Health

Spring 2016

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28 HEALTH • Spring 2016 PULSE Stats and information from the health care sector FLU VACCINE EFFECTIVENESS Using a vaccine against influenza has become steadily more effective over the past 11 years. Source: Center for Health Information & Analysis The Blue Cross Blue Shield of Massachusetts 1,616,648 0% 39% Harvard Pilgrim Health Care (incl. Health Plans Inc.) 650,954 1% 16% Tufts Health Plan (incl. Network Health) 485,122 12% 12% United Healthcare 323,801 0% 8% Anthem (incl. UniCare) 253,315 2% 6% Cigna 228,529 15% 5% Aetna 205,135 -3% 5% Neighborhood Health Plan 126,955 52% 3% Fallon Health 123,017 -5% 3% Health New England 107,488 2% 3% Boston Medical Center HealthNet Plan 29,344 1187% 1% CeltiCare Health Plan of Massachusetts 1,723 1113% 0% ConnectiCare 4,179 -14% 0% Minuteman Health 6,021 256% 0% Health New England 71% Blue Cross Blue Shield 48% Harvard Pilgrim Health Care 46% Tufts Health Plan 43% Neighborhood Health Plan 33% Fallon 26% Aetna 5% BMC HealthNet Plan 3% CeltiCare Health Plan of Massachusetts 2% UniCare Life and Health Insurance Company 1% Tufts Health Plan -- Network Health 0% Minuteman Health 0% Cigna 0% UnitedHealthcare 0% Source: U.S. Centers for Disease Control & Prevention ALTERNATIVE PAYMENT METHODS Alternative payment methods (APM) are ways to reimburse heathcare providers different from simple fee-for-service. The concept is a key part of moving from a system of only treating sick people to ensuring the health and wellness of an entire population. COMMERCIAL INSURANCE MARKET SHARE Total enrollment in private commercial insurance grew 4 percent from September 2014 to September 2015, with the Boston Medical Center HealthNet Plan growing the most. Source: Center for Health Information & Analysis OPIOD DEATHS The number of Massachusetts overdose deaths from opioids rose from 338 in 2000 to 1,173 in 2014. Source: Massachusetts Department of Public Health Opioid deaths, Total County 2000 2010 2013 2014 2000-2014 0 10% 20% 30% 40% 50% 60% 2005 2015 2006 2014 2013 2007 2008 2009 2010 2011 2012 59% 10% Flu vaccine effectiveness (In percent) Barnstable 12 19 40 48 326 Berkshire 2 3 21 24 108 Bristol 37 74 111 134 1,146 Dukes 1 0 1 5 15 Essex 41 48 111 182 1,120 Franklin 5 4 9 11 72 Hampden 30 46 68 52 630 Hampshire 5 10 28 20 151 Middlesex 56 90 142 238 1,634 Nantucket 0 1 1 1 N/A Norfolk 24 55 108 815 Plymouth 22 39 83 97 694 Suffolk 44 60 105 127 1,244 Worcester 59 77 112 126 1,075 Massachusetts Total 338 526 911 1,173 9,035 Insurance company Percent using APM Enrollment Increase from % market on Sept. 30 Sept. 2014 share

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