What's New in Massachusetts Health Care

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    CHIA’s latest report finds that more than 1 in 8 Massachusetts residents carries family medical debt, most often caused by cost-sharing.

     

     

  • CHIA is in the process of updating its regulations regarding the annual industry assessments, 957 CMR 3.00, to implement recent statutory changes in chapters 342 and 343 of the Acts of 2024. Pending promulgation of these regulations, preliminary assessment payments will not be due October 1, 2025 (inclusive of Hospitals and Ambulatory Surgical Centers).

    CHIA will notify all assessed entities when assessment payments will be due.

     

  • Overall acute hospital profitability decreased by 1.6 percentage points from the prior year, according to CHIA’s HFY 2024 MA Hospital and Health System Annual Financial Performance Report.

    This publication also reports on the profitability of hospital health systems and non- acute hospitals.

     

  • CHIA is preparing to update all of its existing regulations and introduce a new regulation related to Pharmacy Benefit Manager (PBM) data reporting. Draft regulations will be promulgated in accordance with applicable law.

    CHIA invites input from data reporters to ensure that reporting requirements imposed under the regulations are not duplicative or excessive. If you have thoughts, concerns, or ideas related to CHIA’s regulations, contact regulations@chiamass.gov to learn more or to provide feedback.

  • CHIA’s annual update on provider price variation in the health care market shows that in 2023 nearly half of all health insurance payments to hospitals went to those with the highest relative prices.

    An interactive dashboard enables users to explore results for all Massachusetts hospitals and physician groups.

Learn about the MA APCD


Learn More About the MA APCD

The Massachusetts All-Payer Claims Database (MA APCD) is the most comprehensive source of health claims data from public and private payers providing insurance to Massachusetts residents and employees.

MA APCD claims data include: medical, pharmacy, dental, vision, behavioral health and specialty services.