Massachusetts Fact Sheet (496k PDF)

Massachusetts

Rankings

  • Overall : 30
  • Affordability & Access: 17
  • Choice of Setting & Provider: 14
  • Quality of Life & Quality of Care: 34
  • Support for Family Caregivers: 39

Number of indicators for which this state ranked in the:

  • Top 5: 2
  • Top Quartile: 4
  • 2nd Quartile: 11
  • 3rd Quartile: 6
  • Bottom Quartile: 4
  • Bottom 5: 0

Estimated Impact of Improvement

  • †if this state improved to the level of the best-performing state
  • 2,129 more low- or moderate-income adults age 21 and older with activity of daily living disabilities would be covered by Medicaid.
  • 10,203 more new users of Medicaid LTSS would first receive services in home and community based settings instead of nursing homes.
  • 3,945 nursing home residents with low care needs would instead be able to receive LTSS in the community.
  • 2,616 unnecessary hospitalizations of people in nursing homes would be avoided.
* Data not available
** Best state
Dimension and Indicator Year State Rate All States
Median
Top 5 States
Average
Best State Rate Rank
Affordability & Access 2011 Scorecard 17
Median annual cost for private-pay nursing home resident, as percentage of median household income, age 65 2010 329 224 171 166 46
Median annual cost for private-pay home care, as percentage of median household income, age 65 2010 108 89 69 55 46
Private long-term care insurance policies in effect per 1,000 population, age 40 2009 47 41 150 300 19
Percent of low-income adults at or below 250% of poverty level with ADL disability and enrolled in Medicaid or other public health insurance, age 21 2008-09 61.8 49.9 62.2 63.6 3
Medicaid LTSS participant years per 100 adults with ADL disability in nursing homes or living in the community at or below 250% of poverty level, age 21 2007 38.7 36.1 63.4 74.6 20
Ability to access LTSS system through ADRC or other single entry point (composite indicator, rated on 0–12 scale) 2010 10.7 7.7 10.5 11 3
Choice of Setting & Provider 2011 Scorecard 14
Percent of Medicaid and state-funded LTSS spending going to home- and community-based services for older people and adults with physical disabilities 2009 38.9 29.7 59.9 63.9 18
Percent of new Medicaid LTSS users first receiving services in the community 2007 31.0 49.9 77.1 83.3 40
Number of people with disabilities directing own services, per 1,000 adults age 18 2010 29.30 8 69.4 142.7 8
Tools and programs to facilitate consumer choice (composite indicator, rated on 0–4 scale) 2010 3.00 2.75 3.79 4.00 10
Home health and personal care aides per 1,000 population age 65 2009 38 34 88 108 20
Assisted living and residential care units per 1,000 population age 65 2010 29 29 64 80 25
Percent of nursing home residents with low care needs 2007 10.1 11.9 5.4 1.3 17
Quality of Life & Quality of Care 2011 Scorecard 34
Percent of adults age 18 with disabilities living in the community who usually or always get needed support 2009 68.4 68.5 75.5 78.2 27
Percent of adults age 18 with disabilities living in the community who are satisfied or very satisfied with life 2009 83.5 85.0 90.9 92.4 38
Rate of employment for adults with ADL disability relative to rate of employment for adults without ADL disability, ages 18–64 2008-2009 24.3 24.2 42.4 56.6 25
Percent of high-risk nursing home residents with pressure sores 2008 10.0 11.1 7.2 6.6 16
Percent of long-stay nursing home residents who were physically restrained 2008 4.2 3.3 1.3 0.9 35
Nursing home staffing turnover: ratio of employee terminations to average number of active employees 2008 39.4 46.9 27.2 18.7 15
Percent of long-stay nursing home residents with hospital admission 2008 16.5 18.9 10.4 8.3 17
Percent of home health episodes of care in which interventions to prevent pressure sores were included in care plan for at-risk patients 2010 87 90 95 97 40
Percent of home health patients with hospital admission 2008 31.4 29.0 23.2 21.8 38
Support for Family Caregivers 2011 Scorecard 39
Percent of caregivers who usually or always get needed support 2009 77.7 78.2 82.2 84 31
Legal and system supports for caregivers (composite indicator, rated on 0–12 scale) 2010 3.17 3.17 5.9 6.43 26
Number of health maintenance tasks able to be delegated to LTSS workers 2011 2 7.5 16 16 32

* Data not available.
Notes: Composite indicators combine information on multiple policies and programs; see Appendix B2 for detail.
See Appendix B2 for data year, source and definition of each indicator.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center

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