Monitoring Massachusetts Reform Efforts

April 2006 marked the beginning of landmark health reform in the New England commonwealth. We track the impact of that pioneering initiative.

Published: October 28, 2008

When Massachusetts policy-makers sought to implement near-universal coverage in the spring of 2006, the occasion was marked with a range of opinions on the likely outcome of the sweeping initiative.

As the years go by, we learn more and more about how the New England experiment fares, as bright ideas and ideals come face to face with cold market realities. Would costs become unwieldy? How would employers respond to the mandate? Would public insurance crowd out private programs? Could the Massachusetts experience serve as a model for other states and what elements might be used in possible federal health care reform?

We offer research and analysis of the Massachusetts reform in numerous publications and RWJF-supported journal articles.

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Massachusetts Has Sustained Coverage and Access Gains From Landmark 2006 Reforms

Publication date:
May 28, 2009

Summary:
But some early gains have eroded with cost pressures and delivery system constraints.

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Physicians' Views of the Massachusetts Health Care Reform Law - A Poll

By:
SteelFisher GK, Blendon RJ, Sussman T, Connolly JM, Benson JM and Herrmann MJ

Publication date:
October 21, 2009

Summary:
Three years after Massachusetts enacted its health insurance reform law, the state boasts the lowest rate of uninsurance nationwide. Yet, the model is still surrounded by public controversy, especially as the nation explores health reform. This article gathers...

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Massachusetts Health Reform: Employer Coverage From Employees' Perspective

By:
Long SK and Stockley K

Publication date:
October 1, 2009

Summary:
Access to coverage has grown—even as some workers in small firms have faced higher contributions to premiums.

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Systematic Review of Physical Activity Interventions Implemented With American Indian and Alaska Native Populations in the United States and Canada

By:
Teufel-Shone NI, Fitzgerald C, Teufel-Shone L and Gamber M

Publication date:
July/August 2009

Summary:
According to this literature review, the most effective, sustainable interventions to reduce obesity within the American Indian and Alaska Native populations are programs that combine the strengths of (1) tribal-run, culturally-adapted efforts that provide services to...

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Access And Affordability: An Update On Health Reform In Massachusetts, Fall 2008

By:
Long SK and Masi PB

Publication date:
May 28, 2009

Summary:
Access, affordability, and coverage have improved since 2006, but rising health costs have eroded some gains in affordability of care.

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How Have Employers Responded to Health Reform in Massachusetts?

By:
Long SK and Masi PB

Publication date:
October 28, 2008

Summary:
In April 2006, Massachusetts enacted legislation that sought to move the state to near-universal health insurance coverage, with key components of the reform effort targeting the role of employers.

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After the Mandates

By:
Gabel JR, Whitmore H, Pickreign J, Sellheim W, KC S and Bassett V

Publication date:
October 28, 2008

Summary:
Based on a spring 2008 survey of 1,003 randomly selected Massachusetts firms, this paper examines views and responses of employers to health care reform after employer and individual mandates went into effect

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The Secrets of Massachusetts' Success

By:
Dorn S, Hill I and Hogan S

Publication date:
November 11, 2009

Summary:
By the summer of 2008, less than two years after Massachusetts’ health reform law became effective, only 2.6 percent of state residents were uninsured—the lowest proportion ever recorded for any state. Like Massachusetts, other states and various federal...

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