Navigation Links
Massachusetts health care reform reviewed as a model for national plan

Waltham, MAMarch 24, 2010On Tuesday, President Obama signed into law U.S. health care reform legislation, leaving many Americans wondering how it will affect them, their families, and businesses.

The national health care reform bill was modelled on groundbreaking 2006 legislation in Massachusetts requiring all adults in the Commonwealth to have health insurance coverage through an individual mandate. A new article from The Milbank Quarterly, by Brandeis health policy experts, explains how Massachusetts has handled the insurance requirement since 2006 and describes the lessons policymakers have learned.

As lead author Michael Doonan, assistant professor at the Heller School at Brandeis University says, "The individual mandate is the linchpin to making health care reform work. The individual mandate forces you to define affordability, coverage limitations, and other key aspects of any successful health care reform." Doonan adds, "moving towards universal coverage makes it possible to prevent insurance companies from discriminating against people with pre-existing conditions."

Massachusetts has a head start on addressing some of the issues that will now be faced on the national level, and on a state-by-state basis. Most people still receive insurance through their employer with no changes. The previously uninsured are covered through the expansion of existing subsidized health care programs such as MassHealth (the state's Medicaid program), the Children's Health Insurance Program, and the employer-based Insurance Partnership Program. New programs, such as Commonwealth Care, were also created. Reforms also led more people to sign up for coverage at work or to purchase coverage through the new exchange, the Commonwealth Health Insurance Connector Authority.

Massachusetts enforces the insurance mandate by requiring residents to file proof of health insurance with their annual tax forms. Residents who cannot afford insurance may obtain a waiver, but most have not done so. Currently, ninety-seven percent of Massachusetts adults are covered--the highest number in the nation. The largest increase in enrollment was implemented through the Commonwealth Care program, which allows those with a family income under the 300 percent federal poverty level to receive subsidized insurance. The Massachusetts mandate also limits the ability of insurers to exclude pre-existing conditions from coverage.

Doonan says, "While Massachusetts, like the rest of the country, still has problems with rising health care costs, this program greatly expanded coverage and access to health care services. The program also reduces the fear that insurances companies will drop coverage as soon as you get sick." The program enjoys strong public support in part because of ongoing stakeholder engagement including consumers, hospitals, insurers, the business community, and others.

Now that legislation at the national level has passed, the critical implementation stage begins, and how this is handled will determine the long-term fate of health care reform in the United States. Critical lessons can be learned from the Massachusetts experiment. The article is based on a case study using interviews with key stakeholders, state government representatives, and officials from the Commonwealth Health Insurance Connector Authority.


Contact: Bethany Carland-Adams

Related medicine news :

1. Kool Smiles Offers Free Toothbrushes and Education to Day Care Centers Affected by Massachusetts Initiative Supporting Childrens Oral Care
2. Nurse Hodgkins Home Healing and Hospice Now Serving: New Hampshire and Massachusetts
3. Blue Cross Blue Shield of Massachusetts Urges Members to Get Their Flu Shot
4. Lung Cancer Alliance-Massachusetts Releases 3rd Annual State-Specific Report Card on Lung Cancer
5. Hospital Clinic Barcelona and Massachusetts General Hospital extract rectal mass through anus
6. Kayentis Attended the Roundtable Discussion About HIT Adoption Organized By the Governor of Massachusetts
7. Americans for Responsible Health Care Launch Ad Campaign in Massachusetts Senate Special Election Campaign
8. Massachusetts Hospital Agrees to Pay U.S. $2.79 Million to Resolve False Claims Act Allegations
9. Diabetics Twice as Likely to Have Hearing Loss; Massachusetts HearUSA Centers to Offer Free Hearing Screening and Diabetes Video in March
10. Elements Therapeutic Massage Announces Franchise Expansion Plan for Massachusetts
11. Miles for Hope’s Moving Towards A Cure(SM) Brain Tumor Walk in Boston Raising Funds for Brain Tumor Vaccine and Massachusetts General Hospital
Post Your Comments:
(Date:11/28/2015)... ... 2015 , ... Safe storage for contraceptive devices may not always be easy ... Jersey and the other from Bradley Beach, New Jersey, there is an easy solution ... having to replace NuvaRings more often than necessary. As such, it affords peace of ...
(Date:11/27/2015)... Los Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... the conversation at the recent 2015 American Dental Association meeting in Washington D.C. revolved ... can help protect a patient’s overall health. The talk stressed the link between periodontal ...
(Date:11/27/2015)... ... 27, 2015 , ... An inventor, from Hopkinsville, Ky., thought ... at home, so he invented the patent-pending ELECTRONIC M.D. , The ELECTRONIC M.D. ... doing so, it could help to prevent potential overdose situations. As a result, ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... MPWH, the No.1 Herpes-only dating community in ... (see Table 1-1 ). More than 3.7 billion people under the age of ... 1 (HSV-1), according to WHO's first global estimates of HSV-1 infection . , "The ...
(Date:11/27/2015)... ... November 27, 2015 , ... Keeping in ... for mental health and wellness consultation, has collaborated with a leading web-based marketplace ... knowledge gap experienced by parents and bring advice from parenting experts within their ...
Breaking Medicine News(10 mins):
(Date:11/29/2015)... Germany , Nov. 29, 2015  At ... invites attendees to experience the most complete mobile C-arm ... on display is Ziehm Vision RFD 3D, the world,s ... 16 cm edge length per scan volume. In addition, ... first fully motorized mobile C-arm in four axes which ...
(Date:11/27/2015)... YORK , November 27, 2015 ... system is set to go online. The potential to ... processes is vast and far from fully exploited as ... to patient health records, either via mobile tablet or ... ) --> ) --> ...
(Date:11/26/2015)... , November 27, 2015 /PRNewswire/ ... --> Medical ... response system (PERS) market is ... 5 years with APAC being ... to see a high CAGR ...
Breaking Medicine Technology: