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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

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.




























Other Recent CHIA Reports and Publications

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.

Massachusetts Enrollment Trends though September 2019 (March 2020)
Massachusetts Enrollment Trends though September 2019t

CHIA released an updated interactive dashboard of Enrollment Trends, offering new insights into changes in health insurance coverage in Massachusetts from September 2017 through September 2019.


Coverage is defined as unique Massachusetts residents with primary, medical membership in the 14 largest commercial payers, MassHealth (Medicaid), and Medicare.

Enrollment Trends 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.

Accounting for Social Risk Factors in Public Reporting
on Unplanned Hospital Readmissions in Massachusetts: A Workgroup Report (February 2020)
Social Risk Factors and Readmissions Workgroup Report

CHIA has released a report from the statewide Social Risk Factors and Readmissions Workgroup, which details the proposed solution for accounting for social risk factors in the public reporting of all-payer, unplanned hospital readmissions.

CHIA has adopted a conceptual framework for social risk factors and expanded its existing risk-adjustment model to incorporate patient- and community-level social risk factors. This enhanced methodology will be used in CHIA’s December 2020 annual readmissions report.

Commercial Prescription Drug Useand Spending, 2015-2017 (February 2020)
Commercial Prescription Drug Use & Spending Research

CHIA released its second study on prescription drug use and spending in an effort to shine a light on the drivers of pharmacy expenditures, including high volume and high cost drugs. To advance transparency in this area of the health care market for policymakers, researchers, and the public, CHIA has published an interactive dashboard and detailed dataset, allowing users to see drivers of prescription drug spending as well as the associated conditions these drugs treat.

Massachusetts Hospital Profiles Fiscal years 2014-2018 (January 2020)
Hospital Profiles Report Cover pubs page

Massachusetts Hospital Profiles provide information on acute and non-acute hospitals based on hospital characteristics, services, payer mix, utilization trends, cost trends, and financial performance over a five-year period through Fiscal Year 2018.

These profiles enable comparison against statewide and peer cohorts for each measure. These profiles are accessible through a user-friendly web application that allows users to see different data visualizations that provide insight into the acute hospital industry.

Continuous Skilled Nursing Care (CSNC) Biennial Report (January 2020)
See report on CNS

In accordance with M.G.L. c.12C §24 the Center for Health Information and Analysis (CHIA), in conjunction with MassHealth, completed a biennial study on the provision of continuous skilled nursing (CSN) services for both pediatric and adult populations in the Commonwealth.

Hospital-Wide Adult All-Payer Readmissions SFY 2011-2018 (December 2019)
Go to CHIA's Nursing Facility Performance web page

The Massachusetts Hospital-Wide Adult All-Payer Readmissions SFY 2011-2018 report provides a statewide look at readmissions from Massachusetts acute care hospitals, enabling insights into statewide, regional, and hospital-specific readmission rates, including breakdowns by payer type, discharge setting, and hospital characteristics.

This report is also accompanied by a databook, a technical appendix, and an infographic. 

Trends in the Massachusetts Nursing Facilities Industry (2013-2017) Report (November 2019)
Go to CHIA's Nursing Facility Report web page

Nursing facilities serve an important role in the continuum of health care services in Massachusetts, providing over 14 million patient days of service in 2017; an average of over thirty-nine thousand individuals received care from nursing facilities on a daily basis. To better understand this component of the health care system, CHIA's initial report examines the Commonwealth's nursing facilities at an industry level, as well as by analytic cohorts, on measures of utilization, financial performance, and quality of care over a five-year period (2013–2017).

In addition to this report, CHIA has also developed an analytic dashboard that facilitates a profile view of each of the 393 nursing facilities in Massachusetts.

Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals (October 2019)
Go to CHIA's Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals web page

Until recently, hospital readmission reduction efforts have focused primarily on medical or surgical conditions, with less emphasis on patients' behavioral health conditions. 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.

This report is also accompanied by a databook and technical appendix.

The 2019 Annual Report on the Performance of the Massachusetts Health Care System (October 2019)
Go to CHIA's Annual Report on the Performance of the Massachusetts Health Care System web page

The 2019 Annual Report on the Performance of the Massachusetts Health Care System presents a final calculation of the Commonwealth's Total Health Care Expenditures for 2017 and an initial calculation for 2018, as well as additional key indicators used to assess the performance of the state's health care system in 2018. Supporting materials include databooks, a dataset, and technical appendices.