Health System Performance

CHIA monitors and reports on a wide variety of health care indicators in Massachusetts to help legislators, policymakers, payers, and providers improve quality, affordability, access, and outcomes in the health care system.

Standard Statistics is a set of health care metrics that measure the performance of the Massachusetts health care system. Taken from its unique data sets and other reliable sources, CHIA presents statistics on health care spending, insurance coverage, and acute hospital financial performance and utilization. These measures were chosen for their ability to help track cost and quality trends over time and their well-defined methodology.  For each Standard Statistic, CHIA offers the most recently available findings along with the underlying data and information on the methodology used.

The 2017 Annual Report on the Performance of the Massachusetts Health Care System, released in September 2017, serves as the basis for ongoing review of the health care market and for measuring the progress of the state’s cost containment efforts. It includes the Commonwealth’s Total Health Care Expenditures calculation along with several other key indicators.

CHIA published Massachusetts Hospital Profiles that contain financial health metrics and introduced quality metrics for individual hospitals. This publication also includes financial information for each of the multi-acute hospital systems in Massachusetts.

Hospital readmissions are a central issue in efforts to improve health care quality and reduce costs, due to readmissions being a costly and potentially preventable problem that impacts patient health and experience of care both nationally and in Massachusetts.

Massachusetts Commercial Medical Care Spending: Findings from the All-Payer Claims Database, a joint publication of CHIA and the Health Policy Commission, examines trends in commercial medical spending including overall spending and spending by category of service, type of episode, and region using data from the Massachusetts All-Payer Claims Database (MA APCD) for the three largest commercial payers in Massachusetts.