Healthcare costs in Massachusetts are beginning to spiral upward, according to a new report from the Center for Health Information and Analysis. The report indicates that costs rose 4.8 percent last year, which is twice the amount of growth in 2013 and more than the 1.6 percent nationwide inflation rate. Officials are not sure if it is part of a trend or a fluke. Much of the inflationary spiral was tied to the state's Medicaid program. Medicaid spending increased 19 percent--in part to cover a 23 percent expansion in membership. Read the full report at FierceHealthPayer