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)
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 ReportThe 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.
The following publications analyze the use of emergency departments in Massachusetts.
Employers Who Have 50 or More Employees Using Public Assistance
CHIA has produced reports 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)
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.
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) used the results from its 2011 Massachusetts Health Insurance Survey (MHIS) and national survey data to estimate Massachusetts’ 2012 health insurance coverage rate. CHIA found no clear evidence of a significant change in the Commonwealth’s coverage rate from the 2011, 96.9% estimate. The Commonwealth Fund, in its March 2014 report, “America’s Underinsured”, similarly found Massachusetts continuing to lead the nation in the percentage of its population with health care coverage. However, the Fund’s report also identified approximately 10% of Massachusetts’ under-65 population as being “underinsured”, having incurred significant out-of-pocket health care expenses, relative to their income, during the timeframe examined.
Additional information on CHIA’s 2012 Coverage Estimate and how Massachusetts fared in The Commonwealth Fund’s March report can be found below.
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.
See Older Insurance Surveys
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Mandated Benefit Reviews
CHIA analyzes the cost and clinical efficacy of mandated benefit bills referred by a legislative committee for review. 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)
2013 (2011 Data)
- CHIA presents an interactive presentation on Relative Price and it's importance in the Massachusetts health care system.
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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 September of 2014.
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