Annual Cost Trends Report

2023 Annual Health Care Cost Trends Report and Policy Recommendations - Published September 2023

• 2023 Annual Health Care Cost Trends Report and Policy Recommendations
• 2023 Cost Trends Report: Chartpack
• 2023 Cost Trends Report: Policy Recommendations
• 2023 Cost Trends Report: Interactive Overview and Dashboard

Technical Appendices

• 1 Acute Care Hospitals in Massachusetts by Type of Hospital
• 2 Trends in Spending and Care Delivery
• 3 Opportunities to Reduce Excess Spending Prices
• 4 Other Opportunities to Reduce Excess Spending
• 5 Primary Care and Behavioral Health Chartpack
• 6 Price Chartpack
• 7 Hospital Chartpack
• 8 Post-Acute Care Chartpack
• 9 POPV Chartpack

2022 Health Care Cost Trends Report and Policy Recommendations - Published September 2023

• 2022 Health Care Cost Trends Report and Policy Recommendations
• 2022 Cost Trends Report: Chartpack
• 2022 Cost Trends Report: Interactive Overview and Dashboard
• 2022 Cost Trends Report: Policy Recommendations

Technical Appendices

• 1 Acute Care Hospitals in Massachusetts by Type of Hospital
• 2 Trends in Spending and Care Delivery
• 3 Changes in Ambulatory Care Use
• 4 Commercial Price Trends
• 5 Hospital Utilization
• 6 Post-Acute Care
• 7 Provider Organization Performance Variation

2021 Cost Trends Report - Published September 2021

• 2021 Health Care Cost Trends Report
• 2021 Cost Trends Report: Interactive Dashboard
• 2021 Cost Trends Report: Chartpack
• 2021 Health Care Cost Trends Report: Executive Summary
• Deep Dive - Policy Recommendation #1: Strengthen Accountability for Excessive Spending
• Deep Dive - Policy Recommendation #2: Constrain Excessive Provider Prices

Technical Appendices

• 1 Acute Care Hospitals in Massachusetts by Type of Hospital
• 2 Health Care Use by Income
• 3 Commercial Price Trends
• 4 Hospital Utilization
• 5 Post-Acute Care
• 6 Alternative Payment Methods
• 7 Provider Organization Performance Variation

2019 Cost Trends Report - Published February 2020

• 2019 Health Care Cost Trends Report
• 2019 Cost Trends Report: Chartpack
• 2019 Health Care Cost Trends Report: Executive Summary

Technical Appendices

• A Acute Care Hospitals in Massachusetts by Type of Hospital
• B1 Trends in Spending and Care Delivery
• B2 Changes in Inpatient Severity of Illness
• B3 Changes in Commercial Inpatient Volume
• B4 Hospital Outpatient Spending Growth
• B5 Dashboard
• C1 Hospital Utilization
• C2 Post-Acute Care
• C3 Alternative Payment Methods
• C4 POPV Utilization
• D Data Sources

2018 Cost Trends Report - Published February 2019

• 2018 Health Care Cost Trends Report
• 2018 Cost Trends Report: Chartpack
• 2018 Health Care Cost Trends Report: Executive Summary

Technical Appendices

• A Acute Care Hospitals in Massachusetts by Type of Hospital
• B1 Trends in Spending and Care Delivery
• B2 Admissions from the ED
• B3 Low Value Care
• B4 Spending Variation for Clinically Similar Populations
• B5 Commercial Price Trends and Comparison to Medicare Prices
• B6 Dashboard
• C1 Hospital Utilization
• C2 Post-Acute Care
• C3 Alternative Payment Methods
• C4 TME by Provider Group
• C5 Small Group Insurance
• D Data Sources

2017 Cost Trends Report - Published March 2018

• 2017 Health Care Cost Trends Report
• 2017 Health Care Cost Trends Report: Chartpack
• 2017 Health Care Cost Trends Report: Executive Summary

Technical Appendices

• A Acute Care Hospitals in Massachusetts by Type of Hospital 
• B1 Trends in Spending and Care Delivery
• B2 Hospital Outpatient Spending 
• B3 Provider Organization Performance Variation
• B4 Dashboard
• C1 Hospital Utilization
• C2 Post-Acute Care
• C3 Alternative Payment Methods
• C4 Demand-side incentives
• D Data Sources

2016 Cost Trends Report - Published February 2017

• 2016 Cost Trends Report 
• Executive Summary: 2016 CTR 

Technical Appendices

• A: Acute Care Hospitals in Massachusetts by Type of Hospital  
• B1: Introduction  
• B2: Overview of Trends in Spending and Care Delivery  
• B3: Massachusetts Provider Market: Status and Trends  
• B4: Prescription Drug Spending  
• B5: Hospital Utilization  
• B6: Post-Acute Care  
• B7: Variation in Spending by Primary Care Provider Group  
• B8: Alternative Payment Methods  
• B9: Demand-Side Incentives  
• B10: Dashboard  
• C: Data Sources  

2015 Cost Trends Report - Published January 2016

• Executive Summary and Conclusion: 2015 CTR and CTR: PPV  
• 2015 Cost Trends Report   
• 2015 Cost Trends Report: Provider Price Variation   
• 2015 Cost Trends Report: Prescription Drug Spending  
• 2015 Cost Trends Report: Out-of-Network Billing  

Chartbook

• Chartbook 

Presentations to Board

• 2015 Cost Trends Report Finding: Drug Spending  
• 2015 Cost Trends Report Findings: Emergency Department and APMs  
• 2015 Cost Trends Report Preliminary Findings   

Technical Appendices

• A1: Hospital Grouper  
• B1: Trends in Spending and Care Delivery Trends in Provider Markets  
• B2: Hospital Outpatient  
• B3: Hospital-Level Variation in Spending per Episode of Care: Normal Pregnancy and Delivery  
• B4: Avoidable Hospital Use  
• B5: Primary Care Access  
• B6: Maximizing Value in Post-Acute Care  
• B7: Alternative Payment Methods  
• B8: Dashboard  
• C1: Data Sources  

2014 Cost Trends Report - Published January 2015

• Executive Summary and Conclusion  
• 2014 Cost Trends Full Report  

Chartbook and Databook

• Chartbook  
• Databook  (PDF) Databook (XLSX)

Technical Appendices

• B2: Spending  
• B3: Episode  
• B4: Post-Acute Care 
• B5: Waste  
• B6: High-Cost Patients  
• B6: High-Cost Patients, Supplementary Tables  
• B7: Behavioral Health  
• B8: Alternative Payment Methods  
• B9: Demand Incentives  
• C1: Datasources  

Note: In Technical Appendix B, appendix numbers correspond to chapter numbers with the result that there is no Technical Appendix B1.

2013 Cost Trends Report: July 2014 Supplement

The Cost Trends Report: July 2014 Supplement examines additional findings related to topics discussed in the HPC's 2013 Cost Trends Report. The supplement offers further analyses of health care spending in the Commonwealth as well as trends in the delivery system and payment methods. In its conclusion, the report offers actionable recommendations and next steps for the HPC, other state agencies, and the health care system.

• Introduction and Conclusion  
• Cost Trends Report: July 2014 Supplement   
• Section A - Spending Levels and Trends  
• Section B - Trends in the Massachusetts Delivery System   
• Section C - Quality and Access: Preventable Hospitalizations in Low-Income Communities  
• Section D - Measures of Spending 

Presentations to Board

• Presentation: Cost Trends Report: July 2014 Supplement  

Chartbook and Databook

• Chartbook 
• Databook  (PDF) Databook (XLSX)

Technical Appendices

• A - Spending Levels and Trends  
• B - Trends in the Massachusetts Delivery System  
• C - Quality and Access: Preventable Hospitalizations in Low-Income Communities Data Sources  

2013 Cost Trends Report - Published January 2014

In the 2013 Cost Trends Report, the Commission profiled the Massachusetts health care system and analyzed selected cost drivers, including hospital operating expenses, wasteful spending, and high-cost patients.

• Executive Summary and Conclusion  
• 2013 Cost Trends Full Report   
• Chapter 1: Profile of Massachusetts Health Care System   
• Chapter 2: Hospital Operating Expenses  
• Chapter 3: Wasteful Spending  
• Chapter 4: High-Cost Patients  

Presentations to Board

• Section 1 Presentation to Board on December 18, 2013 (PDF) (PPTX)
• Commission Presentation: Findings on select cost drivers (PDF) (PPTX)

Chartbook and Databook

• Chartbook  (PDF) 
• Databook  (PDF) Databook (XLSX)

Technical Appendices

• A1: Profile of Massachusetts  
• A2: Hospital Operating Expenses
• A3: Wasteful Spending  
• A4: High-Cost Patients  
• B1: Data Sources  
• B2: Summary of key 2013 Government Reports  
• B3: Regions of Massachusetts  
• B4: Report of the Lewin Group to the Health Policy Commission