The Center for Health Information and Analysis

What The Center for Health Information and Analysis does

The Center for Health Information and Analysis (CHIA) is an independent state agency of the Commonwealth of Massachusetts, established to serve as the state's primary hub for health care data and analytics. Headquartered at 501 Boylston Street, Boston, CHIA collects, normalizes, and reports on health care costs, quality, access, and utilization across Massachusetts. The agency maintains a portfolio of statutory databases — the Massachusetts All Payer Claims Database (MA APCD), Case Mix databases (Hospital Inpatient Discharge, Emergency Department, and Outpatient Observation), the Electronic Health Record Database (EHRD) covering approximately 70 acute care hospitals, Payer Expenditure & Utilization Data, and Provider Financials/Cost Reports — and publishes dashboards and analytical reports on health equity, behavioral health, primary care, prescription drug spending, relative price variation, commercial premiums, and mandated benefit reviews.

CHIA's product architecture follows a platform-plus-modules design: the underlying databases power interactive Tableau-based dashboards and recurring publications including the Annual Report on the Performance of the Massachusetts Health Care System (which calculates Total Health Care Expenditures, Total Medical Expenses, and Alternative Payment Methods) and survey products such as the Massachusetts Health Insurance Survey (MHIS), the Massachusetts Employer Survey (MES), and the biennial MA Health Care and Human Services Workforce Survey (MHCW). The agency standardizes submissions from payers and providers to support cross-payer, cross-provider research and produces regulatory outputs such as Mandated Benefit Reviews for the Massachusetts legislature.

CHIA is funded through the Commonwealth's annual state budget appropriation rather than commercial revenue, operating with a $33 million budget in 2025 and approximately 200 staff. Its primary customers/users include Massachusetts state agencies (including the Health Policy Commission), hospitals and health systems, commercial payers and MassHealth, academic and policy researchers, and Massachusetts residents. Data and reports are provided at no direct cost to users, with specialized data access handled through formal data request processes and public records requests under Massachusetts public records law. An Oversight Council appointed by the Massachusetts Attorney General provides governance.

Name

The Center for Health Information and Analysis

Legal name

Center for Health Information and Analysis

Website

https://chiamass.gov

Company type

Private

Operating status

Operating

Short description

The Center for Health Information and Analysis (CHIA) is an independent Massachusetts state agency that collects, normalizes, and reports health care data — including the MA APCD and Case Mix databases — to state agencies, providers, payers, researchers, and residents for policy development, benchmarking, and transparency.

Ownership category

akta.pro rank

Product category

Health Care Data Analytics

NAICS

Administration of Public Health Programs (923120), Information (51)

akta.pro primary industry

Healthcare Utilization, Claims & Administrative Data Analytics (HLAJAJAK)

akta.pro secondary industries

Health Information Exchange & Public Health Data Integration (HLAJAJAD), Social Determinants of Health (SDOH) & Equity Measurement (HLAJAJAI), Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL)

Keywords

• Health care data analytics
• All payer claims database
• Health care cost reporting
• Provider financial analytics
• Health information analysis

Headquarters

HQ city

Boston

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Infrastructure

Revenue model

1. State Government Budget Appropriation: CHIA is an independent state agency funded through the Commonwealth of Massachusetts budget. In 2025, CHIA operated with a $33 million budget allocated by the state.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

CHIA is an independent state agency that collects, normalizes, and analyzes health care data from Massachusetts payers and providers, producing comprehensive databases (MA APCD, Case Mix, EHRD, Payer Expenditure, Provider Financials), interactive dashboards, and analytical reports that support policy development, regulatory oversight, cost and quality benchmarking, and public interest health research. Data resources are made available at no direct cost to state agencies, providers, payers, and researchers through the agency's website, formal data request processes, and public records requests.

Product overview

CHIA operates as a platform-plus-modules architecture providing Massachusetts' primary hub for health care data and analytics. The core data assets include the Massachusetts All Payer Claims Database (MA APCD), Case Mix Databases (Hospital Inpatient Discharge, Emergency Department, Outpatient Observation), Electronic Health Record Database (EHRD), Payer Expenditure & Utilization Data, and Provider Financials/Cost Reports. These data assets power a portfolio of interactive dashboards (Health Care Equity Dashboard, Behavioral Health Care Dashboard, Primary Care Dashboard) and analytical reports including the Annual Report on the Performance of the Massachusetts Health Care System, Prescription Drug Spending reports, Relative Price reports, and Commercial Premiums analyses. Survey products including the Massachusetts Employer Survey (MES), Massachusetts Health Insurance Survey (MHIS), and Health Care Workforce Survey (MHCW) provide primary data collection. The platform supports regulatory functions including Mandated Benefit Reviews and provider financial performance monitoring.

Differentiator

Problem solved

Functional benefit

Products and services

• Massachusetts All Payer Claims Database (MA APCD) The most comprehensive source of health claims data from public and private payers providing insurance to Massachusetts residents and employees, including medical, pharmacy, dental, vision, behavioral health, and specialty services, as well as data on insurance products, affiliated providers, and benefit plans. Used by state agencies, providers, payers, and researchers.
• Case Mix Databases (HIDD, EDD, OOD) Massachusetts Acute Hospital Case Mix Database comprising Hospital Inpatient Discharge Database (HIDD), Emergency Department Database (EDD), and Outpatient Observation Database (OOD). Contains detailed patient demographics, admission and discharge information, diagnostic and procedural coding, provider details, and charge information. Used by hospitals, researchers, and state agencies for utilization analysis.
• Electronic Health Record Database (EHRD) Quarterly clinical data from approximately 70 acute care hospitals across Massachusetts, focusing on key patient information, health risk factors, and selected clinical and visit information. Used by researchers and policy analysts for population health and clinical research.
• Payer Expenditure & Utilization Data Aggregate payer data collecting information from commercial health insurance plans in Massachusetts to support understanding of health care costs, spending trends, and care delivery across the state. Used by payers, state agencies, and researchers for market analysis.
• Provider Financials/Cost Reports Financial and cost reports submitted from acute hospitals, affiliated physician groups, hospital health systems, skilled nursing facilities, resident care facilities, and other providers. Used by providers for benchmarking and by state agencies for regulatory oversight.
• Massachusetts Health Care Equity Dashboard Interactive dashboard highlighting disparities on health care equity measures across Massachusetts, including by race, ethnicity, income, and geography, organized across six domains: Coverage, Access, Utilization, Affordability, Finance, and Quality. Used by state agencies, policymakers, and researchers.
• Behavioral Health Care Dashboard Comprehensive overview of the current state of behavioral health care in Massachusetts alongside metrics for comparison. Used by behavioral health providers, state agencies, and researchers.
• Primary Care Dashboard Explores primary care spending, utilization, and workforce data across Massachusetts payers, providers, and communities. Used by primary care providers, payers, and state agencies.
• Annual Report on the Performance of the Massachusetts Health Care System Comprehensive annual report including calculation of Total Health Care Expenditures (THCE), health care spending and cost trends, access and affordability, hospital utilization and financial performance, key quality metrics, and behavioral health trends. Used by state agencies, policymakers, providers, payers, and the public.
• Prescription Drug Use and Spending Report Identifies high-volume and high-cost drugs using commercial pharmacy claims from the All-Payer Claims Database, with an interactive dashboard showing drivers of prescription drug spending and associated conditions. Used by payers, providers, policymakers, and researchers.
• Relative Price and Provider Price Variation Report Annual reports on provider price differences using a measure that adjusts for patient needs, services provided, and insurance type, with interactive Tableau dashboard for data exploration. Used by providers, payers, and state agencies.
• Quality of Care in Massachusetts Report Reports on health care quality across the Commonwealth including clinical quality measures, patient safety indicators, and performance trends. Used by providers, payers, and state agencies.
• Hospital Readmissions Reports Reports on hospital readmission rates for adults and children including trends by illness and facility, including Adult All-Payer, Pediatric, and Behavioral Health Readmissions. Used by hospitals, payers, and state agencies.
• Skilled Nursing Facility Cost Reports Public record cost data for Massachusetts skilled nursing facilities including financial performance, revenue, expenses, and operational data by year. Used by skilled nursing facilities, state agencies, and researchers.
• Health Insurance Enrollment Trends Bi-annual analysis showing types of health insurance Massachusetts residents are enrolled in, with breakouts by payers and product types in private commercial and public market sectors. Used by state agencies, payers, and researchers.
• Massachusetts Employer Survey (MES) Ongoing health insurance survey tracking employer health insurance offerings, employee take-up rates, cost-sharing, plan characteristics, and employer decision-making, conducted 13 times from 2001 to 2026. Used by state agencies, employers, and researchers.
• Massachusetts Health Insurance Survey (MHIS) Statewide resident survey providing information on health care coverage, access, use, and affordability trends as part of CHIA's Continuing Study on Insurance Coverage, Underinsurance, and Uninsurance. Used by state agencies, policymakers, and researchers.
• MA Health Care and Human Services Workforce Survey (MHCW) Biennial survey monitoring racial/ethnic composition, vacancy and turnover rates, and recruitment and retention challenges of staff in key occupations across 13 health care and human services sectors. Used by state agencies, providers, and researchers.
• Mandated Benefit Reviews (MBRs) Reviews of health benefit mandate bills referred by Massachusetts legislative committees, providing medical efficacy analysis and estimated cost impact for prospective and retrospective benefit mandates. Used by legislative committees.
• Hospital/Health System Annual Performance Reports Final annual financial and operational performance data for Massachusetts hospitals and hospital health systems, including revenue, expenses, utilization, and financial ratio analysis covering capital reinvestment, liquidity, profitability, and solvency. Used by hospitals, state agencies, and researchers.

Quantifiable outcome

• Statewide THCE growth tracking - 5.7% increase from 2023 to 2024, totaling $83.3 billion
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• Health Policy Commission (HPC)coreStrategic or Co-development PartnerCHIA works closely with its sister agency the Health Policy Commission to ensure alignment on key priorities and initiatives. The HPC Board establishes health care cost growth benchmarks that CHIA monitors and reports on. Both agencies collaborate on the Quality Measure Catalog survey and share data for regulatory oversight of healthcare transactions.
• Statewide Quality Advisory Committee (SQAC)coreStrategic or Co-development PartnerSQAC advises CHIA on health care quality measurement, reporting priorities, and quality improvement. The committee recommends quality measures annually for the Commonwealth's Standard Quality Measure Set.
• EOHHS Quality Measure Alignment TaskforcecoreStrategic or Co-development PartnerCHIA participates in the Quality Measure Alignment Taskforce which develops and updates annually the Aligned Measure Set for voluntary adoption by private and public payers and providers in global budget-based risk contracts.

Scale indicators8 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Oregon Health Authority - Office of Health Analytics: Operates Oregon's All Payer All Claims (APAC) database and similar state-level health care analytics functions, including cost growth targets and quality reporting — directly comparable to CHIA's MA APCD and THCE work.
• Minnesota Department of Health - Health Economics Program: Maintains the Minnesota All Payer Claims Database and publishes health care cost, utilization, and quality analyses — comparable scope to CHIA's claims data and reporting portfolio.
• Health Care Cost Institute (HCCI): Non-profit that aggregates claims data from multiple payers to analyze national and multi-state health care spending trends — overlapping with CHIA's all-payer claims analytics mission but operating commercially and multi-state.
• Colorado Department of Health Care Policy & Financing: Manages Colorado's All Payer Claims Database and conducts hospital cost reporting and utilization analysis — directly comparable to CHIA's multi-database stewardship and cost monitoring mission.
• California Office of Statewide Health Planning and Development (OSHPD / HCAI): Collects patient-level discharge, emergency department, and ambulatory surgery data and publishes financial and quality reports — a major state-level analog to CHIA's data collection and reporting functions.
• New York State Department of Health - SPARCS: Operates the Statewide Planning and Research Cooperative System (SPARCS) — a comprehensive inpatient and outpatient discharge database — comparable in scope to CHIA's Case Mix databases.
• Vermont Green Mountain Care Board: State regulatory body that collects claims and provider data (Vermont Health Care Uniform Reporting and Evaluation System) and reports on cost growth and quality — a close functional analog to CHIA's benchmark monitoring role.

Regional players

• Washington State Health Care Authority: Operates Washington's statewide health care purchasing and data analytics functions, including cost transparency reporting — overlapping with CHIA's payer expenditure and cost trend reporting.

Broad incumbents

• Agency for Healthcare Research and Quality (AHRQ): Federal agency that produces national health care quality, cost, and utilization analyses (HCUP, NHQR) — comparable in analytical mandate to CHIA, but at the national rather than state level.
• Kaiser Family Foundation (KFF): Non-profit health policy research organization that publishes insurance coverage, affordability, and health system analyses — comparable in producing policy-relevant health care analytics, though broader in scope than CHIA.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/chia-careers

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Center for Health Information and Analysis