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August 2018 Enrollment Trends (August 2018)

Massachusetts August 2018 Enrollment Trends Update Report report page

Enrollment Trends offers new insights into changes in health insurance coverage in Massachusetts from March 2016 through March 2018. For the first time, this edition includes enrollment data for MassHealth Accountable Care Organizations (ACOs). Enrollment Trends also includes 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.

Enrollment Trends is produced using the MA APCD, supplemented with additional data from commercial payers, the Massachusetts Health Connector, and the Centers for Medicare and Medicaid Services.

Massachusetts FY 2017 Annual Acute Hospital and
Health System Financial Performance Report
(August 2018)

Massachusetts FY 2017 Annual Acute Hospital and Health System Financial Performance Report report page

The Center for Health Information and Analysis (CHIA) is excited to announce the release of Massachusetts Acute Hospital and Health System Financial Performance for Fiscal Year 2017

The report presents data for the most recently completed full fiscal year available and analyses of financial performance using five metrics: total margin, operating margin, current ratio, average payment period, and equity financing. It also includes a comparison of the performance of four hospital cohorts (Academic Medical Centers, teaching, community, and community-High Public Payer) on each metric over a four-year period, Fiscal Years 2014 through 2017.

Hospital-Wide Adult All-Payer Readmissions in Massachusetts:
SFY 2011-2016
(June 2018)

Click to visit Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2016 report page

In this year’s report, CHIA found that the statewide all-payer readmission rate remained steady from SFY 2015 to the SFY 2016. Readmissions continued to vary greatly, however, depending on patient age, payer type, and discharge setting. Consistent with CHIA’s previous analyses, this report's findings suggest potential opportunities to focus efforts on the subset of patients who are frequently hospitalized.


 

 


Other Recent CHIA Reports and Publications

Individual Purchasers in the Massachusetts Health Care System:
Trends for Unsubsidized and ConnectorCare Plans (May 2018)
Individual Purchasers in the Massachusetts Health Care System report page

Individual Purchasers in the Massachusetts Health Care System: Trends for Unsubsidized and ConnectorCare Plans.  explores trends in premiums and cost-sharing related to individuals purchasing commercial health plans outside the employer-sponsored insurance system, as well as the role of cost-sharing reduction subsidies.

CHIA found that, overall, the individual purchaser market segment experienced decreases in average premiums (-3.4%) and cost-sharing (-8.0%) between 2015 and 2016. CHIA also found that unsubsidized plans experienced higher premium growth and larger cost-sharing increases than ConnectorCare Plans.

Hospital-Wide Adult All-Payer Readmissions (May 2018)
Picture of Massachusetts Readmissions information

CHIA's latest analysis of unplanned hospital readmissions in Massachusetts. Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2016 updates previous CHIA reporting on the subject.

In this year’s report, CHIA found that the statewide all-payer readmission rate remained steady from SFY 2015 to the SFY 2016. Readmissions continued to vary greatly, however, depending on patient age, payer type, and discharge setting. Consistent with CHIA’s previous analyses, this report's findings suggest potential opportunities to focus efforts on the subset of patients who are frequently hospitalized.

Pediatric Home Care Patients Study Outside Section 132 (May 2018)
Picture of Massachusetts State House

The Center for Health Information and Analysis completed a study of the costs associated with the hospitalization of medically complex pediatric home care patients, in accordance with Section 132 of Chapter 47 of the Acts of 2017.

CHIA Reports on Provider Price Variation in Massachusetts (April 2018)

CHIA today released its annual examination of provider price variation in the commercial health insurance market, illustrating differences in prices paid to providers for the same set of services.

Using a composite metric known as statewide relative price (S-RP), CHIA is able to compare provider payments across commercial payers, while standardizing for differences in patient acuity, the types of services providers deliver to patients, and the different product types that payers offer their members. The report also includes payer-specific data, allowing for comparisons within an insurer's network.

CHIA Reports on Quality of Care in the Commonwealth (April 2018)
Quality Report 2018

The 2018 edition A Focus on Provider Quality includes for the first time a series of interactive graphics accessible on the webpage below.

The report is also accompanied by an executive summary, databook, which includes all available performance data on SQMS measures by medical group or hospital, and a technical appendix. 

There is also a short video explaining how to directly interact with the provider quality data through the user-friendly web application. Feel free to watch the video if you are not familiar with a Tableau interface or directly explore the performances of an individual provider organization, health care system, or statewide level data.

Enrollment Trends (February 2018)

Enrollment Trends offers new insights into changes in health insurance coverage in Massachusetts. Coverage is defined as unique residents with primary medical membership in the 13 largest commercial payers, MassHealth (Medicaid), and Medicare.  

Included in the February 2018 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.

Hospital Profiles (January 2018)
Hospital PRofiles in Massachusetts

CHIA published two products examining trends in hospital performance and utilization: Massachusetts Hospital Profiles and an updated Patient Origins Map
 
The profiles show information on acute and non-acute hospitals based on services, payer mix, utilization trends, cost trends, and financial performance.

An updated Patient Origins Map illustrates the distribution of hospital inpatient discharges.

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.   

The MHIS is a tool used by 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 tracks issues that are specific to Massachusetts.

Comparing Estimates of the Uninsurance Rate in Massachusetts (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 (September 2017)
FY 2016 Annual Acute Hospital and Health System Financial Performance Report

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