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Special Commission On Provider Price Reform Final Report

This Special Commission is a statutory requirement created in Section 67 of Chapter 288 of the Acts of 2010 – the Small Business Health Care Cost Containment legislation enacted in 2010.  The Commission is charged to investigate the rising cost of health care insurance and the impact of reimbursement rates paid by health insurers to providers. In addition, it requires the commission to examine policies aimed at enhancing competition, fairness and cost-effectiveness in the health care market though the reduction of reimbursement disparities...

Statewide Quality Advisory Committee

The Statewide Quality Advisory Committee (SQAC) members will make recommendations to the Department of Public Health (DPH) for promulgation of quality-related measures.  This committee will examine and publicly report recommendations for a standard set of health care quality measures for each health care provider facility, medical group or provider group in the Commonwealth.  

This uniform set of quality measures will also help health care providers monitor their progress toward achieving quality improvement goals and reducing unnecessary health costs. This overarching process of increased transparency and accountability will culminate in an environment that promotes low-cost, efficient, and high-quality management of patient health and encourages better integration of health care delivery in Massachusetts.

Preliminary Reports and Hearings on Health Care Cost Trends

The 2011 hearings have concluded. Reports, testimony, presentations and audio of the proceedings are available online.

Fair Share Contribution: Filing Year 2010 Results and Analyses

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.

Health Safety Net 2011 Quarter 2 Report

The report summarizes Health Safety Net (HSN) utilization, payments, and service patterns from October 1, 2010 through March 31, 2011 (termed HSN11 Quarter 2).

Health Care in Massachusetts: Key Indicators (May 2011 Edition)

Key Indicators provides an overview of the Massachusetts health care landscape based on data reported by providers, health plans, government, and surveys of Massachusetts residents and employers.

Massachusetts Total Medical Expenses: 2009 Baseline Report

Total medical expense (TME) measures the total spending on medical care for a covered population based on insurer payments as well as member cost-sharing. This baseline report examines how commercial TME varies by carrier, region, income, primary care physician group, and participation in a managed or non-managed care plan.