Massachusetts

Resource	Category	Carriers	Purpose
Gender-Affirming Chest Masculinization and Nipple–Areolar Complex Reconstruction: An All-Payer Claims Database Analysis This study analyzed 912 gender-affirming chest masculinization surgeries performed in Massachusetts between 2016 and 2020 and found that 70% included ... State: Massachusetts	Population Health, Researchers	Commercial, Medicaid	Cost, Utilization
Incidence of pediatric chronic tic disorders and feasibility of using the Massachusetts All-Payer Claims Database, 2012-2016 This study found that the Massachusetts All-Payer Claims Database can be used to identify new cases of chronic tic disorders, such as Tourette syndrom... State: Massachusetts	Researchers	Commercial, Medicaid, Medicare	Utilization
Health Insurance Claim Denials The article explains that health insurance claim denials are becoming increasingly common in the U.S., affecting everything from preventive care to ma... State: Massachusetts	Consumers, Insurance Department, Researchers	Commercial, Medicare	Cost, Quality, Utilization
Provider networks for pulmonary hypertension in Massachusetts: Implications for improving referrals to expert care This case study found significant gaps in connections to expert care, even among providers caring for patients at risk for pulmonary arterial hyperten... State: Massachusetts	Consumers, Medicaid, Population Health, Providers	Commercial, Medicaid, Medicare	Quality, Utilization
Guideline-Concordant Care and Clinician and Clinic Characteristics for Patients With Schizophrenia This case study finds that for patients with schizophrenia in Massachusetts, psychiatric nurse practitioners and mental health clinics delivered care ... State: Massachusetts	Medicaid, Providers, Researchers	Commercial, Medicaid	Quality
Curbing the Growing Fragmentation of Veterans’ Health Care This study quantifies a major shift in locus of VA critical care, a likely outcome of expanded non-VA health insurance coverage that was previously ca... State: Arkansas, California, Colorado, Connecticut, Florida, Georgia, Georgia, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New York, Oregon, Rhode Island, Texas, Utah, Vermont, Virginia, Washington, Wisconsin	Consumers, Health Reform, Medicaid, Population Health, Providers	Medicaid	Utilization
Medicaid Accountable Care Model Designs and Maternal Health Measures In this study, both Medicaid ACO models were associated with improved outcomes, but with some differences between models, suggesting that states shoul... State: Massachusetts	Medicaid, Population Health	Medicaid	Utilization
Recommendations for Prevention and Control of Influenza in Children, 2025–2026: Technical Report This technical report summarizes recent influenza seasons, morbidity and mortality in children, vaccine effectiveness, and vaccination coverage, and p... State: Massachusetts	Population Health	Commercial	Utilization
Review of Third-Party Specialty Pharmacy Use for Clinician-Administered Drugs "In this report, required by Section 130 of Chapter 47 of the Acts of 2017, the Massachusetts Health Policy Commission (HPC) examines the prevale... State: Massachusetts	Consumers, Health Reform, Insurance Department, Population Health, Providers, Researchers	Commercial, Medicare	Cost, Utilization
Massachusetts Health Care Coverage: Enrollment Trends The July 2015 edition of the Massachusetts Health Care Coverage: Enrollment Trends, offers new insights into changes in health insurance coverage thro... State: Massachusetts	Consumers, Health Reform, Insurance Department, Medicaid, Population Health	Commercial, Medicaid, Medicare	Utilization

Massachusetts

APCD Council