CHIA Reports on Provider Price Variation in Massachusetts


DATE : June 25, 2021

CHIA has released its annual update on provider price variation in the commercial health insurance market. Relative Price (RP) facilitates the 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. This publication also includes an interactive dashboard including data on cross-payer statewide-relative price (S-RP) results and payer-specific RP results.

This update encompasses data through calendar year 2019 for acute care hospitals and calendar year 2018 for physician groups.
 
Key Findings: 

  • In 2019, $10.8 billion was paid to acute care hospitals in Massachusetts for inpatient and outpatient services provided to patients with commercial insurance plans.

 

  • Academic Medical Centers received the largest portion of commercial payments statewide at 40.8%, while teaching hospitals received the lowest at 11.9%.

 

  • In 2018, $7.1 billion was paid to physician groups for services provided to patients with commercial insurance plans.

 

This publication includes an executive summary, interactive graphics, an analytic databook including data on S-RP and payer-specific RP, as well as a technical appendix and methodology report. Updated calendar year 2019 S-RP results are also available with this release.

 

For further information, please see:
https://www.chiamass.gov/relative-price-and-provider-price-variation