2019 Publications


All of CHIA's 2019 Publications are listed below in chronological order from recent to earliest.

Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2018 (December 2019)
Go to CHIA's Nursing Facility Performance web page

The Massachusetts Hospital-Wide Adult All-Payer Readmissions SFY 2011-2018 report provides a statewide look at readmissions from Massachusetts acute care hospitals, enabling insights into statewide, regional, and hospital-specific readmission rates, including breakdowns by payer type, discharge setting, and hospital characteristics.

This report is also accompanied by a databook, a technical appendix, and an infographic. 

Trends in the Massachusetts Nursing Facilities Industry (2013-2017) Report (November 2019)
Go to CHIA's Nursing Facility Report web page

Nursing facilities serve an important role in the continuum of health care services in Massachusetts, providing over 14 million patient days of service in 2017; an average of over thirty-nine thousand individuals received care from nursing facilities on a daily basis. To better understand this component of the health care system, CHIA's initial report examines the Commonwealth's nursing facilities at an industry level, as well as by analytic cohorts, on measures of utilization, financial performance, and quality of care over a five-year period (2013–2017).

In addition to this report, CHIA has also developed an analytic dashboard that facilitates a profile view of each of the 393 nursing facilities in Massachusetts.

Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals (October 2019)
Go to CHIA's Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals web page

Until recently, hospital readmission reduction efforts have focused primarily on medical or surgical conditions, with less emphasis on patients' behavioral health conditions. Given the high hospital utilization and cost associated with comorbid behavioral health conditions, stakeholders share a growing awareness that patients with behavioral health comorbidities may have a higher than average risk of readmissions, thus any efforts to reduce readmissions should include identifying risk factors associated with these populations.

This report is also accompanied by a databook and technical appendix.

The 2019 Annual Report on the Performance of the Massachusetts Health Care System (October 2019)
Go to CHIA's Annual Report on the Performance of the Massachusetts Health Care System web page

The 2019 Annual Report on the Performance of the Massachusetts Health Care System presents a final calculation of the Commonwealth's Total Health Care Expenditures for 2017 and an initial calculation for 2018, as well as additional key indicators used to assess the performance of the state's health care system in 2018. Supporting materials include databooks, a dataset, and technical appendices.

FY 2018 Annual Acute Hospital and Health System Financial Performance Report (September 2019)
Go to CHIA's Hospital Financial Trend Analysis web page

CHIA's Massachusetts Acute Hospital and Health System Financial Performance reporting measures uprofitability, liquidity, and solvency metrics as well as other pertinent financial data.

A five-year financial trend analyses. is available for each acute hospital in Massachusetts. The Hospital Health System (HHS) profiles provide a summary of financial performance and relative size of component entities for the hospital health system and their affiliated acute hospitals, physician organizations, and health plans.

Enrollment Trends in Health Insurance (August 2019)
Go to CHIA's Enbrollment in Health Insurance web page

Twice a year, CHIA updates its analysis of Massachusetts health insurance enrollment trends for the most recent trailing two-year period to give researchers and policymakers insight into the market. Approximately 6.5 million Massachusetts residents have health insurance coverage, where coverage is defined by unique Massachusetts residents with primary, medical membership in the 14 largest commercial payers, MassHealth (MassHealth), or Medicare.

This edition, which covers the period between March 2017 and March 2019, includes an interactive dashboard, a detailed databook, and technical appendix.

Massachusetts Employer Survey Results (June 2019)
Go to CHIA's The Massachusetts Employer Survey (MES) web page

The Massachusetts Employer Survey (MES) 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.

The 2018 MES has several key updates: inclusion of a panel sample to allow for longitudinal data analysis, additional questions regarding part-time workers' health insurance benefits, and improved comparability of its key measures to national benchmarks.

Emergency Department Visits After Inpatient Discharge (June 2019)
CHIA's update of Emergency Department Visits After Inpatient Discharge (June 2019)

Providers, payers, and policymakers are increasingly turning their attention to whether the patient returns to an acute care setting at any level (ED, observation, or inpatient) soon after an inpatient discharge. The ED is a costly setting to receive care, and patients visiting the ED in the post-hospital discharge period may represent an opportunity to improve care.

This CHIA report examines emergency department (ED) visits after an inpatient discharge in Massachusetts acute care hospitals.

Provider Price Variation in Massachusetts Health Insurance Survey (May 2019)
CHIA's update of provider price variation in  Massachusetts

Relative Price (RP) facilitates comparison of average provider prices, accounting for differences in patient acuity, the types of services providers deliver to patients, and the different insurance product types that payers offer to their members.

CHIA's latest update of provider price variation in the Massachusetts commercial health insurance market includes an executive summary, customizable interactive graphics, a databook, and a technical appendix.

Research Brief: Affordability Issues Persist Despite Near Universal Health Insurance Coverage (April 2019)
CHIA's Affordability Issues Persist Despite Near Universal Health Insurance Coverage: Findings from the Massachusetts Health Insurance Survey

Massachusetts has had near universal health insurance coverage since implementing the state’s 2006 health care reform law with additional coverage gains attained under the Affordable Care Act in 2014. However, Massachusetts has historically had health care costs that exceed national averages, making affordability a challenge for many residents despite their insurance coverage.

This brief outlines the scope of health care affordability issues among Massachusetts residents and the rates of affordability issues for population subgroups.

FY 2017 Hospital Readmissions Profiles (March 2019)
CHIA's March 2019 Hospital-specific readmissions profiles

Hospital-specific readmissions profiles gives key insights into the performance of each of the 58 acute care hospitals in Massachusetts.

 

Each profile highlights a hospital's readmission rate over time, as well as rates broken out by patient and discharge characteristics, including age, payer type, and discharge setting. Additionally, 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.

Enrollment Trends (February 2019)
CHIA's February 2019 edition of Enrollment Trends

This edition of Enrollment Trends offers new insights into changes in health insurance coverage in Massachusetts from September 2016 through September 2018. Coverage is defined as unique Massachusetts residents with primary, medical membership in the 14 largest commercial payers, MassHealth (Medicaid), and Medicare.

 

Included in the February 2019 edition of Enrollment Trends are a databook, technical appendix, and Massachusetts All-Payer Claims Database (MA APCD) programming code.