Access to Insurance & Use of Care

CHIA measures Massachusetts health insurance coverage, access, and use of health care services, as well as evaluates the cost and medical efficacy of proposed insurance benefit mandates. The review of health benefit mandates supports balancing the goal of ensuring adequate protection for health care consumers with the goal of managing increasing health care costs. By evaluating the medical efficacy and cost impact of proposed benefit mandate bills, CHIA provides stakeholders with neutral, reliable information.

Our studies examine overall rates of insurance coverage and enrollment in major health plans throughout the Commonwealth. We also monitor trends in premiums paid to health plans, and how members utilize health care services. Through our mandated benefit reviews, we deliver guidance to the Massachusetts Legislature for statewide policy decisions regarding health plan benefit levels. By harnessing data from plans, providers, employers, and residents, we provide a comprehensive, holistic picture of access to health care in Massachusetts.