Health

28 HEALTH • September 21, 2015 PULSE Stats and information from the health care sector The HIGH DEDUCTIBLE HEALTH PLAN MEMBERSHIPS Membership in HDHPs grew across all market sectors, or employer sizes, but were especially common in smaller sectors. HMO MEMBERSHIP BY PRODUCT TYPE HMO membership declined in both the fully- and self-insured segments of the market, though 70% of fully-insured members belonged to one in 2014. POTENTIALLY AVOIDABLE HOSPITAL ADMISSIONS The risk-adjusted rate takes into account the differing patient types at each hospital. Its purpose is to make comparisons between providers more fair, and to avoid penalizing hospitals that take in sicker, more complicated patients. The observed rate is the actual rate, either per number of residents or number of discharges, that a hospital experienced over the measurement period. Notes: Based on Mass. contract-membership, which may include non-Mass. residents Source: CHIA payer-reported data. Score, risk-adjusted rate Observed rate per Admission rate Start date End date per 100,000 population 100,000 population Risk-adjusted rate and observed rate per 100,000 population; Source: CHIA Hospital Discharge Database Diabetes Short-term Complications 01-Oct-13 30-Sep-14 51.59 52.18 Diabetes Short-term Complications 01-Oct-12 30-Sep-13 50.57 51.45 63.86 63.86 Asthma in Younger Adults 01-Oct-13 01-Sep-14 53.55 52.36 Asthma in Younger Adults 01-Oct-12 30-Sep-13 51.87 50.72 46.02 46.02 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults 01-Oct-13 01-Sep-14 486.71 486.81 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults 01-Oct-12 30-Sep-13 559.3 567.94 495.71 495.71 Heart Failure 01-Oct-13 01-Sep-14 360.5 373.67 Heart Failure 01-Oct-12 30-Sep-13 347.61 353.75 0 10 20 30 40 50% 2012 2013 2014 INDIVIDUAL SMALL MID-SIZE LARGE TOTAL JUMBO 7% 14% 21% 35% 42% 52% 43% 29% 25% 19% 11% Fully insured 73% Fully insured 72% Fully insured 70% Self insured 26% Self insured 25% Self insured 24% 2 012 2 013 2 014

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