CompareMaine Trends Over Time

This trends report compares how average total payments, as reported on CompareMaine, have changed over time.

How to Use This Report

  1. Filter information to show all healthcare settings and insurance companies or select a specific healthcare setting or commercial payor.
  2. Select a healthcare procedure category, sub-category, and procedure. All healthcare procedures are listed by name and CPT Code.
    • If no data appears after you have made your selections, there is no data for that combination of procedure, healthcare setting, and insurance company.
  3. Hover over the data points for detailed information on the procedure name, data collection date, the CompareMaine release version, and the average total payment.
  4. Compare the percent of payment changes between CompareMaine releases, using the color-coded table:
    • Green – Decreased Payments
    • Red – Increased Payments
    • Black – No Change in Payments

To view a procedure in a different category, set both the Procedure and Sub-Category dropdowns to “All” before selecting a new Category or Sub-Category.

Methodology

The payment data through CompareMaine 8.0 was updated bi-annually with data from MHDO’s All-Payer Claims Database (APCD), except for the CompareMaine 3.0 release, which updated quality data only. Beginning with CompareMaine 9.0, the payment data is updated annually.

CompareMaine
Release Version
Version
Launch Date
Payment Data
Date Range
1.0 October 2015 1/1/2014 – 3/31/2015
2.0 June 2016 10/1/2014 – 9/30/2015
3.0 December 2016 10/1/2014 – 9/30/2015
4.0 October 2017 10/1/2015 – 12/31/2016
5.0 March 2018 7/1/2016 – 6/30/2017
6.0 September 2018 1/1/2017 – 12/31/2017
7.0 May 2019 7/1/2017 – 6/30/2018
8.0 December 2019 4/1/2018 – 3/31/2019
9.0 December 2020 4/1/2019 – 3/31/2020
10.0 February 2022 4/1/2020 – 3/31/2021
11.0 December 2022 4/1/2021 – 3/31/2022
12.0 March 2024 4/1/2022 – 3/31/2023

Due to a transition to a new episode grouping tool, surgical procedure payment estimates were not updated during CompareMaine 6.0. The new episode grouper software, Optum Symmetry’s ETG, was implemented during CompareMaine 7.0. A new trend line was established in the trends over time comparison to reflect the methodology changes. During CompareMaine 12.0, the methodology was updated to calculate the payment per unit.