CHIA recently started a reporting series focused on health care equity in Massachusetts. While Massachusetts has made significant strides to mitigate barriers to access and affordability through legislative reforms and the implementation of the Affordable Care Act (ACA), substantial disparities persist among specific subpopulations in health insurance coverage, access, utilization, and affordability. Using data from multiple sources, CHIA seeks to prioritize the collection and analysis of reliable and meaningful health care information on subpopulations to inform policymakers, health care providers, payers, and other industry partners.
CHIA uses several data sources to explore equity issues facing the Commonwealth:
To read CHIA’s most recent equity reporting see below.
CHIA’s most recent report, Hospital Utilization in Massachusetts: An Assessment by Race & Ethnicity (SFY 2021) was published in August 2023. Using the Massachusetts Acute Hospital Case Mix Database (Case Mix), this report focuses on differences in acute care utilization by race and ethnicity.
Measures of acute care hospital utilization are often used to assess hospital quality and performance, monitor changing demand for acute care services, and estimate the overall health and disease burden of the population. CHIA regularly reports on inpatient, emergency department, and outpatient observation stay utilization in the Case Mix Standard Reporting series, as well as all-payer unplanned hospital readmissions and revisits. This reporting includes an initial examination of utilization patterns for patients by racial and ethnic groups across acute care settings, providing a more comprehensive look than previously reported in the Commonwealth.