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This page was last updated: March 13, 2023.
CHIA maintains a set of standard statistics that measure the performance of the Massachusetts health care system. The information in the tables below is derived from CHIA's unique data sets or other Massachusetts-specific reliable sources. The standard statistics information has two focus areas:
Measure |
Current
Data |
Antecedent Data
|
Prior Data
| Fact Sheet | |
---|---|---|---|---|---|
Total Health Care Expenditures |
$67.9 billion in 2021
$9,715 per capita +9.0% from 2020 (exceeds health care benchmark) Note: 3.2% annualized from 2019 to 2021 |
$62.6 billion in 2020
$8,912 per capita -2.3% from 2019 (below health care benchmark) |
$63.0 billion in 2019
$9,130 per capita +4.1% from 2018 (exceeds health care benchmark) |
||
$592 PMPM in 2020
+16.1% from CY2020 to CY2021 |
$510 PMPM in 2020
-1.9% from CY2019 to CY2020 |
$522 PMPM in 2019 +3.6% from CY2018 to CY2019 |
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||
Insurance Rate of
Massachusetts Residents (Learn more) |
97.6 % in 2021
|
97.1% in 2019
|
96.3% in 2016
|
||
Percent of Massachusetts Employers Offering Health Insurance |
74% in 2021
|
71% in 2018
|
65% in 2016
|
||
Average Cost of |
Fully-Insured Premiums |
$563 PMPM in 2021
+6.6% from CY2020 to CY2021 |
$529 PMPM in 2020
+2.6% from CY2019 to CY2020 |
$516 PMPM in 2019
+2.3% from CY2018 to CY2019 |
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Commercial Health |
Fully- and Self-Insured |
0.895 in 2021
|
0.897 in 2020
|
0.885 in 2019
|
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Fully-Insured |
0.880 in 2021
|
0.888 in 2020
|
0.873 in 2019
|
||
Self-Insured |
0.908 in 2021
|
0.905 in 2020
|
0.894 in 2019
|
||
Average Commercial |
Fully- and Self-Insured |
$58 PMPM in 2021 |
$49 PMPM in 2020 |
$59 PMPM in 2019 |
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Fully-Insured |
$69 PMPM in 2021 |
$56 PMPM in 2020 |
$66 PMPM in 2019
|
||
Self-Insured |
$50 PMPM in 2021
+11.6% from CY2020 to CY2021 |
$45 PMPM in 2020
-15.4% from CY2019 to CY2020 |
$54 PMPM in 2019
+2.0% from CY2018 to CY2019
|
||
Enrollment in |
Private Commercial |
3,916,305 in Sept. 2021 |
3,937,651 in Sept. 2020
(-2.3% Sept. 2018 to Sept. 2020) |
4,055,344 in Sept. 2018
(-0.7% Sept. 2017 to Sept. 2018) |
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MassHealth (Direct) |
1,419,611 in Sept. 2021 |
1,287,493 in Sept. 2020
(+3.5% Sept. 2018 to Sept. 2020) |
1,237,091 in Sept. 2018
(-1.0% Sept. 2017 to Sept. 2018) |
||
SCO, One Care, PACE |
104,863 in Sept. 2021 |
98,365 in Sept. 2020
(+18.8% Sept. 2018 to Sept. 2020) |
82,817 in Sept 2018
(+13.8% Sept. 2017 to Sept. 2018) |
||
Medicare |
1,140,586 in Sept. 2021 |
1,128,063 in Sept. 2020
(+2.8% Sept. 2018 to Sept. 2020) |
1,097,691 in Sept. 2018
(+1.5% Sept. 2017 to Sept. 2018) |
||
Percent of Members |
Commercial |
40.1%
-0.6 pp from CY2020 to CY2021 |
40.7%
-0.2 pp from CY2019 to CY2020 |
40.93%
-0.9 pp from CY2018 to CY2019 |
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MassHealth MCOs |
87.2% +0.5 pp from CY2020 to CY2021 |
86.8% +2.8 pp from CY2019 to CY2020 |
84.5% +17.1 pp from CY2018 to CY2019 |
||
Measure |
Current Data
|
Antecedent Data
|
Prior Data
| Fact Sheet |
---|---|---|---|---|
Total Number of |
749,443 in FY2020
-7.5% from FY2019 to FY2020 |
810,357 in FY2019
-0.4% from FY2018 to FY2019 |
813,618 in FY2018
-0.2% from FY2017 to FY2018 |
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Most Frequent Inpatient Discharges by Diagnostic |
FY20 Normal Neonate Births Vaginal Delivery Septicemia & Infections Heart Failure Cesarean Delivery |
FY19 Normal Neonate Births Vaginal Delivery Septicemia & Infections Heart Failure Cesarean Delivery |
FY18 Normal Neonate Births Vaginal Delivery Septicemia & Infections Heart Failure Cesarean Delivery |
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Statewide Number of |
2,571,277
in FY2020 |
3,150,303
in FY2019 |
3,146,507
in FY2018 |
|
Statewide Unplanned |
15.9%
in 2020 |
15.4%
in 2018 |
15.4%
in 2017 |
|
Median Hospital |
2.6%
in 2020 |
3.5%
in 2019 |
4.5% in 2018 |
|
Relative Price |
CY2019
Range of S-RP Values: 0.717–1.870 Median S-RP: 0.920 |
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