Massachusetts Fact Sheet (614k PDF)

Rankings

  • Overall : 18
  • Affordability and Access: 17
  • Choice of Setting and Provider: 14
  • Quality of Life & Quality of Care: 15
  • Support for Family Caregivers: 41
  • Effective Transitions: 26

Number of indicators for which this state ranked in the:

  • Top 5: 2
  • Top Quartile: 5
  • 2nd Quartile: 12
  • 3rd Quartile: 4
  • Bottom Quartile: 5
  • Bottom 5: 2

Estimated Impact of Improvement

  • 12,811 more low/moderate-income adults with ADL disabilities would be covered by Medicaid.
  • 9,853 more new users of Medicaid LTSS would first receive services in the community.
  • 4,022 nursing home residents with low care needs would instead receive LTSS in the community.
  • 2,248 more people entering nursing homes would be able to return to the community within 100 days.
  • 3,860 more people who have been in a nursing home for 90 days or more would be able to move back to the community.

if this state improved to the level of the best-performing state
* Data not available.
** State is the best-performing.

Dimension and Indicator Data Year State Rate Data Year State Rate All States
Median
Best State Rate Rank Change In
Performance
Compare
Affordability and Access Baseline Scorecard 2014 Scorecard 17 Change
Median annual nursing home private pay cost as a percentage of median household income age 65+ 2010 329% 2013 346% 234% 168% 47 Compare
Median annual home care private pay cost as a percentage of median household income age 65+ 2010 108% 2013 97% 84% 47% 47 Compare
Private long-term care insurance policies in effect per 1,000 population age 40+ 2009 47 2011 53 44 130 16 Compare
Percent of adults age 21+ with ADL disability at or below 250% of poverty receiving Medicaid or other government assistance health insurance 2008-09 61.8% 2011-12 67.4% 51.4% 78.1% 2 Compare
Medicaid LTSS participant years per 100 adults age 21+ with ADL disability in nursing homes or at/below 250% poverty in the community 2007 39 2009 58 42 85 8 Compare
ADRC functions (composite indicator, scale 0-70) 2010 * 2012 58 54 67 14 Compare
Choice of Setting and Provider Baseline Scorecard 2014 Scorecard 14 Change
Percent of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2009 38.0% 2011 47.4% 31.4% 65.4% 8 Compare
Percent of new Medicaid aged/disabled LTSS users first receiving services in the community 2007 31.0% 2009 39.9% 50.7% 81.9% 30 Compare
Number of people participant-directing services per 1,000 adults age 18+ with disabilities * * 2013 19.3 8.8 127.3 12 N/A Compare
Home health and personal care aides per 1,000 population age 65+ 2007-09 30 2010-12 37 33 76 20 Compare
Assisted living and residential care units per 1,000 population age 65+ 2010 28 2012-13 27 27 125 24 Compare
Quality of Life & Quality of Care Baseline Scorecard 2014 Scorecard 15 Change
Percent of adults age 18+ with disabilities in the community usually or always getting needed support 2009 68.4% 2010 73.3% 71.8% 79.1% 20 Compare
Percent of adults age 18+ with disabilities in the community satisfied or very satisfied with life 2009 83.5% 2010 86.4% 86.7% 92.1% 28 Compare
Rate of employment for adults with ADL disability ages 18–64 relative to rate of employment for adults without ADL disability ages 18–64 2009-10 21.9% 2011-12 26.8% 23.4% 37.2% 14 Compare
Percent of high-risk nursing home residents with pressure sores * * 2013 5.1% 5.9% 3.0% 15 N/A Compare
Nursing home staffing turnover: ratio of employee terminations to the average number of active employees 2008 39.4% 2010 26.4% 38.1% 15.4% 5 Compare
Percent of long-stay nursing home residents who are receiving an antipsychotic medication * * 2013 22.2% 20.2% 11.9% 36 N/A Compare
Support for Family Caregivers Baseline Scorecard 2014 Scorecard 41 Change
Legal and system supports for family caregivers (composite indicator, scale 0-14.5) 2008-10 * 2012-13 3.45 3.00 8.00 22 Compare
Number of health maintenance tasks able to be delegated to LTSS workers (out of 16 tasks) 2011 2.0 2013 2.0 9.5 16.0 40 Compare
Family caregivers without much worry or stress, with enough time, well-rested 2010 58.8% 2011-12 58.9% 61.6% 72.8% 44 Compare
Effective Transitions Baseline Scorecard 2014 Scorecard 26 Change
Percent of nursing home residents with low care needs 2007 10.1% 2010 10.3% 11.7% 1.1% 19 Compare
Percent of home health patients with a hospital admission * * 2012 26.7% 25.5% 18.9% 35 N/A Compare
Percent of long-stay nursing home residents hospitalized within a six-month period 2008 16.5% 2010 16.7% 18.9% 7.3% 19 Compare
Percent of nursing home residents with moderate to severe dementia with one or more potentially burdensome transitions at end of life * * 2009 17.8% 20.3% 7.1% 19 N/A Compare
Percent of new nursing home stays lasting 100 days or more * * 2009 19.1% 19.8% 10.3% 21 N/A Compare
Percent of people with 90+ day nursing home stays successfully transitioning back to the community * * 2009 6.5% 7.9% 15.8% 40 N/A Compare

* Data not available.
** Composite indicators combine information on multiple policies and programs; see Appendix B2 for definitions and Appendices A8 and A15 for more detail on both current year and baseline. See Appendix B2 for data year, source, and definition of each indicator. ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home and Community Based Services; LTSS = Long Term Services and Supports.