2017 Publications


All of CHIA's 2017 Publications are listed below in chronological order from recent to earliest.

CHIA Releases Findings from 2017 Massachusetts Health Insurance Survey
(December 2017)
MHIS Report - 2017

The Massachusetts Health Insurance Survey (MHIS) provides information on health insurance coverage, health care access and use, and health care affordability for Massachusetts residents as part of CHIA’s Continuing Study on Insurance Coverage, Underinsurance and Uninsurance.   

The MHIS is a tool used by CHIA, legislators, policymakers, employers, insurers and other stakeholders to track and monitor the experiences of Massachusetts residents in obtaining timely and affordable health care. While national data sources can help to monitor some aspects of health insurance coverage and health care access, this survey provides the ability to track issues that are specific to Massachusetts.

Comparing Estimates of the Uninsurance Rate in Massachusetts from Survey Data
(November 2017)
NHIS Report Methodology Research Brief

CHIA has published a research brief comparing the methodologies used to calculate the Commonwealth's health uninsurance rate using survey data. The Massachusetts uninsurance rates are quite similar despite differences in survey methodologies used across surveys.

CHIA is currently preparing the 2017 Massachusetts Health Insurance Survey (MHIS), which will provide the most current information on health insurance coverage, health care access and use, and health care affordability for Massachusetts residents.

Annual Report on the Performance of the Massachusetts Health Care System: 2017 (September 2017)
FY 2016 Annual Acute Hospital and Health System Financial Performance Report

CHIA reports on the financial performance of acute care hospitals in the Commonwealth of Massachusetts.  As hospitals and their respective health systems evolve, CHIA has added financial information on hospital health systems, affiliated The 2017 Annual Report on the Performance of the Massachusetts Health Care System includes a final calculation of the Commonwealth’s 2015 Total Health Care Expenditures (THCE) and an initial calculation of 2016 THCE.

THCE is a measure of total statewide health care spending in the Commonwealth. The report also includes information from public and private sources related to specific health care expenditures for Massachusetts residents, quality of care, enrollment and coverage trends, premiums and member cost-sharing, and payer use of funds.

FY 2016 Annual Acute Hospital and Health System Financial Performance Report
(August 2017)
FY 2016 Annual Acute Hospital and Health System Financial Performance Report

CHIA reports on the financial performance of acute care hospitals in the Commonwealth of Massachusetts.  As hospitals and their respective health systems evolve, CHIA has added financial information on hospital health systems, affiliated physician organizations, and affiliated health plan in its publications.

These reports focus on trends in profitability, liquidity, and solvency metrics and also compares a hospital’s individual performance to its peer cohort.

The Benefits Divide: Workers at Lower-Wage Firms and Employer-Sponsored Insurance in Massachusetts
(August 2017)
CHIA Report: Enrollment Trends in Massachusetts August Edition

CHIA's first research brief on employer-sponsored health insurance offered to workers at lower-wage firms in Massachusetts, supporting new understandings of health care access among a growing segment of the state's workforce. This study is the first of its kind post-Affordable Care Act, in Massachusetts and nationally.

This research brief uses data from CHIA's Massachusetts Employer Survey

Enrollment Trends
(August 2017)
CHIA Report: Enrollment Trends in Massachusetts August Edition

Enrollment Trends includes enrollment data from March 2015 through March 2017. This report provides insights into changes in health insurance coverage in Massachusetts. Coverage is defined as unique Massachusetts residents with primary medical membership in the 13 largest commercial payers, MassHealth (Medicaid), and Medicare.  

Included in the August 2017 edition of Enrollment Trends are a databook, technical appendix, and Massachusetts All-Payer Claims Database (MA APCD) programming code. The databook has additional detail not included in the main report.
Emergency Department Visits After Inpatient Discharge
(July 2017)
CHIA Report: Emergency department (ED) visits after inpatient discharge in Massachusetts acute care hospitals web page

Providers, payers, and policymakers are increasingly turning their attention to whether the patient returns to the acute care setting at any level (emergency department (ED), observation, or inpatient) within 30 days of inpatient discharge. As efforts to improve care transitions evolve into increasingly cross-setting and community-based strategies, measuring the rate of ED visits after inpatient discharge may reveal opportunities to improve care transitions and reduce avoidable acute-level hospital use.

In this new report Emergency Department Visits After Inpatient Discharge: SFY2015, CHIA analyzed revisits—defined here as a visit to the ED within 30 days of an inpatient discharge—and provide a first statewide examination of revisits for the all-payer adult population in Massachusetts acute care hospitals.

Massachusetts Acute Hospital Financial Performance
(June 2017)
CHIA Massachusetts Acute Hospital Financial Performance: Data Through March 31, 2017 web page

The Massachusetts Acute Hospital Financial Performance: Fiscal Year Data through March 31, 2017 quarterly report now includes data from hospital health systems. Hospital health system data helps contextualize the financial performance of a hospital by accounting for financially consolidated entities like physician organizations, non-acute hospitals, foundations, and health plans.

The report also provides updates on key metrics for monitoring the financial status of acute hospitals: total margin, current ratio, and net assets.

Provider Price Variation Report
(May 2017)
See CHIA Massachusetts Relative PRice and Provider Price Variation page

Provider Price Variation in the commercial health insurance market illustrates differences in prices paid to providers for the same set of services. For the first time, CHIA reported on a new metric, statewide relative price, developed to produce a single RP for hospitals across commercial payers.  In addition to statewide relative price, CHIA also produced payer-specific relative price, allowing for comparisons within an insurer's network.

Relative price is composite measure that standardizes provider prices to account for differences in patient acuity, the types of services providers deliver to patients, and the different product types that payers offer to their members.

Hospital-Specific Readmissions Profiles
(April 2017)
See CHIA Massachusetts Readmissions Profile page

Hospital-specific readmissions profiles offers key insights into the performance each of the 60 acute care hospitals in Massachusetts.

Hospital readmission rates are highlighted over time, broken out by patient and discharge characteristics including age, payer type, discharge setting, and region, and in comparison to other similar hospitals. In addition, discharge diagnoses resulting in high numbers and rates of readmissions are identified, readmissions among frequent hospital users are profiled, and readmissions to other hospitals are quantified.

The Massachusetts Employer Survey
(March 2017)
See CHIA Massachusetts Employer Survey web page

The Massachusetts Employer Survey provides a valuable lens on the employer health insurance market, including information on employer health insurance offerings, employee take-up rates, cost-sharing, plan characteristics, and employer decision making.

For this report, the survey was redesigned to better reflect changes in the health insurance markets and changing state priorities for health care reform.

CHIA Publishes Hospital Profiles and Patient Origins Map
(March 2017)
Hospital Profiles - March 2017

Massachusetts Hospital Profiles provide descriptive and comparative information on acute and non-acute hospitals based on hospital characteristics, services, payer mix, utilization trends, cost trends, and financial performance.

An updated Patient Origins Map illustrates the distribution of hospital inpatient discharges by patient zip code for each acute care hospital and hospital systems in Massachusetts.

MA Enrollment Trends through September 2016 (March 2017)
Enrollment Trends March 2017

Enrollment Trends monitors health insurance coverage in the Commonwealth of Massachusetts, where coverage is defined by unique Massachusetts residents with primary medical membership in the 13 largest commercial payers, MassHealth (Medicaid), and Medicare. 

The March 2017 edition of Enrollment Trends offers insights into changes in health insurance coverage in Massachusetts from September 2014 through September 2016.

Acute Hospital Parent Organizations and Systems
(February 2017)
Hospital Systems Graphic

The Acute Hospital Parent Organizations and Systems report provides summary level information on hospital systems and their related health care entities for FY 2015. 

This publication also features multi-acute system profiles in the Commonwealth. Previously included in the Hospital Profiles publication, the multi-acute system profiles contain measures that highlight financial performance, organizational structure, and relative size of component entities within each hospital system.