Recent CHIA Publications

Center for Health Information and Analysis Information About Massachusetts Hospitals

Massachusetts Hospital Profiles

CHIA offers a variety of data and analytic products to support improvement in health care quality, affordability, access, and outcomes. This is CHIA’s first comprehensive publication that provides descriptive and comparative information on every acute and non-acute hospital in Massachusetts based on hospital characteristics, services, payer mix, utilization trends, cost trends, and financial performance over a five-year period (FY2008 – FY2012).

 

Center for Health Information and Analysis APCD Overview

Overview of The Massachusetts All Payer Claims Database

CHIA offers a variety of data and analytic products to support improvement in health care quality, affordability, access, and outcomes. The Massachusetts All-Payer Claims Database (MA APCD) enables CHIA and its partners and customers to pursue a wide variety of projects, including complex research and analyses that support state agency operations and enhance the ability of payers and providers to deliver care. This paper provides an overview of the MA APCD, beginning with a history, then covering what is included in the database as well as how CHIA manages and uses the database to promote the public interest.

 

Center for Health Information and Analysis APCD Overview

Overview of Massachusetts Health Benefit Mandates

CHIA evaluates the impact of benefit mandate bills referred by legislative committees. These evaluations provide a medical efficacy analysis, an actuarial estimate of the effect that the proposed benefit mandate would have on the cost of health insurance, and cost estimates of potential state liability associated with mandating the benefit. For additional information, please see the Mandated Benefits section of the CHIA website.

Overview of Massachusetts Health Benefit Mandates (PDF) pdf format of    mandated-benefits-brief  | Word doc format of    Mandated Benefits Overview Word Document

 

Center for Health Information and Analysis APCD Overview

CHIA 2013 Annual Report 

The Center for Health Information and Analysis was created in 2012 as part of a sweeping health reform effort intended to improve quality and reduce costs in Massachusetts. As an independent state agency, CHIA is positioned to objectively monitor the health care system and to provide a foundation of information and analysis upon which numerous health care related efforts can be built.

This report outlines our role in Massachusetts health care, our mission, and our accomplishments during FY 2013.

2013 CHIA Annual Report (PDF) pdf format of    annual-report-chia-2013.pdf  file size 10MB |

 

 All CHIA Publications

Alphabetical listing by topic area

Annual Report on the Massachusetts Health Care Market

CHIA's Annual Report on the Massachusetts Health Care Market report, mandated by the Commonwealth’s 2012 health care cost-containment law, examines trends in the commercial health care market between 2009 and 2011. This report focuses on changes in premiums and benefit levels, spending and retention, and market concentration.

Alternative Payment Methods in the Massachusetts

Alternative Payment Methods (APMs) are payment methods used by payers to reimburse heath care providers that are not solely based on the fee-for-service (FFS) basis. This baseline report on APMs in the Massachusetts commercial market examines the prevalence of APMs being used to pay for the care of members enrolled in commercial health insurance in 2012. This report also discusses the prevalence of APMs among the various insurance products, between Massachusetts regions, and within physician groups in Massachusetts that manage the members’ care. Commercial Market: Baseline Report (2012 Data)

Bundled Payments

In fulfillment of Section 64 of Chapter 288 of the Acts of 2010, the Division of Health Care Finance and Policy and the Center have released two technical assistance reports on bundled payment methods. The second in this series, Bundled Payments, Volume 2, is intended to examine if the use of bundled payments in Massachusetts would result in health care cost savings.

Center for Health Information and Analysis Annual Report

The Center for Health Information and Analysis was created in 2012 as part of a sweeping health reform effort intended to improve quality and reduce costs in Massachusetts. As an independent state agency, CHIA is positioned to objectively monitor the health care system and to provide a foundation of information and analysis upon which numerous health care related efforts can be built.

This initial CHIA report outlines our role in Massachusetts health care, our mission, and our accomplishments during FY 2013.

Emergency Department

The following publications analyze the use of emergency departments in Massachusetts.

Employers Who Have 50 or More Employees Using Public Assistance

Per statutory requirement, CHIA has annually produced a report identifying employers with 50 or more employees receiving health services through publicly subsidized programs, including MassHealth (Medicaid), Commonwealth Care, and the Uncompensated Care Pool (UCP)/Health Safety Net (HSN). (Section 304 of Chapter 149 of the Acts of 2004)

2010

2009

Fair Share Contribution

This report provides an overview of the results from employer Fair Share Contribution filings, which are used to determine whether employers with 11 or more full-time equivalent employees made a "fair and reasonable" contribution toward the health costs of their workers.

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Health Data Inventory

The Massachusetts Health Data Inventory is a catalog of the health-related data available that selected state agencies collect, store and/or examine to support the organization's programs. This catalog is intended as a tool to assist state agencies in understanding the characteristics of the health-related data available to the state. 

  Insurance Surveys  

CHIA conducts various surveys to determine how residents of the Commonwealth are accessing and using care, including information on employer health insurance offer rates, health insurance premiums, employer contribution amounts.

Massachusetts Health Insurance Coverage: 2012 Estimate

The Center for Health Information and Analysis (CHIA) did not conduct the Massachusetts Health Insurance Survey (MHIS) in 2012 and instead estimated the uninsurance rate using national survey data. In 2012, based on trends in national data sources, CHIA finds no clear evidence of significant change in Massachusetts’ health insurance coverage rate from the 2011 health insurance coverage rate of 96.9%. This brief outlines the 2012 estimate as well as CHIA’s research priorities. 

Massachusetts Health Insurance Survey and Massachusetts Employer Survey

This Massachusetts Health Insurance Survey and Massachusetts Employer Survey tracks rates of insurance coverage and other key measures of access to healthcare in the Commonwealth over time.  The 2011 Report relates the data captured in those surveys, and provides context about how residents are accessing care.  Conducted regularly since 2002, these results show that Massachusetts has achieved the highest insurance coverage rate in the nation (approximately 97% of Commonwealth residents report having insurance), and has maintained that coverage rate since 2008, despite challenging economic conditions.

Employers Health Insurance Survey

The Massachusetts Employer Survey (MES) provides information on employer health insurance offer rates, employee take-up rates, health insurance premiums, employer contribution amounts, and employee cost sharing requirements.

Household Health Insurance Survey

The Massachusetts Health Insurance Survey (MHIS) provides information on health insurance coverage and access to and use of health care for the non-institutionalized population in Massachusetts.

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Mandated Benefit Reviews

CHIA conducts analyses of the cost and clinical efficacy of a mandated benefit bill referred by a legislative committee for review pursuant to M.G.L. c. 3, Section 38C.  For additional information, please see the Mandated Benefits section of the CHIA website.

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Relative Price / Price Variation

“Relative price” is a calculated measure that allows for comparison of the price levels paid to providers within a payer’s network for a standard set of insurance products and health care services.

2013 RP (2012 data)
Data Supplements

2013 (2011 Data)

2012

2011

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  Total Health Care Expenditures

Chapter 224 of the Acts of 2012 requires that the Center report on total health care expenditures (THCE) each year to monitor the rate of growth and measure the Commonwealth's progress toward meeting its health care cost growth benchmark. The Center will report for the first time on the growth of THCE in 2013 in its Annual Report on the Massachusetts Health Care Market in August of 2014.

Massachusetts Total Health Care Expenditure Methodology 

Total Medical Expenses (TME)

CHIA is statutorily required to develop methodologies for the uniform reporting of health status adjusted Total Medical Expenses (TME) and to publicly report that data. (Cite: M.G.L. c. 12 C, section 8)

TME should not be confused with Total Health Care Expenditures introduced in Chapter 224 of the Acts of 2012.  The growth rate of Total Health Care Expenditures will be measured against the growth benchmark for 2013 and reported for the first time in the summer of 2014.

2013

Data Notes

Data Supplements

2012

 2011

2010

* available shortly

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