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

October 24th is Food Day! posted on Oct 21

October 24th is Food Day!

This year is the 3rd annual National Food Day which is celebrated every year on October 24th. Food Day is sponsored by the Center for Science and the Public Interest and promotes healthy, affordable, and sustainable food. Last year, there were over 4,700 events across   …Continue Reading October 24th is Food Day!

Million Hearts — Working to Prevent Heart Attack and Stroke posted on Oct 20

Million Hearts — Working to Prevent Heart Attack and Stroke

Heart attack and stroke contribute to the 800,000 deaths from cardiovascular disease every year in the U.S. The burden to families and communities is devastating, and medical costs and lost productivity total nearly $1 billion per day. To address this crisis, the United States Department   …Continue Reading Million Hearts — Working to Prevent Heart Attack and Stroke

Poison Prevention! posted on Oct 14

Poison Prevention!

Children are naturally curious. They are bound to explore and wander around the house as they play and learn. It is important to know that sometimes children can become exposed to dangers in the home without being aware of what they are doing. Each year,   …Continue Reading Poison Prevention!