A new online supplement to the Annual Report explores utilization trends and the continued strain on the health care system, the emergence of new COVID-19 treatments and testing, and the adoption of telehealth as an essential part of the delivery system.
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The Annual Report on the Performance of the Massachusetts Health Care System includes a final calculation of Total Health Care Expenditures (THCE) for 2021. THCE is a measure of total statewide health care spending in the Commonwealth.
The report examines trends in costs, coverage, and quality indicators to inform policymaking. This year, the Annual Report focuses on data through 2021, during which policies to support Massachusetts residents and the health care system continued to evolve in response to the COVID-19 pandemic.
This report includes a new chapter on behavioral health pursuant to the recently passed Mental Health ABC Act: Addressing Barriers to Care, as well as new sections on telehealth and COVID-19-related spending and utilization.
Given the significant impacts of the pandemic on the health care system in 2020 and 2021, CHIA calculated Total Health Care Expenditures (THCE) and analyzed other relevant metrics on an annualized basis over the three-year period of 2019 to 2021, to provide a more contextualized picture of health care spending and utilization.
The Annual Report includes information from public and private sources related to specific health care expenditures for Massachusetts residents and examines adoption of alternative payment methods (APMs); commercial and public insurance enrollment, premium, and cost-sharing trends, quality of care in the Commonwealth compared to national performance; as well as provider and health system financial information.
Findings from the report were presented at the Health Policy Commission’s Hearing on the 2024 Health Care Cost Growth Benchmark on March 15, 2023.
The annual public hearing solicits data, information, and feedback from market participants, stakeholders, and other interested parties regarding whether modification of the Health Care Cost Growth Benchmark for calendar year 2024 is necessary. Members of the state Legislature’s Joint Committee on Health Care Financing, led by Senate Chair Cindy Friedman and House Chair John Lawn Jr., co-hosted this year's hearing alongside the HPC’s Board.
The hearing was livestreamed and is now posted on the Massachusetts Legislature’s web site.