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Massachusetts Acute Hospital and Health System Financial Performance Preliminary Update on Fiscal Year 2021 Data
(May 2022)

Preliminary Massachusetts Hospitals and health Systems Financial Report

CHIA's new report on hospital and health system financial performance for fiscal year (FY) 2021 provides a view of profitability, liquidity, and solvency for a majority of Massachusetts acute hospitals (47 of 61), as well as hospital health systems (21 of 25) in FY 2021.

Overall acute hospital profitability in FY 2021, as measured by the median total margin, was 6.0%, an increase of 2.9 percentage points in comparison to the prior fiscal year. The statewide median operating margin was 1.2%, a decrease of 0.1 percentage points compared to FY 2020.

Health Insurance Coverage and Care in Massachusetts: A Baseline Assessment of Gaps by Region
(April 2022)

Health Insurance Coverage and Care in Massachusetts, 2015-2019: A Baseline Assessment of Gaps by Region

Health Insurance Coverage and Care in Massachusetts, 2015-2019: A Baseline Assessment of Gaps by Region, provides a baseline assessment of gaps in health insurance coverage, access, utilization, and affordability in the period leading up to the COVID-19 pandemic across eight regions in Massachusetts.

To advance the goal of health care equity in Massachusetts, it is important to examine how geographic differences impact residents’ health insurance coverage and access to care in the Commonwealth.

Hospital Profiles
(April 2022)

Hospital Profiles - April 2022

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

Hospital Health System (HHS) profiles provide a summary of financial performance and relative size of component entities for the hospital health system and their affiliated acute hospitals, physician organizations, and health plans. This report highlights the importance of differentiating the financial health and status of acute care hospitals from the parent organizations.


 

 

 

 


 


 

 

 

 


 


 

 

 

 


 

 

 

 

 


 


 

 

 

 

 

 

 


Other Recent CHIA Reports and Publications

DataMatters - March 2022 Edition
(March 2022)
DataMatters - March 2022 Edition

This DataMatters highlights CHIA’s just-out Annual Report on the Performance of the Massachusetts Health Care System and the myriad of Massachusetts health costs and spending topics it covers - including Total Health Care Expenditures.

This issue’s “Data User Profile” features the Health Policy Commission's publication that combined two CHIA data sources – APCD-based birth episode data and quality data produced by the Leapfrog Group and compiled by CHIA in our Focus on Provider Quality report – along with Department of Public Health birth record data. The profile looks at research into midwife care and associated spending and quality outcomes in Massachusetts hospitals.

Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2020
(March 2022)
Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2020

Unplanned hospital readmissions are a costly and potentially preventable problem that impacts patient health and experience of care both nationally and in Massachusetts. Readmissions are a central issue in efforts to improve health care quality and reduce costs.

Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2020 is the seventh in CHIA’s annual series of all-payer readmission reports and updates previous reports. This report provides a significant update to the methodology CHIA uses to compare hospital readmission rates.

The Annual Report on the Performance of the Massachusetts Health Care System
(March 2022)

The Annual Report on the Performance of the Massachusetts Health Care System includes a final calculation of Total Health Care Expenditures (THCE) for 2020. THCE is a measure of total statewide health care spending in the Commonwealth.


The report includes information from public and private sources related to specific health care expenditures for Massachusetts residents, quality of care in the Commonwealth compared to national performance, enrollment and coverage trends, premiums and member cost-sharing and payer use of funds as well as hospital and nursing facility financial and utilization trends.

DataMatters - January 2022 Edition
(January 2022)
DataMatters - November 2021 Edition Image

In the January edition, CHIA takes on the hot topic of health equity. CHIA's newly-published Health Insurance Coverage and Care in Massachusetts, 2015-2019: A Baseline Assessment of Gaps by Age, Race and Ethnicity, and Income focuses on several factors as measured by the agency's Massachusetts Health Insurance Survey.

Physical ability (or disability) status can also determine whether two people receive the same health care – as documented by findings from a University of Michigan-Brandeis University team whose  research is featured in our "Data User Profile." The team used CHIA's All-Payer Claims Database (APCD) to explore whether deaf or hard-of-hearing individuals received comparable contraceptive care.

Outpatient Observation Database (OOD) Reporting
(January 2022)
Pubs page OOD 2022 image

Under state law, CHIA maintains a database of stay-level encounters with acute care hospitals going back more than 20 years.

This new report provides insight into observation department visits in all acute care hospitals in Massachusetts over a four-year period, from FFY 2016 to FFY 2019 (October 1, 2015 to September 30, 2019). This report presents key measures of observation department utilization overall and by hospital, patient demographic, and visit characteristics and is also accompanied by a databook and technical appendix.

Continuous Skilled Nursing Care Biennial Report
(January 2022)
Image of Massachusetts State House pubs page

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.

Health Insurance Coverage and Care in Massachusetts, 2015-2019:
- A Baseline Assessment of Gaps by Age, Race and Ethnicity, and Income
(December 2021)
Health Equity 2021 pubs page

CHIA has launched a new series exploring health care equity issues in the Commonwealth, beginning with a baseline assessment of gaps in health insurance coverage, access, utilization, and affordability in the period leading up to the COVID-19 pandemic.

Findings from this series are derived from the 2015, 2017, and 2019 Massachusetts Health Insurance Survey (MHIS). CHIA will continue to monitor developments in these domains for different subpopulations as insights from this report series may help inform efforts to better target interventions for a more equitable health care system in the Commonwealth.

DataMatters - November 2021 Edition
(November 2021)
DataMatters - November 2021 Edition Image

CHIA data supports two critical Commonwealth of Massachusetts missions: lowering health care costs and reducing administrative burden in regulation.

In the November edition, you’ll learn more about CHIA’s Total Medical Expenses (TME) data and how it is used as part of the state’s annual cost growth benchmarking process. You can also read how the Division of Insurance (DOI) uses CHIA's APCD data to increase its speed and efficiency in ensuring the financial solvency of the companies it regulates.

DataMatters - September 2021 Edition
(September 2021)
DataMatters - September 2021 Edition Image

Health care quality is the focus of September’s DataMatters. Check out the new Quality of Care in the Commonwealth dashboard. The  “Data User Profile” section highlights a study that used MA-APCD data to show what happened to health costs and utilization when one widely-used quality measure is put into practice.

CHIA is also partnering with the Massachusetts Health and Hospital Association and select acute care hospitals to pilot a program to reduce readmissions and enhance patient experience. To read more, check out the September edition of DataMatters.

Focus on Provider Quality
(September 2021)
Quality Report

CHIA monitors and reports on health care quality using measures. The metrics cross different domains of quality assessment, including:

  • Health care-associated infections
  • Mortality Medication safety
  • Matrnity-related care
  • Effective care processes
  • Hospital patient experience
  • Primary care patient experience
Hospital and Health System Financial Performance Quarterly Update - Data through 6/30/2021
(September 2021)
Hospital Quarterly Financial Reporting

CHIA reports both annually and quarterly on the performance of the Commonwealth’s acute care hospitals, associated hospital health systems, and affiliated physician organizations.

See the latest quarterly update with data through June 2021.

Massachusetts FY 2020 Acute Hospital and Health System Financial Performance Report
(September 2021)
Massachusetts FY 2020 Acute Hospital and Health System Financial Performance Report Image

The Annual Massachusetts Acute Hospital and Health System Financial Performance Report for fiscal year (FY) 2020 incorporates the financial impact of COVID-19 on hospitals during FY 2020, including the distribution of federal COVID relief funding as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act starting in April 2020, as well as the distribution of state relief funds.

CHIA is releasing this report with an interactive dashboard containing information for each acute hospital and their hospital health system. There are also individual hospital fact sheets containing information on profitability, liquidity, and solvency.

Massachusetts Acute Care Hospital Emergency Department Data (FFY 2016-2019)
(September 2021)
Emergency Department Report Image

Massachusetts Acute Care Hospital Emergency Department Data (FFY 2016-2019) presents key measures of emergency department (ED) utilization overall and by hospital, patient, and visit characteristics.

This is the first annual statewide report on ED utilization and part of a new reporting series providing analyses on patterns and trends of acute care hospital services from CHIA’s Case Mix database. CHIA has also published a  report on inpatient visits in Massachusetts  and is currently developing a report on outpatient observation visits in the Commonwealth.

Enrollment Trends and Enrollment Summary
(September 2021)
Enrollment Trends and Enrollment Summary

At the onset of the pandemic, CHIA began producing monthly enrollment data summaries in order to provide more rapid insight into the impact of COVID-19 on insurance coverage in the Commonwealth. CHIA's latest edition of the monthly enrollment data summaries contains figures through June 2021.

For a more granular insight into enrollment, CHIA has also released its regular biannual Enrollment Trends report with data through March 2021. Enrollment Trends includes an interactive dashboard, which contains detailed breakdowns by payer and product type.

DataMatters - July 2021 Edition
(July 2021)

This issue of DataMatters highlights our first report documenting unmet health-related social needs using the Massachusetts Health Insurance Survey. This issue also features a Texas-based research team that used CHIA's hospital discharge data to inform their just-published study, Emergency Department Utilization by Adolescents Experiencing Homelessness in Massachusetts.

You can also catch up on CHIA's reviews of mandated health insurance benefits in the Commonwealth, our published hospital and health system financial data, and our latest examination of provider price variation.

Updated Quarterly Inpatient Discharge Report
(July 2021)
Hospital image

The Massachusetts Acute Care Hospital Inpatient Discharge Data (FFY 2016-2019) report offers timely insights into monthly inpatient utilization patterns, discharge characteristics, diagnoses, and procedures through a series of interactive dashboards.

This update adds new data from the latest quarter, January through March 2021, to monthly summary data available starting in October 2018. A summary and an accompanying databook are also available.

Acute Hospital Financial Performance: Data through March 31, 2021
(July 2021)

The Massachusetts Acute Hospital Financial Performance report provides a quarterly update on profitability, liquidity, and solvency for the fiscal year-to-date period ending March 31, 2021.

Hospital financial performance was significantly impacted by COVID-19 during calendar year 2020. The period ending March 31, 2020, which is used as a comparison for the data in this report, includes the first few weeks of the impact of COVID-19 on health care operations.

Research Brief: Studying Unmet Health-Related Social Needs in Massachusetts Residents
(June 2021)

CHIA has released its latest research brief, Over Half of Massachusetts Residents Report Unmet Health-Related Social Needs in Their Families.

Unmet unmet health-related social needs (HRSNs) are associated with poorer health, compromised health care access, and higher health care costs. Survey respondents who reported food insecurity, housing instability, financial strain, and/or employment instability in their families were considered to have an unmet HRSN. This research  addresses an important gap in our understanding of unmet HRSNs for Massachusetts residents.

Provider Price Variation in Massachusetts
(June 2021)

CHIA has released its annual update on provider price variation in the commercial health insurance market. Relative Price (RP) facilitates the comparison of average provider prices accounting for differences in patient acuity, the types of services providers deliver to patients, and the different insurance product types that payers offer to their members.

This publication also includes an interactive dashboard including data on cross-payer statewide-relative price (S-RP) results and payer-specific RP results.