Recent CHIA Publications

 
 
Link to all current CHIA Massachusetts Health system information

Annual Report on the Performance of The Massachusetts Health Care System

In 2013, the Massachusetts health care system performed favorably on a number of indicators. Notably, the overall per capita growth in Total Health Care Expenditures (THCE) was below the Commonwealth's 2013 health care cost growth benchmark. Furthermore, commercial premium levels and member out-of-pocket cost-sharing did not increase from 2012, while benefit levels remained steady.

Read the report and and accompanying appendices and databooks within the "The Performance of the Massachusetts Health System" section of the CHIA website.

mahealthcare-enroll-graphic

Massachusetts Health Care Coverage: Enrollment Trends

From December 2013 to March 2014, as key provisions of the Patient Protection and Affordable Care Act (ACA) were implemented, the Commonwealth's public programs and largest commercial payers together reported an overall health care insurance enrollment increase of more than 215,000 members. Commercial enrollment held steady, while Massachusetts public program enrollment expanded by more than 226,000 enrollees.

Center for Health Information and Analysis Information About Massachusetts Hospitals

Massachusetts Acute Hospital Financial Performance Report - Fiscal Year 2013

This publication provides a statewide analysis of acute hospital financial data. The report examines hospital profitability, liquidity, and capital structure ratios in order to monitor financial status. It also presents industry analyses and comparisons of financial performance.

 

Center for Health Information and Analysis Information About Massachusetts Hospitals

Massachusetts Hospital Profiles

This is CHIA's 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

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 System

CHIA's most recent analysis – The Annual Report on the Performance of the Massachusetts Health Care System - includes a first-ever calculation of the Commonwealth's Total Health Care Expenditures (THCE). THCE is a measure of total statewide spending for health care in the Commonwealth. It includes specific health care expenditures for Massachusetts residents from public and private sources. The findings  from this report will inform the Health Policy Commission's 2014 Health Care Cost Trends Hearing, scheduled for October 6 and 7. 

Annual Report on the Performance of the Massachusetts Health Care System (Published September 2014)

All-Payer Claims Database (APCD) Almanac

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.

 

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)

Behavioral Health

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.

Emergency Department

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)

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.

  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) 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)
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. CHIA reports for the first time on THCE in 2014.

CHIA's most recent analysis – The Annual Report on the Performance of the Massachusetts Health Care System - includes a first-ever calculation of the Commonwealth's Total Health Care Expenditures (THCE). THCE is a measure of total statewide spending for health care in the Commonwealth. It includes specific health care expenditures for Massachusetts residents from public and private sources. The findings  from this report will inform the Health Policy Commission's 2014 Health Care Cost Trends Hearing, scheduled for October 6 and 7. 

Annual Report on the Performance of the Massachusetts Health Care System (Published September 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.

2013

Data Notes

Data Supplements

2012

 2011

2010

* available shortly

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Can't find it? Older reports previously issued by DHCFP are in an online archive located here.

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