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Total Medical Expense Trends Across Massachusetts Communities (February 2026)
	New! Each year, CHIA collects data on total medical expenses (TME) from public and private payers and reports findings. Using this data, CHIA’s TME Trends Across Massachusetts Communities considers how medical spending varies across Massachusetts communities and whether there is a relationship between certain spending categories and community characteristics. Findings are reported in an interactive dashboard and trends report, presenting data on demographics by community as well as the relationship between these community characteristics and total medical expenses by insurance population and across TME service categories. Data is presented at the community level by municipality and ZIP Code Tabulation Area (ZCTA).
Massachusetts Health Care Workforce Survey (February 2026)
	Massachusetts health care and human services providers are experiencing unprecedented staffing shortages. The Massachusetts Health Care and Human Services Workforce Survey(MHCW) provides a critical fact base to monitor the racial/ethnic composition, vacancy and turnover rates, and recruitment and retention challenges of staff in key occupations to better inform state policies and programs. The interactive dashboard allows users to explore statewide cross-sector results for 5 key occupations: physicians, registered nurses (RNs), licensed practical nurses (LPNs), direct care workers, and social workers.
Massachusetts Integrated Nursing Dashboard (February 2026)
	CHIA's inaugural Integrated Nursing Dashboard, developed in collaboration with the Massachusetts Department of Public Health (DPH) and Executive Office of Health and Human Services (EOHHS), provides insights into the current state of the nursing workforce and supports the Commonwealth in meeting the health care needs of its residents. As Massachusetts health and human services providers continue to experience unprecedented workforce challenges, this report is part of CHIA’s efforts to routinely monitor health care and human services workforce trends to inform state policies and programs.

Massachusetts Hospital Profiles (January 2026)
	Hospitals and hospital health systems play a crucial role in the health care delivery system. CHIA provides meaningful analysis on hospital and health systems through various measures and reporting. Massachusetts Hospital Profiles provide a valuable snapshot of performance metrics for each hospital and allow policymakers and stakeholders to further assess the effect the pandemic has had on hospitals and health systems in their district.
Continuous Skilled Nursing Care Biennial Report (January 2026)
	While Massachusetts has achieved a high rate of insurance coverage among its residents, access and affordability issues continue to persist across all groups regardless of age, sex, race, ethnicity, health status, or family income. The MHIS results provide a detailed look at the issues facing Massachusetts residents. In the 2025 survey, new questions were included on behavioral health care, tax-advantaged health spending accounts (such as HSAs and FSAs), and administrative burden impacting access to care.
Massachusetts Nursing Facilities (January 2026)
	CHIA's Nursing Facilities Interactive Dashboard includes key measures at the industry- and facility-level to increase transparency of financial and quality performance. This dashboard includes data for more than 300 skilled nursing facilities operating in Massachusetts. The nursing facility dashboard is intended to assist policymakers and stakeholders with accessing and understanding performance metrics for individual nursing facilities and the industry as a whole. CHIA has also published downloadable versions of the most current cost reports for Massachusetts skilled nursing facilities and the associated realty companies and management companies.
The 2025 Massachusetts Health Insurance Survey (MHIS) (December 2025)
	While Massachusetts has achieved a high rate of insurance coverage among its residents, access and affordability issues continue to persist across all groups regardless of age, sex, race, ethnicity, health status, or family income. The MHIS results provide a detailed look at the issues facing Massachusetts residents. In the 2025 survey, new questions were included on behavioral health care, tax-advantaged health spending accounts (such as HSAs and FSAs), and administrative burden impacting access to care.
Burdened by the Bill: Understanding Medical Debt in Massachusetts (November 2025)
	This research brief explores family medical debt in Massachusetts. Findings show that cost-sharing—especially deductibles—is the most common source of medical debt in the Commonwealth. Despite near-universal health insurance coverage, more than 1 in 8 Massachusetts residents carries family medical debt. Medical debt poses a persistent affordability challenge and is associated with a wide range of negative consequences, from forgoing medical care to facing food insecurity and housing instability.
Comprehensive Mandated Benefit Review (October 2025)
	CHIA has published a comprehensive review of state-mandated health insurance benefits and health insurance costs in Massachusetts. This report includes a review of the 59 mandated benefits Since the last published report, 18 new mandates have been enacted, 16 of which are included in this report. CHIA evaluates the impact of health benefit mandate bills referred by Massachusetts legislative committees. These evaluations provide a medical efficacy analysis and an estimate of the effect on health insurance costs. CHIA performs a comprehensive retrospective review, typically every four years, of all mandates in effect.
See all 2025 Publications....