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An Inside Look: Affordability Findings from the Massachusetts Health Insurance Survey (March 2021)

Inside Looks - Findings from the Massachusetts Health INsurance Survey

In the second release of a new series of research notes—An Inside Look: Affordability Findings from the MHIS—CHIA explores health care affordability issues that Massachusetts residents face despite high rates of health insurance coverage in the Commonwealth.

Findings for the Inside Look series come from the Massachusetts Health Insurance Survey (MHIS). The MHIS provides information on health insurance coverage, health care access and use, and perceived health care affordability for the non-institutionalized population in Massachusetts.

An Inside Look: Affordability Findings from the Massachusetts Health Insurance Survey (February 2021)

Inside Looks - Findings from the Massachusetts Health INsurance Survey

This is the first installment in a new series of research notes, An Inside Look: Affordability Findings from the Massachusetts Health Insurance Survey (MHIS). This series will provide an in-depth analysis of health care affordability issues that Massachusetts residents face despite high rates of health insurance coverage in the Commonwealth.

This first installment includes two notes: Unexpected Medical Bills are a Challenge for Many and Problems Paying Family Medical Bills are a Burden for Some.

Future installments, to be published at the beginning of March and April, will cover family spending on health care, high deductible health plans, medical debt, and unmet health care needs.

Monthly Enrollment Summaries - Through November 2020 (January 2021)

Massachusetts Enrollment Summary Report - March 2019 through November 2020
This monthly enrollment data summary from March 2019 through November 2020 includes new key findings:
  • Coverage has remained relatively stable, with over 6.4 million Massachusetts residents receiving coverage from private commercial plans, MassHealth, or Medicare.
  • Private commercial insurance plans, which cover approximately 3.9 million Massachusetts residents, declined by 2.6%.
  • The number of individuals with primary MassHealth coverage grew by approximately 147,000, or 12.5%, in part due to the Families First Coronavirus Response Act.


 

 

 

 


 


 

 

 

 


 


 

 

 

 


 

 

 

 

 


 


 

 

 

 

 

 

 

 


Other Recent CHIA Reports and Publications

Monthly Enrollment Summaries - Through October 2020 (January 2021)
Massachusetts Enrollment Summary Report - JAnuary 2021

To provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth, CHIA is now producing monthly enrollment data summaries by key market sectors. This new report series is in addition to CHIA's regular biannual Enrollment Trends reports.

This month’s publication includes enrollment figures through October 2020. CHIA intends to continue reporting on Massachusetts insurance coverage on a monthly basis as the impact of COVID-19 is further felt across insurance categories and market sectors.

Massachusetts Acute Care Hospital Inpatient Discharge Data (December 2020)
Massachusetts Acute Care Hospital Inpatient Discharge Data Report - December 2020

Massachusetts Acute Care Hospital Inpatient Discharge Data offers new insights into hospital inpatient utilization patterns in the period leading up to the outbreak of COVID-19.

This report presents key measures of inpatient utilization overall and by hospital, patient, and discharge characteristics. It marks the first in a new series providing analyses and trends from CHIA's Acute Hospital Case Mix Database, which is a database of stay-level encounters with acute care hospitals going back more than 20 years.

Quarterly Hospital Financial Performance Report - Data Through June 30, 2020
Quarterly Financial Report - Data through June 30 2020

CHIA's new hospital and health system financial performance report with data through June 30, 2020. provides a quarterly update on profitability, liquidity, and solvency for the fiscal year-to-date period. This report has additionally been expanded to include the financial impact of COVID-19 on hospitals.

Governor Baker declared a state of emergency on March 10; therefore this report includes the first four months of the financial impact of COVID-19 on hospital health care operations. Federal COVID-related funding was distributed in April, May, and June to hospitals as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Monthly Enrollment Summaries - Through September 2020 (November 2020)
Enrollment Summary through September 2020

CHIA's monthly enrollment data summaries covers enrollment figures through September 2020. This edition includes six months of data following Governor Baker's state of emergency declaration on March 10, 2020. CHIA continues to produce this information in order to provide rapid insight into the impact of COVID-19 on insurance coverage in Massachusetts.

This edition includes a brief with data tables and a databook of enrollment information.CHIA intends to continue reporting on Massachusetts insurance coverage on a monthly basis as the impact of COVID-19 is further felt across insurance categories and market sectors.

Research Brief: Offering and Enrollment in High Deductible Health Plans in Massachusetts Firms (November 2020)
Research Brief: Offering and Enrollment in High Deductible Health Plans in Massachusetts Firms

The Center for Health Information and Analysis (CHIA) has published Offering and Enrollment in High Deductible Health Plans in Massachusetts Firms: Which Workers Can Offset Cost through a Savings Option?

With rising health care costs, employers that offer insurance coverage to employees have shifted toward HDHPs as a way to lower health insurance premiums, either including a HDHP as one choice in the set of plans offered to employees or as the only plan offered to employees. It is critical, therefore, to understanding the Commonwealth's health care system to have a full picture of HDHP access and enrollment among employees at Massachusetts firms.

Monthly Enrollment Summaries - Through August 2020 (October 2020)
Monthly Massachusetts Enrollment Summary (October 2020)

CHIA's monthly enrollment data summaries provides information by key market sectors, in order to give more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth.

This monthly enrollment data summary through August 2020 includes a brief with data tables and technical notes, as well as a databook.

Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals - SFY 2018 (October 2020)
Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals - SFY 2018 (October 2020)

Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals is a statewide, all-payer examination of the prevalence of behavioral health comorbidities and readmissions among hospitalized adults in Massachusetts acute care hospitals.

Given the high hospital utilization and cost associated with comorbid behavioral health conditions, stakeholders share a growing awareness that patients with behavioral health comorbidities may have a higher than average risk of readmissions, thus any efforts to reduce readmissions should include identifying risk factors associated with these populations.

Monthly Hospital Financial Performance Report - June and July (October 2020)
Massachusetts Acute Hospital and Health System Financial Performance for June and July 2020

This new hospital and health system financial performance report includes the period of June and July 2020.

CHIA implemented a voluntary monthly financial data collection beginning in March 2020 in order to provide insight into the impact of COVID-19 on the Massachusetts health care system. This report provides an overview of the results of operations for 37 participating acute hospitals and 11 health systems.

This publication includes a report with release notes and detailed data tables as well as a databook.

FY 2019 Massachusetts Acute Hospital and Health System Financial Performance (October 2020)
Massachusetts Acute Hospital and Health System Financial Performance for Fiscal Year 2019

The Massachusetts Acute Hospital and Health System Financial Performance for Fiscal Year 2019 report presents financial performance data using five metrics: total margin, operating margin, current ratio, average payment period, and equity financing. It also includes a comparison of the performance of four hospital cohorts (Academic Medical Centers, teaching, community, and community-High Public Payer) on each metric over a five-year period, fiscal years 2015 through 2019.

This CHIA publication also includes an interactive dashboard containing individual hospital information and five-year trend analyses, a databook and a technical appendix.

Monthly Enrollment Summary - Through July 2020 (September 2020)
Monthly Enrollment Summaries - data through July 2020

CHIA continues to produce monthly enrollment data summaries by key market sectors, in order to provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth. This monthly enrollment data summary through July 2020 includes a brief with data tables and technical notes, as well as a databook.

CHIA has also released the latest edition of its regular biannual Enrollment Trends report with data through March 2020. This publication includes an updated interactive dashboard, a databook, technical appendix, and MA APCD programming code.

Monthly Enrollment Summary - Through June 2020 (August 2020)
Monthly Enrollment Summaries - data through June 2020

This edition of the monthly enrollment data summaries includes enrollment figures through June 2020.

This month’s publication includes a brief with data tables and technical notes, as well as a databook. Monthly enrollment monitoring is produced using the MA APCD, supplemented with additional data from commercial payers, the Massachusetts Health Connector, and the Centers for Medicare and Medicaid Services.

Monthly Hospital Financial Performance Report (August 2020)
pubs page monthly hospital reports

This report includes the first three months of the financial impact of COVID-19 on hospital health care operations, in addition to the implementation of federal COVID-related funding.

This publication includes a report with release notes and detailed data tables as well as a databook. For future monthly acute hospital and health system financial performance reports as well as CHIA's regular quarterly reports, please visit https://www.chiamass.gov/hospital-financial-performance/.

Monthly Enrollment Summaries (July 2020)
Monthly Enrollment Summaries

To provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth, CHIA is now producing monthly enrollment data summaries by key market sectors. This new report series is in addition to CHIA’s regular biannual Enrollment Trends reports.

This month’s publication includes enrollment figures through May 2020. CHIA intends to continue reporting on Massachusetts insurance coverage on a monthly basis as the impact of COVID-19 is further felt across insurance categories and market sectors.

CHIA Releases Interactive Provider Quality Dashboard (June 2020)
pubs page MHIS Report Cover

This interactive dashboard on selected clinical quality measures for 2018 is part of CHIA's ongoing work to monitor health care quality in the Commonwealth. A Focus on Provider Quality: Selected Clinical Measures, 2018 examines performance across a subset of metrics from the NCQA Healthcare Effectiveness Data and Information Set (HEDIS ®).

 

This analysis explores the clinical performance of care delivered to Massachusetts commercial HMO/POS members during 2018, both at the statewide and primary care medical group levels.

CHIA Announces Results of 2019 MA Health Insurance Survey (April 2020)
pubs page MHIS Report Cover

The Findings from the 2019 Massachusetts Health Insurance Survey provides information on health insurance coverage, health care access and use, and health care affordability in the Commonwealth.

In an effort to better understand the experiences of Massachusetts residents in obtaining timely and affordable care, the 2019 survey includes more in-depth questions on health status, affordability issues for individuals and their families, and behavioral health.