Browse by Coverage and Care

Health Reform in Massachusetts: An Update as of Fall 2009

This report is the latest in a series by the Urban Institute analyzing the impact of the Massachusetts health reform law. Findings show that despite the state's economic recession Massachusetts has maintained record low levels of uninsured and access to needed health care has improved. Additionally, disparities in coverage and care have been eliminated or narrowed. Solid public support for the health reform law continues. This report is based on the 2009 Massachusetts Health Reform Survey (MHRS), which has tracked the impact of the law annually since 2006.

The Impacts of Health Reform for Women in Massachusetts

This policy brief based on data from the 2009 Massachusetts Health Reform Survey shows that women have achieved significant gains in insurance coverage and in access and use of health care since health reform was implemented in Massachusetts. The gains were particularly strong for subgroups of women who had lower levels of coverage and poorer access prior to reform, including lower-income women, women of minority race/ethnicity, and women without dependent children.

A Convening of Grantees on the Commonwealth Care Bridge Program

In August 2009, legal immigrants who have been in the United State for fewer than five years lost their eligibility for health insurance coverage under Commonwealth Care. They now receive coverage under the Bridge Program. In December, the BCBSMA Foundation brought together grantees, government officials, advocates, and health insurers for an informal discussion about how and why these changes were made, and how to improve coverage for legal immigrants.

Who Seeks Emergency Care And Why?: Data From Massachusetts

This policy brief based on data from the 2008 Massachusetts Health Reform Survey shows that while health reform in Massachusetts has succeeded in increasing health insurance coverage and access to care, use of emergency departments by working-age residents remains high. Those seeking care in EDs 5/have trouble accessing care in other settings. They are less likely to use a doctors office or private clinic as their usual source of care and they are somewhat less likely to report having a place they usually go to (other than the ED) when they are sick or need advice about their health.

Access to and Affordability of Care in Massachusetts as of Fall 2008: Geographic and Racial/Ethnic Differences (Revised)

This policy brief by Sharon Long of The Urban Institute measures geographic and racial disparities in access to health care in Massachusetts. The data in the brief comes from the third annual Massachusetts Health Reform Survey. This revised version of the policy brief, which was originally published 5/28/2009, reflects changes made after an error in constructing survey weights was discovered and corrected.

Shared Responsibility, Government, Business, and Individuals: Who Pays What for Health Reform?

This report is the first assessment of how spending to insure hundreds of thousands of additional people in the Commonwealth is being shared. It finds that the overall distribution of spending on health insurance by employers, individuals, and government remained essentially the same between 2005, one year before passage of the 2006 Massachusetts health reform law, and 2007, one year into the laws implementation.

Health Insurance Coverage and the Uninsured in Massachusetts: An Update Based on 2005 Current Population Survey Data

This chartbook provides detailed estimates of health insurance coverage in Massachusetts. It uses the most recent information available (for calendar year 2005) from the Census Bureaus 2006 Annual Social and Economic Supplements to the Current Population Survey. It updates figures in an earlier chartbook that was released in 6/2005 Health Insurance Coverage and the Uninsured in Massachusetts.