Publications

This issue of the HPC’s DataPoints series explores trends in GLP-1 prescriptions in Massachusetts through September 2023 and examines the use and spending impacts of these drugs in the Commonwealth.

This issue of the HPC’s DataPoints series analyzes the ASC landscape in Massachusetts including the location and services provided by ASCs, utilization among commercial and MassHealth patients, and prices in ASCs compared to HOPDs, as well as the regulatory context that has shaped the ASC industry in the Commonwealth.

This issue explores where commercially-insured residents in Massachusetts received flu vaccines between 2017 and 2021, and aims to increase understanding of differences in access and spending related to cost of flu vaccines among commercially-insured residents across the Commonwealth.

Since 2012, the Patient Protection and Affordable Care Act (ACA) contraceptive mandate has sought to make contraception more affordable and accessible for patients. The mandate requires commercial insurers to cover at least one form of contraception in each Federal Drug Administration (FDA)-approved category of contraception without patient cost-sharing, as well as related services.

Part two of this DataPoints focuses on shifts in site of care delivery in recent years and on spending and out-of-pocket spending by site of care, comparing urgent care centers, retail clinics, physician offices, hospital outpatient departments (HOPDs), and emergency departments (EDs).

Part one of this DataPoints focuses on the recent landscape of these alternative care sites, including trends in the number of sites; location by region and community income; and services, hours, and electronic health record systems used.

A key aspect of the affordability challenge in Massachusetts is rising out-of-pocket (OOP) costs. The HPC has found that average OOP spending among commercially-insured residents increased by 20% from 2015-2017, with an estimated 100,000 Massachusetts residents facing persistently high OOP spending.

The Executive Office of Health and Human Services (EOHHS), in collaboration with the Massachusetts Health Policy Commission (HPC) and the Center for Health Information Analysis (CHIA), convened the Quality Measure Alignment Taskforce (“Taskforce”) in 2017.

Access to high quality and affordable oral health care continues to be a challenge for many Massachusetts residents, in part due to inadequate insurance coverage, affordability of out-of-pocket costs, and a shortage of dental professionals caring for Medicaid patients.

The Massachusetts Health Policy Commission (HPC) estimated that nearly 40 cents of every additional dollar earned by Massachusetts families between 2016 and 2018 was spent on health care and that 23% of middle class families in Massachusetts with employer coverage devoted more than a quarter of all earnings to health care.