level II Data Request: MaineCare's Comprehensive Rate System Evaluation recommended that MaineCare establish rate benchmarks from commercial payers for dental services to establish MaineCare's rates of reimbursement for those services. MHDO's data will be used to establish those benchmarks. Many of MaineCare's dental rates have not been updated in many years, and many rates do not have a clear, consistent methodology documented for creating the rate. Rationalizing MaineCare rates and using consistent benchmarks will result in improved rates. Benefit to Citizens of Maine: This project is intended to improve reimbursement for MaineCare dental providers and increase access to dental services for MaineCare members. Public Reporting Plans: MaineCare will update Section 25 of its dental fee schedule with the benchmarks calculated from the MHDO data provided. The updates to the fee schedule will be the updated MaineCare reimbursement rates set off of the commercial benchmarks. No MHDO data will be included in the fee schedule, but the commercial median rates in MHDO's data could be determined from the fee schedule rates. MaineCare will also update Table 5 that was included in MaineCare's Comprehensive Rate System Evaluation Interim Report. 
2021101801Taylor, Rebecca, Deputy Dir. Research and EvaluationMaine DHHS, Office of Behavioral Health10-27-202112-13-2021Level II Q1 2016 - Q1 2021 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility, Hospital Inpatient and Outpatient Encounters data released at the City/Zip and DOB level including Practitioner Identifiers.Level II Data Request: The purpose of this project is to investigate and quantify the impact of COVID-19 pandemic restrictions have had on access to and utilization of behavioral health care services in Maine. The Office of Behavioral Health (OBH), a division of the Maine Department of Health and Human Services (DHHS), is the state authority responsible for ensuring timely access to quality behavioral health care for Maine residents. As part of this mandate, OBH engages in research to identify trends in behavioral health service utilization to inform state resource planning and policy development. This particular project will inform allocation of COVID-19 relief grant funding from the federal government directed towards mitigating the behavioral health impact that the pandemic has had on residents of Maine. Benefit to Citizens of Maine: The direct benefit to Mainers will be evidence-based policy and resource allocation decision making that will direct help to those communities and individuals who have been the most adversely affected by the COVID-19 pandemic. 
2019100804Mellett, Jean, Associate VP, Planning & StrategyNorthern Light Health10-27-202112-13-2021Level II CY 2021 - CY 2022 Hospital Inpatient and Outpatient Encounters including Practitioner Identifiers and City/Zip data elements.Level II Data Request: MHDO data will be used to appropriately optimize resource allocations. Zip code level data will allow planners to understand important care delivery factors like distances traveled by patients to receive services. Provider identification data will inform decision-making regarding future placement of services and/or collaborative efforts to improve access to health care services. Additionally, MHDO data will be used to better understand the impact of the COVID 19 Pandemic; specifically, how resources are used and allocated to provide proper care to patients with this illness, while simultaneously meeting the needs of non-COVID patients. Benefit to Citizens of Maine: MHDO data will allow planners to keep abreast of the pandemic's effect on healthcare patterns. Northern Light Health planning staff will conduct these analyses and others as needed to support individual projects and help provide a strategic framework with the ultimate goal of providing the people of Maine with the right care, at the right time, in the right place. 
2021081201Weiss, Diane, Director, Business IntelligenceInterMed, P.A.10-21-202112-7-2021Level II Q3 2020 - Q2 2021 Medical Claims data released at the City/Zip and Age level including Practitioner Identifiers.Level II Request: InterMed plans on using MHDO's claims data to identify opportunities to improve access, quality, and cost of care. For example, analysis will include identifying where patients are driving long distances to receive regular care for chronic conditions like diabetes. Identify potential locations to expand services including community based ambulatory care, partnerships with employers and regional health systems that will improve access. InterMed also plans on using claims data to better understand the uptake of telehealth and opportunities to enhance those services and potentially integrate remote monitoring for hard to control conditions like hypertension. InterMed will use MHDO data to develop strategies to address clinical and social determinants of health. For example, using diagnosis to risk stratify populations and inform personalized healthcare services like care coordinators and dietitians for the highest risk populations. Benefit to Citizens of Maine: InterMed's use of the MHDO data will directly impact quality and operational improvement activities in our organization and thus benefit our patients. This data will help inform our decisions regarding the allocation of primary care and specialty services and enable us to develop targeted new programs. 
2021080901Ahrens, Katherine, Assistant Research Prof.University of Southern Maine10-1-202111-6-2021Level II CY 2009 - CY 2021 Hospital Inpatient Encounter data released at the City/Zip, Date of Birth level.Level II Data Request: A team from the USM Health Data Analytics Research Cluster at USM will analyze the Maine state-specific hospital inpatient discharge data available through the Maine Health Data Organization to explore characteristics and trends in hospitalizations in Maine affected by substance use disorder from 2009 through 2021. The specific research questions are: 1. What are the trends in substance use-related delivery and newborn hospitalizations in the state of Maine? 2. Do these trends vary by level of rurality of patient's residence or other patient characteristics? 3. What are the co-morbidities associated with substance use-related delivery and newborn hospitalizations in Maine? The team will estimate the trends and characteristics that make up substance use-related delivery and newborn hospitalizations in the state of Maine. This information can lead to the development of interventions to prevent these types of hospitalizations, thereby benefitting the people of Maine. Benefit to Citizens of Maine: This information can lead to the development of interventions to prevent these types of hospitlizations, thereby benefitting the people of Maine. 
2019062503Harrington, Karynlee, DirectorMaine Quality Forum9-3-202110-22-2021Level II Q1 2016 - Q4 2020 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility released at the City/Zip and Date of Birth level including Practitioner Identifiers, Payer Group ID, Payer Name/ID and Anonymous Payer Name/ID.Level II Data Request: Public Law 244, An Act to Establish Transparency in Primary Care Spending, requires the Maine Quality Forum to produce an annual report beginning January 15, 2020, to submit to the Department of Health and Human Services and the joint standing committee of the Legislature having jurisdiction over health coverage and health insurance matters on primary care spending in Maine using claims data from the Maine Health Data Organization. The report will include the percentage paid as a percentage of the respective total medical expenditures for primary care by commercial insurers, the MaineCare program, Medicare, and the State Employee Plan and the Maine Education Association Benefits Trust; as well as the average percentage of total medical expenditures paid for primary care across all payors. Benefit to Citizens of Maine: N/A. 
2021061001Bryer, Pamela, Ph.D. Pesticides ToxicologistDACF Board of Pesticides Control8-25-202110-6-2021Ad-Hoc report for the Maine Board of Presticide Control for an analysis on the impact of pesticide incidents in Maine. MHDO data sources will include Level II CY 2015-2020 Hospital Inpatient and Outpatient encounters released at the City/ZIP and Age level.Level II Data Request: Maine Board of Pesticide Control plans to create a report that summarizes the numbers and effects of pesticide incidents in the State of Maine. Pesticides following the federal definition include products like disinfectants, insect repellants, pet flea products, in addition to the typical insecticides, herbicides, and fungicides. Specifically, we are looking for data that involve exposures to pesticides in Maine including accidental exposures, intentional misuse, occupational, and residential exposure to help us better understand where to place our priorities for education and potentially rule making. We need to understand who is being exposed and why, what circumstances, what chemicals are involved, where are exposures occurring, when are exposures likely, how are current protections failing. Are exposures causing serious outcomes? Are people being hospitalized because of exposures? We plan to create an annual summary of the previous year's pesticide exposure data to maintain an up-to-date report for better decision making and analysis. Benefit to Citizens of Maine: Our goal is to eliminate harmful pesticide exposures to individuals living in Maine and MHDO data is key to understanding the current patterns of exposure in the state. Maine residents are concerned about the effects pesticides are having on our health. These data will greatly benefit the citizens of Maine by adding to our understanding of where people are being exposed, to what chemicals people are being exposed, and how severe the incidents are. Our goal is to eliminate harmful pesticide exposures in Maine and these data are key to understanding the current patterns of exposure in the state. 
2018162602Ponsor, Anne, Mgr., Data & AnalyticsMaineHealth8-6-20219-20-2021Level II CY 2015 - CY 2021 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility, Hospital Inpatient and Outpatient data released at the City/Zip and Age level including Practitioner Identifiers.Level II Data Request: The MHDO data will be used to support MaineHealth and its members' strategic, service line, medical staff development and facility plans, Certificate of Need applications, and Maine Shared Community Health Needs Assessment. The Maine Shared CHNA is intended to improve the health status of Maine residents and track results. The Maine Shared CHNA collaboration consists of a unique public/private partnership among the four largest health systems in Maine - Northern Light Health (NLH), MaineGeneral Health (MGH), Central Maine Healthcare (CMHC), and MaineHealth (MH) and the Center for Disease Control and Prevention (Maine CDC) which is part of the Maine Department of Health and Human Services. The end product consists of a comprehensive written profile of Maine's health status, including assessments for the state, 16 counties, 5 multi-county public health districts and urban areas (Portland, Bangor and Lewiston/Auburn) based on analysis of multiple sets of secondary data as well as community feedback collected as part of the process. Benefit to Citizens of Maine: The MHDO data will be used to support MaineHealth and its members' strategic, service lines, medical staff development and facility plans, Certificate of Needs applications, and Maine Shared CHNA. The CHNA is a unique collaboration among public and private organizations: the four largest healthcare organizations in the State (NLH, CMH, MGH, AND MH), Center for Disease Control and Prevention, and community institutions. The final product consists of a comprehensive written profile of Maine's health status including assessments of the state, 16 counties, 5 multi-county public health districts. MHDO data may also be used in the reporting of market share; to inform the MaineHealth system's effort to improve the quality and safety of services provided; identify opportunities to lower costs; and assume the responsibilities and risks of the Accountable Care Organization. MaineHealth is the largest healthcare organization in Maine and has a direct impact on the health, healthcare services, and cost of care for a large majority of Maine people. 
2021051901Petty, Michael, Senior AdvisorCigna Healthcare8-4-20219-16-2021Level I CY 2019 - CY 2020 Medical Claims released at the County and Age level.Level I Data Request: First we are interested in improving transparency around affordability of health care services for the employers who are our clients. One part of our data analysis will focus on the reasonableness of medical costs in the commercial market. The data will provide us the ability to assess health care costs for the Cigna network vis-a-vis other major carriers in the Maine commercial market. As shared, one goal we have is to assess these rates to ensure that they are reasonable given the market. Second, we intend to look at a number of other areas of interest to assess patterns of care that may be a concern in terms of appropriateness (e.g. over-use/under-use) or perhaps from a geographic availability/coverage perspective, for example. The broad areas of interest for this additional research and evaluation will likely include: -Emergency Department Use -Hospital Admission Rates -Use of High Technology Services (e.g. MRI, Pet Scans, CAT Scans) -Use of High Cost Therapies/Drugs -High Volume Implants (e.g. hips and knees). Benefit to Citizens of Maine: This project will increase transparency around the affordability of medical care and the ability to better understand where Mainers aligned with Cigna can obtain services at rates that reasonably compared to market norms. This should lead to improved decisions around where to obtain care and allow Cigna to better deal with rates that are dramatically above standard market pricing. In addition, the quality reviews mentioned above will allow our Medical Quality teams to assess patterns of care and compare those patterns to internal patterns to better understand where opportunities for improvement might exist. The ultimate goal is to improve the quality and affordability of care for our members living in the state of Maine. 
2021060101Carucci, Dean, CEOHCA Health Services of New Hampshire, Inc.6-25-20218-9-2021Level II Q1 2016 - Q4 2020 Hospital Inpatient and Outpatient Encounter Data released at the City/Zip, Age and Practitioner Identifiable level.Level II Data Request: HCA has three hospitals in New Hampshire (Portsmouth, Derry and Rochester) that are close to the border with Maine and serve many Maine residents. HCA wants to determine how best to serve needs of residents and communities that border the New Hampshire service area. For instance: -Identify areas where quality of care should be addressed including issues such as high lengths of stay and readmits for like health issues within a short time period. -Identify pockets of unique needs of the Maine population that HCA might meet, for instance where patients are driving too far to find speciality care at additional cost and inconvenience (e.g.Chemo or Radiation, Wound care treatment, Behavioral PHP/IOP programs, etc.). -Identify gluts of service where adding another unnecessary technology (e.g. CT, MRI) or health specialty, will only increase community costs of care. -Identify how we can better serve the emergent or urgent needs of our full geographic area which includes Maine areas that border New Hampshire, including trauma and those in mental crisis. HCA Healthcare regularly requests and receives hospital discharge data from New Hampshire and Massachusetts. As a healthcare organization that strives to provide the best possible care to patients, irrespective of their residency, HCA healthcare is trying to source Maine hospital discharge data with the sole objectives of improving quality of care and outcomes. The only way that HCA Healthcare can develop action plans for better care of Maine residents is by obtaining Maine hospital discharge data. Benefit to Citizens of Maine: This project will benefit the people of Maine as our analysis will help us understand how we can better serve the emergent or urgent needs of our full geographic area which includes Maine areas that border New Hampshire, including trauma and those in mental crisis. 
2021052101Taylor, Rebecca, Deputy Dir. of Research and EvaluationMaine DHHS, Office of Behavioral Health6-9-20217-22-2021Ad-hoc report for the Maine Office of Behavioral Health (OBH) for analysis the office is conducting on how COVID-19 has impacted behavioral health care services in Maine. MHDO Data sources will include Level II CY2020 Medical Claims, Medical Eligibility, Pharmacy Claims, Pharmacy Eligibility, Hospital Inpatient and Hospital Outpatient data; including City/Zip and DOB level.Level II Data Request: This data will be used as part of a three-part project to understand the impact of COVID-19 on behavioral health care service utilization by Maine residents. OBH, as part of the Maine Department of Health and Human Services (DHHS), is responsible for ensuring timely access to appropriate, high-quality, evidence-based behavioral health care for all people in Maine. The overall goals of this project are to quantify and compare mental health and substance use disorder care utilization prior to the COVID-19 pandemic and compare this to patterns of utilizations since the pandemic state of emergency was declared on March 16, 2020. Three types of behavioral health care utilization will be examined: outpatient/ambulatory care visits, emergency department/acute care hospital visits, and pharmaceutical utilization. Benefit to Citizens of Maine: The data being requested will be utilized to better understand the impact of the COVID-19 pandemic on Mainers with behavioral health care needs. As the single state authority (SSA) responsible for mental health and substance use disorder care provision in the state, OBH will use this data to identify vulnerable subpopulations whose ability to access behavioral health care has been negatively impacted by the pandemic, which in turn will allow evidence-based policy and program investment decisions. This data will also allow OBH to investigate the "health" of the behavioral health care system in Maine - where demand outpaces supply for particular types of behavioral health care, for example - which will help to inform how the state allocates funding to ensure care is available for all Mainers. 
2021041301Matusovich, Becca, Executive Dir.Partnership for Children's Oral Health5-25-20217-8-2021Level II Q1 2016 - Q2 2021 Medical Claims, Medical Eligibility, Dental Claims, Dental Eligibility released at the City/Zip, Date of Birth and Practitioner Identifiable level.Level II Data Request: This request is a modification of a previously approved request (#2020011601) to include the following additional years of data - CY 2016, 2017, 2020 and Q1-Q2 2021. The Partnership for Children's Oral Health is a broad network of oral health stakeholders who are collaborating toward a shared mission: eradicating dental disease among Maine children. A key piece of this work is to strengthen the capacity of Maine's oral health service delivery systems to reach all children in Maine with effective preventive and restorative dental care. In order to create a shared understanding of the strengths and challenges of the current delivery system, we propose an analysis of all-payer claims data that will provide a snapshot of current patterns in utilization of preventive and restorative dental services and look at variations in utilization and cost across payer/insurer type, age group, location/geography, provider type, and setting of care. Additionally summary data will be reported on children's dental health use to the Kids Count Project. Benefit to Citizens of Maine: This project will benefit the people of Maine because it will help to build shared understanding of ways in which the current delivery system is able to meet the needs of Maine children, and what gaps remain. This will allow for collaborative planning to align resources and coordinate efforts to fill the gaps and increase children's access to recommended oral health care. 
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