Our largest data users (see the members below) were asked to take part in a workgroup. The purpose of the workgroup is to provide feedback on our current data infrastructure as we work to design and implement our new systems. The MHDO wants to improve the collection and release of data as well as communications with partners to ensure their needs are met.
Unfortunately the United States Supreme Court decision in Gobeille v. Liberty Mutual (March 1, 2016) has negatively impacted the submission of commercial claims data to MHDO. Several of our largest payers (who represent about 80% of our commercial claims data) notified the MHDO following the decision that they were suspending all data submissions to the MHDO until they worked out the technical and legal issues raised as a result of the decision.
In response to these concerns the MHDO sent a communication to the payers stating that the MHDO will suspend the enforcement of data submission requirements under Rule Chapter 243, Uniform Reporting System for Health Care Claims Data Sets, for a five month (March – July 2016) period.
We hope after this five month period we will all gain some clarity regarding the direction of claims submissions post Gobeille decision. During this interim period we will not be releasing updated commercial claims data. We will however release our updated Medicare (Q1 and Q2 2015) and MaineCare (Q1 2016) data the week of July 4th.
There are questions about the future of the commercial ERISA data in our APCD. The MHDO is committed and actively working on a solution that will minimize disruption and allow us to maintain a comprehensive claims database. We will continue to communicate updates at our data user group meetings. In the interim, please do not hesitate to contact me with any questions.11/16/15 Message Re: Proposed Data Release Rule from Executive Director, Karynlee Harrington
The public hearing for Rule Chapter 120 was announced last week in the Kennebec Journal and has been scheduled for: 12/3/15 9:00 am in the MHDO conference room at 151 Capitol St., Augusta. Written comments must be received by 5:00 pm on December 14, 2015.
The proposed rule can be found on our Rules and Statutes Page.
Please note there are a number of working drafts of Chapter 120
on the MHDO website under Board Meetings.
Please be sure to access the final proposed draft which again can be found on our Rules and Statutes page.
The following are scheduled from 1:00 - 3:30 pm on the last Wednesday of the month, every two months. Meetings will be held in room 415 at the USM Muskie Wishcamper Center, Portland unless notified otherwise. Documents will be made available as dates near.
June 25, 2014 - cancelledMay 28, 2014