2015 Cost Trends Report
The 2015 Cost Trends Report makes thirteen recommendations and commitments to advance Massachusetts’ health care reforms and improve health care in the Commonwealth. These recommendations require action by health insurers, providers, employers, policymakers, and other state agencies, and lay the foundation for continued development of an integrated, patient-centered health care system that promotes value.
- Executive Summary and Conclusion:2015 CTR and CTR: PPV
- 2015 Cost Trends Report file size 5MB
- 2015 Cost Trends Report: Provider Price Variation file size 1MB
- 2015 Cost Trends Report: Out-of-Network Billing
As recently outlined in the HPC’s 2015 Cost Trends Report, the HPC has identified out-of-network billing as an area of policy interest. In connection with the 2015 Cost Trends Report series, the HPC is releasing this Policy Brief, which provides more detailed information on out-of-network billing, related concerns, and policy approaches to address such concerns. The Policy Brief provides background for an upcoming joint meeting of the Cost Trends and Market Performance and Quality Improvement and Patient Protection Committees on April 6, 2016 at 10 a.m. at the HPC’s offices at 50 Milk Street, 8th Floor, Boston, MA 02109. The joint committee meeting will provide an opportunity for stakeholders and members of the public to provide comments to the HPC regarding out-of-network billing.
- Chartbook file size 4MB
Presentations to Board
- 2015 Cost Trends Report Finding: Drug Spending
- 2015 Cost Trends Report Findings: Emergency Department and APMs
- 2015 Cost Trends Report: Preliminary Findings file size 2MB
- A1: Hospital Grouper
- B1: Trends in Spending and Care Delivery Trends in Provider Markets
- B2: Hospital Outpatient
- B3: Hospital-Level Variation in Spending per Episode of Care: Normal Pregnancy and Delivery
- B4: Avoidable Hospital Use
- B5: Primary Care Access
- B6: Maximizing Value in Post-Acute Care
- B7: Alternative Payment Methods
- B8: Dashboard
- C1: Data Sources
CHART Investment Program
Cost and Market Impact Reviews
CHART Phase 1 Report file size 3MB
CHART Phase 1 Hospital Factbook file size 1MB
The HPC receives notices from providers and provider organizations proposing certain material changes to their operations and governance structure. The HPC may also engage in a comprehensive "cost and market impact review" of particular material changes anticipated to have a significant impact on health care costs or market functioning.
More information on material change notices and cost and market impact reviews can be found here.
- Final cost and market impact review report on Partners HealthCare System-South Shore Hospital-Harbor Medical Associates
- Final cost and market impact review report on Lahey Health Systems-Winchester Hospital
- Final cost and market impact review report on Partners HealthCare System-Hallmark Health Corporation
All-Payer Claims Database (APCD) Almanac
2014 Office of Patient Protection Annual Report file size 1MB
2013 Office of Patient Protection Annual Report file size 1MB
In partnership with CHIA, HPC staff have examined trends in commercial medical spending using data from the APCD. Some salient results appear in the supplement to the HPC’s 2013 Cost Trends Report. In addition, the HPC and CHIA are jointly publishing additional results on topics such as overall spending trends and spending by category of service, type of episode, and region in an Almanac. A chartpack highlights the most important trends in a graphical manner, while a databook offers additional results in a machine-readable format, enabling others to re-analyze this data for their own purposes.
These materials enhance our understanding of the Massachusetts health care market and demonstrate our commitment to transparency and ongoing collaboration with other state agencies.
- Emerging Evidence to Effectively Treat Neonatal Abstinence Syndrome (NAS) with Higher Quality and Lower Cost: Lessons from Massachusetts
- Enabling Tools and Technologies to Support Delivery of High Value, Coordinated Health Care: Event Notification Systems
- Retail Clinics Reduce Avoidable Emergency Department Visits in Massachusetts file size 1MB
- When an APCD is Not Enough (You need RPO): Developing a System to Map the Structures and Relationships of Massachusetts’ Largest Healthcare Providers file size 3MB
- Price variation for common lab tests and factors associated with selection of low cost sites
- The Opioid Epidemic in Massachusetts: Findings on Hospital Impact and Policy Options
- Spending for low-risk deliveries in Massachusetts varies two-fold, with no measurable quality