Maryland Health Care Commission

What Maryland Health Care Commission does

The Maryland Health Care Commission (MHCC) is an independent regulatory agency of the State of Maryland, headquartered at 4160 Patterson Avenue in Baltimore with 65 employees. Its statutory mission is to provide timely and accurate information on healthcare availability, cost, and quality to policymakers, purchasers, providers, and the public, while planning and regulating the supply and distribution of healthcare facilities and services statewide.

MHCC's core technology asset is the Maryland Medical Care Data Base (MCDB), Maryland's All Payer Claims Database, which collects quarterly claims and membership data from life and health insurers, HMOs, TPAs, and PBMs, and also incorporates Medicaid and Medicare data. The MCDB covers approximately 90-95% of the privately fully insured market and is supported by the Health Information Exchange (HIE) infrastructure operated in partnership with CRISP and the newer Health Data Utility (HDU) initiative that combines clinical and claims data. The portfolio includes the Certificate of Need (CON) program governing facility expansion, cardiac care regulation, mandatory annual facility surveys, public use files, consumer-facing quality reporting through healthcarequality.mhcc.maryland.gov, telehealth and Electronic Prescription infrastructure, and the Maryland Trauma Physician Services Fund.

MHCC's business model is primarily publicly funded as a state agency. Direct revenue streams include MCDB data release fees (a $200 application fee plus $3,000-$5,000 per data file per year, with full multi-year packages ranging from $6,000 to $20,000 annually depending on applicant type) and user fee assessments on payers, hospitals, and nursing homes governed by COMAR 10.25.03. Go-to-market is non-commercial: the agency engages facilities through mandatory regulatory processes, disseminates public information through GovDelivery email, a YouTube channel, public meetings, and Learning Networks, and partners with the Maryland Department of Health, HSCRC, MedChi, the Maryland Insurance Administration, and the Attorney General's office on policy initiatives including the AHEAD Model.

Name

Maryland Health Care Commission

Legal name

Maryland Health Care Commission

Website

https://mhcc.maryland.gov

Company type

Private

Operating status

Operating

Headcount range

51–100 employees

Short description

The Maryland Health Care Commission is an independent state regulatory agency that plans and regulates Maryland healthcare facilities and services, operates the state's All Payer Claims Database (MCDB), and administers the Certificate of Need, HIE/HDU, and quality reporting programs.

Ownership category

akta.pro rank

Product category

Healthcare Regulatory Services

akta.pro primary industry

Healthcare Utilization, Claims & Administrative Data Analytics (HLAJAJAK)

akta.pro secondary industries

Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB), Data Sharing & Data Marketplace Governance (HDAEADAK)

Keywords

• Healthcare regulatory services
• Health facility planning
• All payer claims database
• Certificate of need
• Health information exchange

Headquarters

HQ city

Baltimore

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Others

Revenue model

1. MCDB Data Release Fees: The commission charges fees for access to Medical Care Data Base data. Application fee of $200 for data requests, plus support/production fees for custom datasets. Data fees range from $3,000/year for governmental entities per data file to $5,000/year for for-profit organizations. Discounted multi-year rates available for purchasing all data files.
2. Regulatory User Fees: User fee assessment on payers, hospitals, and nursing homes as governed by COMAR 10.25.03

Pricing tiers

Distribution channels4 records

Marketing channels5 records

Core offering

The Maryland Health Care Commission operates Maryland's All Payer Claims Database (MCDB), which collects claims and membership data from life and health insurers, HMOs, TPAs, PBMs, Medicaid, and Medicare. It administers the Certificate of Need (CON) program regulating healthcare facility expansions, manages health information technology infrastructure including the Health Information Exchange and Health Data Utility, conducts mandatory annual surveys of healthcare facilities, and operates the Maryland Quality Reporting consumer portal. The Commission also administers the Maryland Trauma Physician Services Fund and provides educational programming through the MHCC Learning Network.

Product overview

The Maryland Health Care Commission operates as a regulatory agency providing a portfolio of health care data, planning, and reporting services. The core offering is the Medical Care Data Base (MCDB), Maryland's All Payer Claims Database, which feeds into public quality reporting, research data releases, and policy analyses. This data platform is complemented by regulatory services including Certificate of Need (CON) program administration, cardiac care service regulation, and the Trauma Physician Services Fund. The commission also provides Health IT infrastructure support through Health Information Exchange (HIE), Health Data Utility (HDU), and Telehealth services. Annual mandatory surveys collect utilization data from health care facilities, which feeds into public use files and the Maryland Quality Reporting consumer portal. The MHCC Learning Network provides educational programming on health care quality and delivery innovation.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Care Data Base (MCDB)

Quantifiable outcome

• MCDB comprises 90-95% of privately fully insured market coverage
• +1 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Eight partnerships are on record, tiered supporting and core.

• Federally Qualified Health Centers (FQHCs)supportingStrategic or Co-development Partner · 10 July 2026FQHCs participate in MHCC Learning Networks and Maryland Primary Care Program, receiving quality improvement support and information on program opportunities.
• CRISP (Chesapeake Regional Information System)coreTechnology or IntegrationCRISP serves as the State-Designated Health Information Exchange (HIE) for Maryland. The commission works with CRISP on health information exchange policies, care coordination, and data sharing. MHCC and CRISP collaborate on initiatives including SDOH (Social Determinants of Health) navigation services, EHR data exchange optimization, and closed-loop referral protocols.
• Maryland Department of HealthcoreStrategic or Co-development PartnerThe commission collaborates with MDH on health policy initiatives including the AHEAD Model implementation, health equity initiatives, and advance directives communications. Joint efforts include developing health data privacy frameworks and supporting state healthcare transformation goals.
• Maryland Attorney GeneralsupportingStrategic or Co-development PartnerCollaboration on advance directives information and consumer health data privacy initiatives, developing communications toolkit and consumer protection materials.
• MedChi (Maryland State Medical Society)coreStrategic or Co-development PartnerJoint Learning Networks and educational programming including MHCC/MedChi Fall Forum and Summer Summit. Collaborative events cover topics such as quality improvement, mental health collaborative care, telehealth best practices, and practice workflow optimization.
• Health Services Cost Review Commission (HSCRC)coreStrategic or Co-development PartnerThe commission leverages the MCDB as a decision support tool for HSCRC, supporting policy analyses and evaluations of demonstration programs related to healthcare cost and utilization.
• Maryland Insurance AdministrationsupportingStrategic or Co-development PartnerThe MCDB serves as a decision support tool for the Maryland Insurance Administration, supporting regulatory oversight and policy development for insurance markets.
• TidalHealthsupportingStrategic or Co-development PartnerTidalHealth participates in MHCC Learning Networks to share best practices on integrating social care coordination into population health management, particularly for rural healthcare systems.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Washington State Health Care Authority: Washington's state-level purchaser and regulator that maintains the Washington All-Payer Claims Database and runs state health planning activities. Functions as both APCD operator and healthcare authority in a single agency, comparable to MHCC's combined role.
• Vermont Green Mountain Care Board: Independent state regulatory body that oversees Vermont's all-payer claims database (VHCURES), healthcare cost growth targets, and CON-equivalent hospital budget review. Closely aligned with MHCC's regulatory and data functions in a smaller state.
• Massachusetts Center for Health Information and Analysis (CHIA): Massachusetts' state agency that operates the Massachusetts All-Payer Claims Database (APCD) and publishes healthcare cost, utilization, and quality reports. Closest functional peer to MHCC's MCDB program, with similar statutory mandate and data release operations.
• California Department of Health Care Access and Information (HCAI): California's state health planning agency that administers healthcare facility approvals, healthcare workforce data, and OSHPD-equivalent reporting functions. Directly comparable to MHCC's facility planning and healthcare data mandates, scaled to a much larger state.
• Health Services Cost Review Commission (HSCRC): Maryland's sister agency that sets hospital rates and uses MCDB as a decision support tool for cost and utilization analyses. Closest intra-state peer, sharing the MCDB data asset and overlapping policy mandates.
• Chesapeake Regional Information System for our Patients (CRISP): Maryland's state-designated Health Information Exchange and core MHCC partner on HIE/HDU initiatives. Operates the clinical-side data infrastructure that complements MHCC's claims-side MCDB, jointly enabling the Health Data Utility.
• Oregon Health Authority: Operates the Oregon All Payer All Claims (APAC) database and oversees state health planning and Certificate of Need-equivalent functions. Directly comparable to MHCC in mandate and APCD scope.

Broad incumbents

• New York State Department of Health: Much larger state health regulator that administers its own APCD (SPARCS), CON-equivalent oversight, HIE governance, and a broad public health mandate. Overlaps with MHCC's full portfolio at greater scale and scope.
• Office of the National Coordinator for Health IT (ONC): Federal authority that sets health IT policy and certification standards, including HIE, EHR certification, and interoperability rules that MHCC's COMAR 10.25.07/10.25.18 regulations operationalize at the state level.

Others

• Agency for Healthcare Research and Quality (AHRQ): Federal agency that funds healthcare utilization, cost, and quality research using datasets comparable to MCDB, and publishes national quality benchmarks. Indirectly related as a federal counterpart that consumes and shapes state-level APCD-style analytics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@MDHealthCareComm
• LinkedInlinkedin.com/company/maryland-health-care-commission

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Maryland Health Care Commission