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MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare
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MMS State of the State: JudyAnn Bigby- Overview of the State of the State's Healthcare

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    • 1. Overview of the State of the State’s Healthcare Secretary JudyAnn Bigby Massachusetts Medical Society October 2008
    • 2. Overview of the State of the State’s Healthcare <ul><li>Access </li></ul><ul><li>Costs </li></ul><ul><li>Financial Performance </li></ul><ul><li>Long term Care </li></ul><ul><li>Physician Workforce </li></ul><ul><li>Quality </li></ul><ul><li>Disparities </li></ul><ul><li>Summary </li></ul>
    • 3. Insurance
    • 4. Health Insurance
    • 5. Health Insurance
    • 6. Health Insurance
    • 7. Health Insurance
    • 8. Access
    • 9. Access to Providers
    • 10. Impact on Access to Care Source: On the Road to Universal Coverage: Early Impacts of Health Reform in Massachusetts (Sharon Long, Urban Institute June 2008)
    • 11. Impact on Access to Care Source: On the Road to Universal Coverage: Early Impacts of Health Reform in Massachusetts (Sharon Long, Urban Institute June 2008)
    • 12. Impact on Affordability of Care Source: On the Road to Universal Coverage: Early Impacts of Health Reform in Massachusetts (Sharon Long, Urban Institute June 2008)
    • 13. Impact on Affordability of Care: Out-of-Pocket HC Costs Source: On the Road to Universal Coverage: Early Impacts of Health Reform in Massachusetts (Sharon Long, Urban Institute June 2008)
    • 14. Problems paying bills and medical debt for low-income adults Source: On the Road to Universal Coverage: Early Impacts of Health Reform in Massachusetts (Sharon Long, Urban Institute June 2008)
    • 15. Health Care Costs
    • 16. Health Care Costs
    • 17. Financial Performance
    • 18. Financial Performance
    • 19. Financial Performance
    • 20. Financial Performance
    • 21. Financial Performance
    • 22. Financial Performance
    • 23. Financial Performance
    • 24. Financial Performance
    • 25. Nursing Facility Industry Profile All Payers <ul><li>Number of Facilities: 433 </li></ul><ul><ul><li>Urban Facilities: 113 </li></ul></ul><ul><li>Number of Licensed Beds (1/1/08 Census): 47,946 </li></ul><ul><ul><li>Average Occupancy (1/1/08 Census): 91% </li></ul></ul><ul><li>Licensed beds in Urban Areas (1/1/08 Census): 10,902 </li></ul><ul><ul><li>Average Urban Occupancy (1/1/08 Census): 91% </li></ul></ul><ul><li>Percentage For-Profit: 73% </li></ul><ul><li>Total Industry Revenue 2007 - $3.7B </li></ul><ul><li>Payer Mix </li></ul><ul><ul><li>MassHealth 66.9% </li></ul></ul><ul><ul><li>Medicare 14.5% </li></ul></ul><ul><ul><li>Private/Other 17.4% </li></ul></ul>
    • 26. MassHealth Nursing Facility Utilization &amp; Spending FY 03-08
    • 27. MassHealth Long-term Care Spending: FY03 - 08
    • 28. Physician Workforce <ul><li>MMS Workforce Study 2008 Critical or Severe Shortages </li></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Emergency Medicine </li></ul></ul><ul><ul><li>Family Medicine </li></ul></ul><ul><ul><li>General Surgery </li></ul></ul><ul><ul><li>Internal Medicine </li></ul></ul><ul><ul><li>Neurology </li></ul></ul><ul><ul><li>Oncology </li></ul></ul><ul><ul><li>Orthopedics </li></ul></ul><ul><ul><li>Psychiatry </li></ul></ul><ul><ul><li>Urology </li></ul></ul><ul><ul><li>Vascular Surgery </li></ul></ul>* Residents, fellows, semi-retired, retired, temporarily not in practice, not active physicians excluded 2007 State Physician Workforce Data Book, Association of American Medical Colleges
    • 29. Quality of Care <ul><li>Generally Massachusetts ranks very highly among nationally applied indicators </li></ul><ul><ul><li>Mass ranks as well as or better than national average on 23 of 24 ARHQ indicators </li></ul></ul><ul><li>Opportunity for focus and alignment of: </li></ul><ul><ul><li>Measures </li></ul></ul><ul><ul><li>Focus </li></ul></ul><ul><ul><ul><li>Chronic disease </li></ul></ul></ul><ul><ul><ul><li>Care transitions and coordination </li></ul></ul></ul><ul><ul><li>Attention to clinical care in arenas other than hospitals </li></ul></ul><ul><ul><li>As a means to control costs </li></ul></ul><ul><li>Lots of Activity </li></ul><ul><li>HCQCC </li></ul><ul><li>MAHP and individual health plans </li></ul><ul><li>Mass Health Quality Partners </li></ul><ul><li>Mass E-Health Collaborative </li></ul><ul><li>MassPro </li></ul><ul><li>Mass Coalition for Prevention of Medical Errors </li></ul><ul><li>State Quality Improvement Institute </li></ul><ul><li>Mass Health Data Consortium </li></ul><ul><li>Medicare </li></ul><ul><li>Bridges to Excellence </li></ul><ul><li>National Quality Forum </li></ul><ul><li>IHI </li></ul><ul><li>Leapfrog </li></ul>
    • 30. Disparities
    • 31. Disparities From: Long S. Who Gained the Most Under Health Reform in Massachusetts? Massachusetts Health Reform Policy Brief October 2008
    • 32. Disparities <ul><li>Racial and Ethnic Health Disparities by EOHHS Regions in </li></ul><ul><li>Massachusetts – November 2007 </li></ul><ul><li>Summarizes disparities in health status, risk factors, mortality by region in Massachusetts </li></ul><ul><li>There are wide spread racial and ethnic disparities in all regions of the Commonwealth </li></ul><ul><li>http://www.mass.gov/Eeohhs2/docs/dph/research_epi/disparity_report.pdf </li></ul>
    • 33. Summary <ul><li>Access to care is improving for many segments of the population </li></ul><ul><ul><li>The number of uninsured is decreasing at a significant rate </li></ul></ul><ul><ul><li>There is a significant decline in uninsured among low-income, among part time workers, among Hispanics </li></ul></ul><ul><ul><li>Financial barriers to access have decreased </li></ul></ul><ul><ul><li>The percentage of Mass residents who report having a regular provider increased for the first time in years </li></ul></ul><ul><li>In 2007 the financial performance of hospitals, health centers, health plans was positive </li></ul><ul><ul><li>Performance in early FY08 looked positive but economic downturn has already had a significant impact </li></ul></ul><ul><li>The balance of LTC for elderly and disabled is shifting to community settings </li></ul><ul><li>Physician workforce shortage is of concern but drivers need to be examined </li></ul><ul><li>Massachusetts has a great opportunity to assess impact of closing gap in disparities in access on disparities in health outcomes </li></ul>
    • 34. What’s Coming Up? <ul><li>Payment reform </li></ul><ul><ul><li>Expansion of P4P </li></ul></ul><ul><ul><li>Commission on Payment Reform </li></ul></ul><ul><ul><li>Patient Centered Medical Homes demonstrations </li></ul></ul><ul><li>Health Information Technology </li></ul><ul><ul><li>Mandated CPOE and EMR </li></ul></ul><ul><ul><li>E-Health Institute </li></ul></ul><ul><ul><li>Data from E-Health Collaborative </li></ul></ul><ul><li>Transparency </li></ul><ul><ul><li>Quality and Costs on consumer friendly website </li></ul></ul><ul><ul><li>Posting of medical errors and infections </li></ul></ul>

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