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, April 29, 2016 posted on Apr 29

Rates of flu-like illness rose slightly in the past seven days, according to the latest weekly flu report. Flu vaccination opportunities continue to be available in your community – call your health care provider or local board of health, or visit a pharmacy near you.

Let’s Keep Workers Safe: Plan. Provide. Train. posted on Apr 28

Today is Workers’ Memorial Day — the international day to remember workers who were injured, disabled, made unwell, or who died on the job. In just a six-year-period, in Massachusetts, 356 workers died on the job (2008-2013). These workers were our family members, friends and neighbors   …Continue Reading Let’s Keep Workers Safe: Plan. Provide. Train.

Vegetable Makhanwala posted on Apr 26

Vegetable Makhanwala

Back by popular demand, Kinnari Chitalia, RD, LDN, CLC, a nutritionist at the Dorchester North WIC Program, shares this mouthwatering favorite! This is a popular traditional dish in the northern part of India.  Its name refers to a creamy dish mixed with vegetables and aromatic   …Continue Reading Vegetable Makhanwala