Navigation Links
Massachusetts health care reform reviewed as a model for national plan
Date:3/24/2010

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
scholarlynews@wiley.com
781-388-8509
Wiley-Blackwell
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:1/17/2017)... ... ... Today, FloSports , a global leader in live digital sports and ... a long-term extension of their media partnership. The partnership, which began in 2013, will ... premier events exclusively on FloWrestling.com as well as usage of the FloArena meet management ...
(Date:1/16/2017)... Costa Mesa, California (PRWEB) , ... January 16, 2017 , ... ... Since 2014, Dr. Beazley has served on CalSouthern’s Board of Trustees and as a ... Sciences. In addition, he has been a professor of psychology at Pepperdine University, where ...
(Date:1/16/2017)... ... January 16, 2017 , ... Anybody who may be looking for ... new video released by Serenity Recovery, a holistic treatment center for addiction located in ... features footage and testimonials from patients and staff that visited the 2016 Recovery Palooza ...
(Date:1/16/2017)... ... January 16, 2017 , ... ... the newly updated International Audit Protocol Consortium (IAPC) EHS audit protocol for ... understand the scope of their EHS regulatory obligations and rapidly collect, share, archive, ...
(Date:1/16/2017)... ... January 16, 2017 , ... Board-certified oculoplastic ... Journal , the official journal of The American Society for Aesthetic Plastic Surgery, ... The procedure is designed to correct drooping, retracted lower eyelids, which usually result ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... synthetic Fentanyl arrived on the streets in 2015, dealers were ... samples, inviting would-be customers to test a newly-created batch. They ... The rapidly-growing demand for the powerful ... has racked up a staggering death toll across ... fentanyl sales reveals that they have sold nearly 400 grams ...
(Date:1/16/2017)... and PUNE, India , January ... by Allied Market Research, titled, "Vital Signs Monitoring Devices Market ... Forecast, 2014-2022", projects that the global vital signs monitoring devices ... expected to reach $5,491 million by 2022, growing at a ... America was the leading regional market in global ...
(Date:1/16/2017)... 2017 The report "Cellulose ... (Methyl, Ethyl, Hydroxyethyl, Hydroxypropyl, Carboxymethyl Cellulose), Application ... Coatings & Paints), Region - Global Forecast ... was valued at USD 4.51 Billion in ... 6.41 Billion by 2021, at a CAGR ...
Breaking Medicine Technology: