Primary Care and Behavioral Health Care (PCBH) Expenditures


Primary care and behavioral health care (PCBH)
Expenditures:
Baseline Report

Overview

Primary care and behavioral health care (PCBH) comprise an array of vital services that can meaningfully shape patient outcomes and are often associated with lower health care costs and higher quality. However, comprehensive data on expenditures for these services in Massachusetts has been limited. To build a foundational dataset that can support future policy initiatives and provide insight into the Commonwealth’s investment in these areas, CHIA collected data on payments made by commercial health plans to health care providers delivering primary care and behavioral health services.

With the inclusion of data through 2020, this report captures the onset of the COVID-19 pandemic that began in March 2020. During this period, health care utilization and delivery were greatly impacted by the pandemic, including most notably for this context, delayed or cancelled primary care and preventive visits and a growing need for behavioral health services and support. Spending trends should be viewed within the context of these extraordinary circumstances, as the trends from 2020 may not accurately predict future results.

CHIA has also produced an interactive expenditures dashboard as part of the reporting series on health care expenditures in these health care areas. The report series and dashboard will be instrumental in supporting future policy initiatives and providing insight into the Commonwealth’s investment in primary care and behavioral health.

Dashboard Instructions

The initial dashboard tab provides an overview Total Primary Care and Behavioral Health Expenditures by Insurance Category for the three most recent years of data - CY2018, CY2019, and CY2020. The drilldown dashboard allows users to view total spending by service type and service category. You can also choose to filter the data by calendar year, insurance category, and pediatric indicator (whether the majority of attributed patients to a physician group are younger than 18). There is also an option to exclude OBGYN services from Primary Care as well as exclude BH Prescription Drug services from Behavioral Health (to see totals inclusive of these services, use the '(All)' option.


CY2018, CY2019 and CY2020 PCBH Expenditures Data

Updated September 2022

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