Publications

This DataPoints issue provides key facts about the 14 ACOs that were recertified by the HPC in December 2019 (“certified ACOs”), with a focus on their risk contracts, approaches to provider compensation, and delivery system improvement efforts.

In this issue of DataPoints, the HPC uses data from the MA-RPO program, a first-in-the-nation statutory reporting requirement designed to collect public, standardized information on the structures and relationships of large Massachusetts providers, to examine physician affiliations and changes in the physician market.

In this issue of DataPoints, the HPC analyzed commercial claims for telehealth services from 2015 to 2017 (the most recent data available at time of publication) to characterize the extent and growth of telehealth usage among Massachusetts residents.

Emerging innovations and promising outcomes from an HPC investment program

This DataPoints issue presents Massachusetts data from FAIR Health, Inc. on several specific services often involved in “surprise billing” scenarios and shows how payments would vary under different out-of-network payment benchmarks.

This issue of HPC DataPoints examines the variation in opioid-related emergency department (ED) utilization in Massachusetts by zip code, as an accompaniment to the HPC’s recently released chartpack, Opioid-Related Acute Hospital Utilization in Massachusetts.

This twelfth issue of HPC DataPoints contains new data on PBM pricing for generic drugs in the Massachusetts Medicaid and commercial market.

This issue of DataPoints analyzes spending trends from 2013 to 2016 for commercially insured patients who have diabetes and use insulin to manage their condition.

In 2012, the Massachusetts legislature enacted a landmark health care cost containment law which set the ambitious goal of bringing health care spending growth in line with the growth in the state’s overall economy. It sought to do this by instituting a health care cost growth benchmark, a statewide target for the rate of growth of total health care expenditures (THCE).

In this ninth DataPoints issue, the HPC presents OPP data from 2014 through 2017 to show trends over time with an emphasis on internal appeals and external reviews related to behavioral health treatment.