2020 Publications

Massachusetts Acute Care Hospital Inpatient Discharge Data offers new insights into hospital inpatient utilization patterns in the period leading up to the outbreak of COVID-19. This report presents key measures of inpatient utilization overall and by hospital, patient, and discharge characteristics. It marks the first in a new series providing analyses and trends from CHIA's Acute Hospital Case Mix Database, which is a database of stay-level encounters with acute care hospitals going back more than 20 years.

This report establishes an important baseline of inpatient utilization that can be used for public health initiatives, analyses of preventable hospitalizations and readmissions, and comparative cost and outcomes research.

CHIA's new hospital and health system financial performance report with data through June 30, 2020. provides a quarterly update on profitability, liquidity, and solvency for the fiscal year-to-date period. This report has additionally been expanded to include the financial impact of COVID-19 on hospitals.

Governor Baker declared a state of emergency on March 10; therefore this report includes the first four months of the financial impact of COVID-19 on hospital health care operations. Federal COVID-related funding was distributed in April, May, and June to hospitals as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act and is reflected in the data as operating revenue. State relief funds were also distributed to hospitals in this time period.

CHIA's monthly enrollment data summaries covers enrollment figures through September 2020. This edition includes six months of data following Governor Baker's state of emergency declaration on March 10, 2020. CHIA continues to produce this information in order to provide rapid insight into the impact of COVID-19 on insurance coverage in Massachusetts.

This edition includes a brief with data tables and a databook of enrollment information.CHIA intends to continue reporting on Massachusetts insurance coverage on a monthly basis as the impact of COVID-19 is further felt across insurance categories and market sectors.

The Center for Health Information and Analysis (CHIA) has published Offering and Enrollment in High Deductible Health Plans in Massachusetts Firms: Which Workers Can Offset Cost through a Savings Option?

With rising health care costs, employers that offer insurance coverage to employees have shifted toward HDHPs as a way to lower health insurance premiums, either including a HDHP as one choice in the set of plans offered to employees or as the only plan offered to employees. It is critical, therefore, to understanding the Commonwealth's health care system to have a full picture of HDHP access and enrollment among employees at Massachusetts firms.

CHIA's monthly enrollment data summaries provides information by key market sectors, in order to give more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth.

This monthly enrollment data summary through August 2020 includes a brief with data tables and technical notes, as well as a databook.

Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals is a statewide, all-payer examination of the prevalence of behavioral health comorbidities and readmissions among hospitalized adults in Massachusetts acute care hospitals.

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 new hospital and health system financial performance report includes the period of June and July 2020.

CHIA implemented a voluntary monthly financial data collection beginning in March 2020 in order to provide insight into the impact of COVID-19 on the Massachusetts health care system. This report provides an overview of the results of operations for 37 participating acute hospitals and 11 health systems.

This publication includes a report with release notes and detailed data tables as well as a databook.

The Massachusetts Acute Hospital and Health System Financial Performance for Fiscal Year 2019 report presents financial performance data 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 five-year period, fiscal years 2015 through 2019.

This CHIA publication also includes an interactive dashboard containing individual hospital information and five-year trend analyses, a databook and a technical appendix.

CHIA continues to produce monthly enrollment data summaries by key market sectors, in order to provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth. This monthly enrollment data summary through July 2020 includes a brief with data tables and technical notes, as well as a databook.

CHIA has also released the latest edition of its regular biannual Enrollment Trends report with data through March 2020. This publication includes an updated interactive dashboard, a databook, technical appendix, and MA APCD programming code.

This edition of the monthly enrollment data summaries includes enrollment figures through June 2020.

This month’s publication includes a brief with data tables and technical notes, as well as a databook. Monthly enrollment monitoring 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.

This report includes the first three months of the financial impact of COVID-19 on hospital health care operations, in addition to the implementation of federal COVID-related funding.

This publication includes a report with release notes and detailed data tables as well as a databook. For future monthly acute hospital and health system financial performance reports as well as CHIA's regular quarterly reports, please visit https://www.chiamass.gov/hospital-financial-performance/.

To provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth, CHIA is now producing monthly enrollment data summaries by key market sectors. This new report series is in addition to CHIA’s regular biannual Enrollment Trends reports.

This month’s publication includes enrollment figures through May 2020. CHIA intends to continue reporting on Massachusetts insurance coverage on a monthly basis as the impact of COVID-19 is further felt across insurance categories and market sectors.

This interactive dashboard on selected clinical quality measures for 2018 is part of CHIA's ongoing work to monitor health care quality in the Commonwealth. A Focus on Provider Quality: Selected Clinical Measures, 2018 examines performance across a subset of metrics from the NCQA Healthcare Effectiveness Data and Information Set (HEDIS ®).

This analysis explores the clinical performance of care delivered to Massachusetts commercial HMO/POS members during 2018, both at the statewide and primary care medical group levels.

CHIA released its second study on prescription drug use and spending in an effort to shine a light on the drivers of pharmacy expenditures, including high volume and high cost drugs. To advance transparency in this area of the health care market for policymakers, researchers, and the public, CHIA has published an interactive dashboard and detailed dataset, allowing users to see drivers of prescription drug spending as well as the associated conditions these drugs treat.

Massachusetts Hospital Profiles provide information on acute and non-acute hospitals based on hospital characteristics, services, payer mix, utilization trends, cost trends, and financial performance over a five-year period through Fiscal Year 2018.

These profiles enable comparison against statewide and peer cohorts for each measure. These profiles are accessible through a user-friendly web application that allows users to see different data visualizations that provide insight into the acute hospital industry.

In accordance with M.G.L. c.12C §24 the Center for Health Information and Analysis (CHIA), in conjunction with MassHealth, completed a biennial study on the provision of continuous skilled nursing (CSN) services for both pediatric and adult populations in the Commonwealth.