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State Profiles > Massachusetts

Massachusetts
Coverage1
Employer 57.4%
Individual 5.9%
Uninsured 2.8%
Public 34.0%

Massachusetts At-a-Glance

COVERAGE2
Average Annual Employer-Sponsored Insurance Premium (2017) $7,031
Employee Contributions to Premiums, Single Coverage (2017) 24.9%
Employees Enrolled in High Deductible Health Plans (2017) 39.2%
ACCESS TO CARE3
Had Usual Source of Medical Care Other than Emergency Department in Past Year (2016) 93.6%
No Trouble Finding Doctor in Past Year (2016) 96.1%
Told that Provider Does Accept Insurance Type in Past Year (2016) 97.2%
AFFORDABILITY3
Adults Who Forgo Needed Medical Care (2017) 9.3%
People with High Medical Care Cost Burden (2017) 21.9%
Made Changes to Medical Drugs Because of Cost in Past Year (2016) 16.4%
HEALTH CARE UTILIZATION3
Had General Doctor or Provider Visit in Past Year (2016) 82.2%
Had Visit to Emergency Department in Past Year (2016) 20.2%
Spent the Night in Hospital in Past Year (2016) 9.4%

Massachusetts State Resources

Click the links below for printable handouts on coverage in your state

SHADAC Resource on Required Evaluation Plans for DSRIP/Delivery System Reforms through 1115 Waivers

Introduction SHADAC researchers have extensive experience providing technical assistance to states on payment and delivery system reform, often supporting the evaluation and monitoring of these activities. Recently, we have been working with a subset of states pursuing innovative policies under the Medicaid 1115... Read More

Using 1115 Waivers to Fund State Uncompensated Care Pools

Definitions Uncompensated Care:[vii] Care for the uninsured or underinsured delivered in hospitals that is not fully reimbursed. Costs associated with uncompensated care include charity care when patients do not have the ability to pay, and/or bad debt from unpaid bills, and/or... Read More

New SHADAC Article for INQUIRY Estimates the Cost of National and State-Level Reinsurance Programs for Stabilizing the Individual Health Insurance Markets

In hopes of stabilizing individual insurance markets, the idea of reinsurance—a product designed to protect health insurers against the financial risk of covering high-cost enrollees—has attracted bipartisan interest from state and national policymakers. Alaska, Minnesota, and Oregon have already... Read More

SHADAC in INQUIRY: Estimating National and State-Level Costs of a Reinsurance Program to Stabilize the Individual Health Insurance Market

Reinsurance, an insurance product designed to protect health insurers against the financial risk of covering high-cost enrollees, has attracted bipartisan policy interest as a mechanism to stabilize individual health insurance markets. Three states—Alaska, Minnesota, and Oregon—have implemented state-based reinsurance... Read More

New SHADAC Issue Brief "Aligning Quality Measures across Payers: Lessons from State Innovation Models"

Currently, an increasing number of states are undertaking payment and delivery system reform, shifting away from fee-for-service reimbursement models that reward quantity and moving toward alternative payment models that reward value. A new issue brief from SHADAC researcher Colin Planalp examines the work of... Read More

New SHADAC Issue Brief Highlights Lessons Learned from SIM States Working to Align Quality Measures

In an effort to improve quality and contain the growing cost of health care, states are increasingly undertaking a shift away from fee-for-service reimbursement models that reward quantity and moving toward alternative payment models that reward value.  Many of the states leading the way in payment and... Read More

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    1. SHADAC analysis of the American Community Survey (ACS) Public Use Microdata Sample (PUMS) files. The sum of percentages may not be 100%, due to rounding. 
    2. Medical Expenditure Panel Survey - Insurance Component (MEPS-IC), Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT).
    3. SHADAC analysis of National Health Interview Survey (NHIS) data, National Center for Health Statistics (NCHS). The NHIS sample is drawn from the Integrated Health Interview Survey (IHIS, MN Population Center and SHADAC). Data were analyzed at the University of Minnesota's Census Research Data Center.