Massachusetts

Quintile
Rank

Access 1 2
Prevention & Treatment 1 1
Avoidable Hospital Use & Costs 3 29
Healthy Lives 1 3
Disparity 1 2

Estimated Impact of Improvement: (if this STATE improved to the level of the best-performing STATE)

more adults would be insured.

107,846

fewer adults would go without needed health care because of cost.

47,003

fewer emergency department visits would occur among people with Medicare.

View More Estimates

Dimension and Indicator
State Rate
U.S. Average
Best State Rate
Rank
State Rate
U.S. Average
Actual Change in State Rate
Compare to other States

Access
2018 Scorecard Performance
2
Baseline Performance
Change in Rate

Adults ages 19–64 uninsured
4%
12%
4%
1
5%
20%
-1

Children ages 0–18 uninsured
1%
5%
1%
1
2%
8%
-1

Adults without a usual source of care
11%
22%
11%
1
12%
24%
-1

Adults who went without care because of cost in past year
9%
13%
7%
5
9%
16%
0

Individuals with high out-of-pocket medical spending
11%
14%
9%
6
11%
15%
0

Employee contributions to employer-sponsored insurance premiums as a share of state median income
5%
6%
4%
3
5%
6%
0

Adults without a dental visit in past year
12%
16%
10%
4
11%
15%
1

Prevention & Treatment
2018 Scorecard Performance
1
Baseline Performance
Change in Rate

Adults without age- and gender-appropriate cancer screenings
26%
32%
24%
3
21%
31%
5

Adults without age-appropriate vaccines
60%
63%
54%
15
53%
64%
7

Diabetic adults ages 18-64, with employer-sponsored insurance, without an annual hemoglobin A1C test
16%
17%
11%
18
N/A
N/A
0

Medicare beneficiaries who received at least one drug that should be avoided in the elderly
9%
13%
7%
4
9%
17%
0

Children without all components of a medical home
42%
51%
40%
2
N/A
N/A
0

Children without both a medical and dental preventive care visit in the past year
22%
32%
20%
3
N/A
N/A
0

Children who did not receive needed mental health treatment
13%
18%
5%
14
N/A
N/A
0

Children ages 19–35 months who did not receive all recommended vaccines
15%
29%
15%
1
21%
30%
-6

Hospital 30-day mortality
13%
14.1%
13%
1
12.4%
13.2%
0.6

Central line-associated bloodstream infections (CLASBI)
0.75
0.99
0.32
6
N/A
N/A
0

Hospitalized patients discharged without instructions for home recovery
11%
13%
9%
7
13%
14%
-2

Hospital patients who did not receive patient-centered care
33%
32%
27%
37
33%
32%
0

Home health patients who did not get better at walking or moving around
28%
29%
23%
15
37%
39%
-9

Nursing home residents with an antipsychotic medication
18%
16%
8%
37
22%
21%
-4

Adults with any mental illness reporting unmet need
16%
20%
14%
2
21%
21%
-5

Adults with any mental illness who did not receive treatment
46%
56%
41%
4
49%
59%
-3

Avoidable Hospital Use & Costs
2018 Scorecard Performance
29
Baseline Performance
Change in Rate

Hospital admissions for pediatric asthma, per 100,000 children
N/A
106
22
N/A
141
143
N/A

Potentially avoidable emergency department visits, ages 18–64, per 1,000 employer-insured enrollees
142
159
130
9
N/A
N/A
0

Potentially avoidable emergency department visits, per 1,000 Medicare beneficiaries
208
197
138
36
209
188
-1

Hospital admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees
4
5
3
2
N/A
N/A
0

Hospital admissions among for ambulatory care–sensitive conditions, ages 65–74, per 1,000 Medicare beneficiaries
29
26
14
35
30
29
-1

Hospital admissions for ambulatory care–sensitive conditions, age 75 and older, per 1,000 Medicare beneficiaries
79
66
33
45
80
70
-1

30-day hospital readmissions among enrollees with employer-sponsored insurance, ages 18–64, per 1,000 enrollees
2.8
2.9
1.2
19
N/A
N/A
0

30-day hospital readmissions, rate per 1,000 Medicare beneficiaries
50
42
21
45
54
49
-4

Short-stay nursing home residents with a 30-day readmission to the hospital
19%
19%
11%
23
19%
20%
0

Long-stay nursing home residents with a hospital readmission
13%
16%
5%
14
14%
17%
-1

Home health patients with a hospital admission
17.6%
16.4%
14%
45
16%
16%
1.6

Adults ages 18–64, with low back pain who did had an imaging study at diagnosis
27%
29%
16%
19
N/A
N/A
0

Total employer-sponsored insurance spending per enrollee
$4,648
$4,736
$3,347
23
$4,659
$4,697
-$11

Total Medicare (Parts A & B) reimbursements per enrollee
$9,158
$9,025
$5,586
35
$9,041
$8,854
$117

Healthy Lives
2018 Scorecard Performance
3
Baseline Performance
Change in Rate

Mortality amenable to health care, deaths per 100,000 population
59.9
84.3
54.7
4
60.4
83.7
-0.5

Breast cancer deaths per 100,000 female population
16.9
20.1
13.6
3
18.4
20.8
-1.5

Colorectal cancer deaths per 100,000 population
11
13.1
10.1
3
13.1
14.6
-2.1

Deaths from suicide, alcohol, and drug use per 100,000 population
50.2
43.2
28.5
34
30.8
35.6
19.4

Infant mortality, deaths per 1,000 live births
4.3
5.9
4.1
3
4.2
6
0.1

Adults ages 18–64 who report fair/poor health
13%
16%
10%
7
12%
16%
1

Adults who smoke
14%
16%
9%
5
17%
18%
-3

Adults ages 18–64 who are obese (BMI >= 30)
23%
30%
22%
2
24%
29%
-1

Children ages 10–17 who are overweight or obese (BMS>=85th percentile)
27%
31%
19%
11
N/A
N/A
0

Percent of adults who have lost six or more teeth
8%
10%
6%
12
9%
10%
-1

2018 Scorecard Data Year:
Baseline Data Year:

Source

D. C. Radley, D. McCarthy, and S. L. Hayes, 2018 Scorecard on State Health System Performance, The Commonwealth Fund, May 2018.

Notes

Refer the State Scorecard for indicator descriptions, data sources, and other notes about methodology.

N/A: Data was not available for this state. See PDF for more detail.

The 2018 Scorecard evaluates performance differences within states associated with individuals’ income level for a subset of 19 indicators that span the other four dimensions of performance. For each state and indicator, we evaluate the difference in rates for the state’s low-income population (generally under 200% of the federal poverty level) and higher-income population (generally over 400% of the federal poverty level). States are ranked on the relative magnitude of the resulting disparities in performance. This method represents a change from that used in previous scorecard editions. Racial and ethnic disparities in state health system performance will be evaluated separately in a forthcoming report.

Dimension and Indicator
Low-Income Population Rate
U.S. Average
Disparity
Rank
Low-Income Population Rate
U.S. Average
Disparity
Change in Low-Income Population Rate
Change in Disparity

Disparity
2018 Scorecard Performance
2
Baseline Performance
Change in Rates

Income

Adults ages 19–64 uninsured
6%
23%
-4
1
11%
38%
-9
5
20

Children ages 0-18 uninsured
2%
6%
-1
4
2%
10%
-1
0
4

Adults without a usual source of care
11%
27%
-4
4
15%
30%
-10
6
9

Adults who went without care because of cost in past year
12%
23%
-6
2
17%
28%
-14
8
13

Adults without a dental visit in the past year
17%
24%
-9
7
18%
23%
-11
2
1

Adults without age- and gender-appropriate cancer screenings
33%
35%
-11
29
27%
36%
-10
-1
0

Adults without all age-appropriate recommended vaccines
61%
67%
-6
9
54%
68%
-6
0
1

Children without all components of a medical home
56%
63%
-24
24
N/A
N/A
N/A
N/A
N/A

Children without both a medical and dental preventive care visit in the past year
27%
38%
-8
9
N/A
N/A
N/A
N/A
N/A

Children ages 19 to 35 months who did not receive all recommended vaccines
19%
33%
-7
16
21%
34%
-1
-6
-5

Medicare beneficiaries who received a high-risk drug
12%
16%
-4
23
12%
20%
-4
0
4

Hospital admission for pediatric asthma, per 100,000 children
N/A
N/A
N/A
N/A
247
214
-151
N/A
N/A

Admissions for ambulatory care-sensitive conditions, Medicare duals age 65 and older, per 1,000 beneficaries
97
99
-44
14
85
96
-22
-22
-25

30-day hospital readmissions, Medicare dual eligibles age 65 and older, per 1,000 beneficiaries
63
63
-24
21
71
77
-26
2
16

Potentially avoidable ED visits, Medicare dual eligibles age 65 and older, per 1,000 beneficiaries
343
366
-154
7
329
337
-139
-15
-44

Adults who smoke
20%
23%
-10
9
23%
24%
-13
3
4

Adults who are obese
33%
38%
-11
35
33%
36%
-11
0
-2

Adults who have lost six or more teeth
16%
17%
-12
19
18%
17%
-12
0
0

Adults who report fair/poor health
23%
29
-17
5
27%
29
-22
5
5

Notes

N/A: Data was not available for this state.

Source

D. C. Radley, D. McCarthy, and S. L. Hayes, 2018 Scorecard on State Health System Performance, The Commonwealth Fund, May 2018.

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