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CHIA Standard Statistics

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Last updated March 13, 2026

CHIA maintains a  set of standard statistics that measure the performance of the Massachusetts health care system. The information in the tables below is derived from CHIA's unique data sets or other Massachusetts-specific reliable sources. The standard statistics information has two focus areas:

Spending and Insurance Coverage

Measure
Current
Data
One Year
Prior
Two Years
Prior
Three Years
Prior

Total Health Care Expenditures
(THCE)
(Learn More)

Data Fact Sheet
$83.3 billion in 2024
$11,663 per capita
+5.7% from 2023
exceeds healthcare benchmark
$78.1 billion in 2023
$11,153 per capita
+8.6% from 2022
exceeds health care benchmark
$71.7 billion in 2022
$10,264 per capita
+5.8% from 2021
exceeds health care benchmark
$67.8 billion in 2021
$9,715 per capita
+9.0% from 2020*
exceeds health care benchmark

Total Medical Expenses for
Commercially Insured Members
(Learn More)

Data Fact Sheet
$675 PMPM in 2024
+7.3%
from CY 2023 to 2024
$629 PMPM in 2023
+2.3% 
from CY 2022 to 2023
$615 PMPM in 2022
+3.9% 
from CY 2021 to 2022
$592 PMPM in 2020
+16.1% 
from CY 2020 to 2021

Average Cost of
Commercial Coverage
(Learn More)

Data Fact Sheet

 Fully Insured Premiums
$649 PMPM in 2024 
+2.9%
from CY 2023 to 2024
$631 PMPM in 2023 
+6.0% 
from CY 2022 to 2023
$595 PMPM in 2022
+5.8% 
from CY 2021 to 2022
$563 PMPM in 2021
+6.6% 
from CY 2020 to 2021

Commercial Health
Insurance Benefit Levels
(Paid-to-Allowed
Claims Ratio)
(Learn More)

Data Fact Sheet

 Fully
and Self-Insured
0.894
in 2024
0.891
in 2023
0.891
in 2022
0.895
in 2021
Fully Insured
0.875
in 2024
0.867
in 2023
0.872
in 2022
0.880
in 2021
Self-Insured
0.905
in 2024
0.905
in 2023
0.905
in 2022
0.908
in 2021

Average Commercial
Member Cost-Sharing
Level
(Learn More)

Data Fact Sheet

 Fully 
and Self-Insured

$71 PMPM in 2024
+4.4%
from CY 2023 to 2024

$68 PMPM in 2023
+5.9% 
from CY 2022 to 2023

$61 PMPM in 2022
+6.0% 
from CY 2021 to 2022

$58 PMPM in 2021
+18.4%
from CY  2020 to CY 2021

Fully Insured

$85 PMPM in 2024
+1.4%
from CY 2023 to CY 2024

$84 PMPM in 2023
+10.5%
from CY 2022 to CY 2023

$76 PMPM in 2022
+9.7%
from CY 2021 to 2022

$69 PMPM in 2021
+22.1%
from CY 2020 to 2021
Self-Insured
$63 PMPM in 2024
+7.0%
from CY 2023 to 2024
$58 PMPM in 2023
+2.9%
from CY 2022 to 2023
$52 PMPM in 2022
+2.8%
from CY 2021 to 2022
$51 PMPM in 2021
+15.7%
from CY 2020 to 2021

Percent of Members
Whose Care is Covered
by Alternative
Payment Methods
(Learn More)

Data Fact Sheet

 Commercial
35.1%
-5.4 pp
from CY 2023 to 2024
40.5%
-0.9 pp 
from CY 2022 to 2023
41.4%
-0.8 pp 
from CY 2021 to 2022
42.2%
+0.7 pp 
from CY 2020 to 2021
MassHealth MCOs
92.1%
+3.1 pp 
from CY 2023 to 2024
89.0%
+1.6 pp 
from CY 2022 to 2023
87.4%
consistent 
from CY 2021 to 2022
87.4%
+0.5 pp 
from CY 2020 to 2021

 *3.2% annualized 2019-2021 

Massachusetts Provider Utilization and Performance

Measure
Current Data
One Year
Prior
Two Years
Prior
 Three Years Prior

Total Number of
Inpatient Discharges
(Learn More)

Data Fact Sheet
755,063 in FY 2024
+0.6% from FY 2023
750,307 in FY 2023
+2.6% from FY 2022
731,450 in FY 2022
-2.8% from FY 2021
752,803 in FY 2021 
-0.4% from FY 2020

Most Frequent Inpatient Discharges by Diagnostic
Related Group (DRG)
(Learn More)

Data Fact Sheet

FY 24

Normal Neonate Births
(59,576 / +1.2.%)

Septicemia & Infections
(43,807 / +12.5%)

Vaginal Delivery
(40,753 / -0.5%)

Heart Failure
(26,491 / -0.6%)

Cesarean Delivery
(22,562 / +0.3%)

FY 23

Normal Neonate Births
(58,878 / -2.6.%)

Vaginal Delivery
(40,941 / -3.6%)

Septicemia & Infections
(38,946 / +10.6%)

Heart Failure
(26,652 / +4.8%)

Cesarean Delivery
(22,490 / +0.0%)

FY 22

Normal Neonate Births
(60,472 / +1.2%)

Vaginal Delivery
(42,454 / -0.8%)

Septicemia & Infections
(35,207 / -2.9%)

Major Respiratory Infections & Inflammations
(29,213 / -5.4%)

Heart Failure
(25,426/ +0.7%)

FY 21

Normal Neonate Births
(59,766 / -0.8%)

Vaginal Delivery
(42,775 / -0.5%)

Septicemia & Infections
(36,273 / +9.8%)

Major Respiratory Infections & Inflammations
(30,895 / +70.1%)

Heart Failure
(25,616/ +4.8%)

Statewide Number of Emergency Department Visits
(Learn More)

Data Fact Sheet
2,707,158
in FY 2024
2,803,298
in FY 2023
2,721,133
in FY 2022
2,547,420
in FY 2021

Statewide Unplanned
Readmission Rate
(Learn More)

Data Fact Sheet
-
15.9%
in 2020
15.4%
in 2018
15.4%
in 2017

Median Hospital
Total Margin
(Statewide)
(Learn More)

Data Fact Sheet
0.6%
in 2024
2.2%
in 2023
-4.2%
in 2022
5.1%
in 2021

Relative Price
Statewide Relative Price (S-RP) Results
(Learn More)

Data Fact Sheet

N.B.: RP values are not comparable year to year.
 CY 2019

Range of S-RP Values: 0.717-1.870

Median S-RP: 0.920
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