Payer Data Reporting

The Center of Health Information and Analysis (Center) is required under M.G.L. c. 12C to collect and report on Health Status Adjusted Total Medical Expenses (TME); Relative Prices (RP), including the annual rate of growth of average RP; Alternative Payment Methods (APM); and Provider Payment Methods (PPM). The Center assumed TME and RP responsibilities from the Division of Health Care Finance and Policy on November 5, 2012, when Chapter 224 of the Acts of 2012 (Chapter 224) and M.G.L. c. 12C went into effect. The collection and reporting of APM, PPM, and the annual rate of growth of average RP were new requirements introduced under M.G.L. c. 12C.

Regulation 957 CMR 2.00 governs the methodology and filing requirements for health care payers to calculate and report TME, RP, APM, and PPM data to the Center.

This page contains a listing of the Private Insurance Companies, the Medicaid Managed Care organizations and Government entities required to report data to the Center for Health Information and Analysis.

This page contains links to the CHIA-INET application, the INET Registration Form, and the INET Web Application User Guide.

You may sign up to receive email notifications about Payer Data reporting regulatory actions. You will receive an email message whenever CHIA proposes a regulation, schedules a public hearing, adopts a regulation, or issues an administrative bulletin for any data collection and disclosure information.

See information regarding technical assistance and how to contact CHIA for specific Payer Data Reporting help.