IBM MARKETSCAN RESEARCH DATABASES OVERVIEW
| Database | Content | Covered Lives |
|---|---|---|
| Commercial Claims and Encounters (CCAE) | Health care coverage eligibility and service use of individuals in plans or product lines with fee-forservice plans and fully capitated or partially capitated plans | Active employees and dependents, early (nonMedicare) retirees and dependents, COBRA continuees |
| Medicare Supplemental and Coordination of Benefits (COB) | Health care coverage eligibility and service use of individuals in plans or product lines with fee-forservice plans and fully capitated or partially capitated plans | Medicare-eligible active and retired employees and their Medicareeligible dependents from employer-sponsored supplemental plans |
The IBM® MarketScan® Research Databases capture person-specific clinical utilization, expenditures, and enrollment across inpatient, outpatient, prescription drug, and carve-out services. The data come from a selection of large employers, health plans, and government and public organizations. The MarketScan Research Databases link paid claims and encounter data to detailed patient information across sites and types of providers and over time. The annual medical databases include private-sector health data from approximately 350 payers. Historically, more than 20 billion service records are available in the MarketScan databases. These data represent the medical experience of insured employees and their dependents for active employees, early retirees, Consolidated Omnibus Budget Reconciliation Act (COBRA) continuees, and Medicare-eligible retirees with employer-provided Medicare Supplemental plans.
The IBM MarketScan Research Databases include the Commercial Claims and Encounters Database and the Medicare Supplemental and Coordination of Benefits Database.The native format of these two databases have the following table structure:
- Inpatient Admissions Table
- Facility Header Table
- Inpatient Services Table
- Outpatient Services Table
- Outpatient Pharmaceutical Claims Table
- Annual Enrollment Summary Table
- Enrollment Detail Table
Commercial Claims and Encounters Database
The IBM MarketScan Commercial Claims and Encounters (CCAE) Database contains data from active employees, early retirees, COBRA continuees, and dependents insured by employersponsored plans (i.e., individuals not eligible for Medicare).
Medicare Supplemental and Coordination of Benefits Database
The IBM MarketScan Medicare Supplemental and Coordination of Benefits (COB) Database (also known as MDCR) is created for Medicare-eligible retirees with employer-sponsored Medicare Supplemental plans. This database contains predominantly fee-for-service plan data. Both the Medicare-paid amounts and the employerpaid supplemental insurance amounts are included in this database. Only plans in which both the Medicare-paid amounts and the employer-paid amounts were available and evident on the claims were selected for this database.