Author: Massachusetts. Division of Health Care Finance and PolicyPublisher:
ISBN:
Category : Medical care
Languages : en
Pages : 52
Book Description
Massachusetts Health Care Cost Trends, 2010 Final Report
Author: Massachusetts. Division of Health Care Finance and PolicyPublisher:
ISBN:
Category : Medical care
Languages : en
Pages : 52
Book Description
Roadmap to Cost Containment
Author: Massachusetts Health Care Cost Trends
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 34
Book Description
The Massachusetts health care system is a critical component of the state's economy. Health care is the state's top industry, the largest employer of Massachusetts residents, and accounts for over 13 percent of its $365 billion Gross State Product (GSP). The Commonwealth Fund ranks Massachusetts first in terms of access to care and seventh overall among states on its State Scorecard, which measures health system performance. Massachusetts hospitals are often cited as among the best in the nation in terms of the quality of health care services provided, scoring higher than national average on treatment of major conditions. Furthermore, Massachusetts health insurers are consistently rated among the top ten best plans in each category nationwide. At the same time, Massachusetts is grappling with escalating health care costs, which are consuming a greater portion of the economy and lowering real wage growth. Some of the cost growth is driven by system-wide challenges, such as an aging population and the greater use and availability of increasingly complex levels of medical care, much of which can be uncoordinated. To that point, Massachusetts ranks in the lowest quartile of states for avoidable hospital use and costs on the Commonwealth Fund State Scorecard. However, some challenges, such as those that stem from the structure of the health care market place, are unique to Massachusetts and must be considered when identifying strategies to mitigate health care cost growth. This report examines the factors that contribute to high health care costs in Massachusetts, including the structure of the health care system and the payment methods currently used by Massachusetts health insurers. Understanding these factors will better prepare the Commonwealth to evaluate and develop reforms that have the potential to simultaneously contain cost growth and improve quality. Data describing the Massachusetts health care system are drawn from various published sources. Data on payment methods are based on the results of a 2009 questionnaire administered for the Division of Health Care Finance and Policy, in which Massachusetts insurers documented the ways in which they pay hospitals, physicians, and intermediary organizations (medical groups, Independent Practice Associations [IPAs] and physician-hospital organizations [PHOs]).
Massachusetts Health Care Cost Trends
Author: Publisher:
ISBN:
Category : Health insurance premiums
Languages : en
Pages : 25
Book Description
The Financial Professional's Guide to Healthcare Reform
Author: Mark DietrichPublisher: John Wiley & Sons
ISBN: 111823684X
Category : Business & Economics
Languages : en
Pages : 433
Book Description
A comprehensive reference guide interpreting and applying healthcare reform law for consultants, appraisers, accountants, and attorneys The Financial Consultants'Guide to Healthcare Reform provides an historical backdrop on how the healthcare system got to its present state including the Massachusetts Reform and Medicare Advantage along with an explanation of the principal types of health insurance in the United States and how "insurance" actually works. A review and explanation of each of the reform provisions follows, including an analysis of what the implications are for providers, consumers and business and what responses each of these communities might have to the Reform. Using the authors' insights and firsthand experiences in U.S. healthcare finance, this book explains the new healthcare law for individuals and businesses alike, what to expect from it and what actions they need to take to comply. Interprets and applies the health care reform law Provides examples of what the impact of the law might look like Extensive use of sidebars to provide in-depth analysis or background on particular topics of import, where the reader may need more detail to understand the context of Reform's changes. Written for consultants, appraisers, accountants, and attorneys Written by major figures in the world of healthcare valuation and consulting The Financial Consultants' Guide to Healthcare Reform provides a complete handbook to healthcare reform for financial consultants, both for understanding this important legislation as well as for planning responses to it.
Massachusetts Health Care Cost Trends
Author: Publisher:
ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 61
Book Description
Massachusetts Health Care Cost Trends
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 12
Book Description
As national health care spending has grown to an estimated 16.2 percent of Gross Domestic Product in 2008, Massachusetts and the nation are grappling with ways to mitigate the growth in health care costs. Each year, data at the national level are made available to document total spending growth, but until now similar data in Massachusetts have been lacking. This report will inform policy-makers and the public about factors contributing to the growth in health care spending in Massachusetts. Understanding these factors will better prepare the Commonwealth to evaluate and develop reforms that have the greatest impact on slowing the growth in health care costs while maintaining quality of care. This report is the third in a series to be issued by the Massachusetts Division of Health Care Finance and Policy (DHCFP) as part of its new responsibilities under Chapter 305 of the Acts of 2008. The law requires DHCFP to provide information and analysis on health care cost trends and the factors that underlie these trends. The information presented in these reports was developed with the strategic input of staff from Brandeis University's Heller School for Social Policy and Management, and with analysis conducted by Mathematica Policy Research, Inc. and Oliver Wyman Actuarial Consulting, Inc. This report documents the major trends in total spending for care covered by fully-insured and self-insured comprehensive private health insurance in Massachusetts from 2006 through 2008. Total spending includes the amounts paid by insurers and self-insured employers, as well as out-of-pocket expenses for covered services including co-payments, coinsurance and deductibles paid by members. Premium payments made by members and employers are not included. Findings are based on claims data provided by six major health insurers in Massachusetts who provide insurance to roughly 90 percent of privately insured. The analyzed claims represent roughly 65 percent of privately insured Massachusetts residents. Most of the remaining third of privately insured were enrolled with insurers that are affiliated with one of the six insurers studied, but whose claims data were not provided. Major Findings Between 2006 and 2008, private spending per member for health care.
Select Findings: 2016 Cost Trends Report
Author: Health Care Costs in Massachusetts
Author: R. C. BradburyHealth Care in Massachusetts
Author: Massachusetts. Division of Health Care Finance and PolicyPublisher:
ISBN:
Category :
Languages : en
Pages : 32
Book Description
Health Care in Massachusetts: Key Indicators is a quarterly report from the Division of Health Care Finance and Policy. Key Indicators provides an overview of the Massachusetts health care landscape through data reported by providers, health plans, government, and through surveys of Massachusetts residents and employers. The Division received positive feedback from readers of prior editions of this report and has incorporated suggestions for improvement where possible. We continue to strive to make this report as useful as possible and welcome your feedback. In this edition of Health Care in Massachusetts: Key Indicators, the Division found that since the implementation of health reform over 439,000 additional people have obtained health insurance. Nearly half of that growth (191,000) has been in private group coverage (i.e., through employers) or individual purchase. In the first quarter of the Health Safety Net, volume in hospitals and community health centers decreased by 37% compared to the same period in the prior year. Payments decreased by 41% over the same period. This edition also includes updates of the following: cost trends in health insurance premiums compared to the Commonwealth Health Insurance Connector Authority's new affordability schedule for 2008, health plan financial performance, hospital financial performance, community health center financial performance, and other indicators of health care in Massachusetts. New to this edition is detailed information on individual community health center financial performance. New data are currently unavailable for the employer survey and the access to care charts; these pages are carried over from the previous edition.