Post Content

David_morales Posted by: David Morales, Commissioner, Division of Health Care Finance and Policy

Yesterday, we held the first Health Care Finance and Policy (HCFP) Symposium informed by the release of three new DHCFP reports about preventable/avoidable emergency department (ED) use, potentially preventable hospitalizations, and primary care supply and access in Massachusetts. 

Some very important facts from the DHCFP reports drove a lively discussion regarding better health care coordination and integration, such as: 

  • There is an estimated $1.2 billion in opportunity costs given that nearly 1/2 of outpatient ED visits and 13% of adult inpatient hospitalizations were considered preventable/avoidable in fiscal year 2008. 
  • Preventable hospitalizations declined slightly from 2004 to 2008; however, emergency department visits steadily increased over the same period. 
  • Patient demographic and socioeconomic factors and access to primary care play a role in preventable hospitalizations and avoidable ED use, i.e. type of insurance, race/ethnicity, age, location, access to primary care, income level, and education.
  • While Massachusetts ranks high on primary care physician to population ratio, some residents live in health professional shortage areas and surveys indicate some residents experience difficulty accessing primary care. 

In response to these findings, the panelists discussed opportunities and challenges in primary care practice sustainability, patient-centered care and education, community-based health care settings, payment reform, medical homes, transparency on health care costs and quality, and incentives for providing quality health care and greater coordination. 

Certain panelists noted that the savings from reductions in avoidable ED use and preventable hospitalizations should be reinvested in lowering health care premiums and/or in advancing patient-centered primary care, particularly for populations that were identified as being at particular risk. 

And though we may not have left yesterday's symposium with answers to all of our questions, I know for certain that we all left with new and tangible ideas for mitigating health care costs and improving care coordination in our delivery system. That, in my opinion, is an important step forward. 

So, if you want to learn more about health care cost and quality, I urge you to stay tuned for the announcement of our next HCFP Symposium in early fall. In the meantime, please visit www.mass.gov/dhcfp to download the presentation of key findings or the reports discussed during yesterday's HCFP Symposium

For updates on upcoming events, please send an email to dhcfp.newsletter@state.ma.us the word "Subscribe" in the Subject Line.


Written By:

Recent Posts

Weekly Flu Report, December 19, 2014 posted on Dec 19

Rates of flu-like illness increased slightly over the past seven days in Massachusetts, as indicated in the latest weekly flu report. Flu season doesn’t tend to peak until later in February or even March – so there is still plenty of time to get vaccinated   …Continue Reading Weekly Flu Report, December 19, 2014

Weekly Flu Report, December 12, 2014 posted on Dec 12

This week’s flu report shows a slight dip in rates of flu-like illness since last week’s report – which is entirely in keeping with the unpredictable nature of flu season. One thing we know for sure is that no matter what, the single best way to   …Continue Reading Weekly Flu Report, December 12, 2014

Highlights of the Public Health Council Meeting, December 10, 2014 posted on Dec 10

The December monthly meeting of the Public Health Council featured the consideration of one Determination of Need (DoN) request, two votes on final amendments to existing regulations, and an informational presentation to the Council on a key DPH community initiative. First, the Council took up   …Continue Reading Highlights of the Public Health Council Meeting, December 10, 2014