Browse by Topic: Consumer Affordability

2018 Massachusetts Health Reform Survey

This collection of materials is the latest in a series by the Urban Institute summarizing the findings from the 2018 Massachusetts Health Reform Survey (MHRS). The Foundation began conducting the MHRS in fall 2006 to support the evaluation of Massachusetts’ 2006 health care reform bill. The survey has been fielded periodically since 2006 – most recently in spring 2018 – to monitor key measures pertaining to health insurance coverage and health care access and affordability among non-elderly adults (ages 19-64) in Massachusetts.

10 Years of Impact: A Literature Review of Chapter 58 of the Acts of 2006

Chapter 58 of the Acts of 2006—“An Act Providing Access To Affordable, Quality, Accountable Health Care”—was signed into law by Governor Mitt Romney on April 12, 2006. The groundbreaking law sought near-universal health care coverage for the residents of Massachusetts by expanding Medicaid, creating a new program of subsidized insurance, enacting changes to the health insurance market, and requiring adults to have health insurance unless an affordable option was not available.

The Remaining Uninsured in Massachusetts: Experiences of Individuals Living without Health Insurance Coverage

Although Massachusetts has successfully achieved the lowest rate of uninsurance in the nation, thousands of individuals and families still live with the potential adverse health effects and financial impacts of not having health insurance. In 2015, an estimated 200,000 individuals in Massachusetts did not have health insurance coverage.

Minding the Gaps: The State of Coverage to Supplement Medicare in Massachusetts

There are almost one million seniors in Massachusetts and while most enjoy broad coverage and protection against the cost of many health care services through Medicare, they may also face significant gaps, finding themselves responsible for substantial deductibles, coinsurance and copayments. This report, prepared by Nancy Turnbull and Katherine Heflin of Harvard T.H. Chan School of Public Health, reviews the many private and public coverage options available to seniors to supplement Medicare coverage.

Health Care Cost Concerns Among Older Residents of Massachusetts

This report summarizes the results of a July 2015 poll conducted by a team led by Robert J. Blendon, Sc.D. of Harvard T.H. Chan School of Public Health. The poll was conducted to assess the perspectives of Massachusetts adults age 65 and over on the issues of affordability, access, and satisfaction with their health care coverage.

Implementing the Affordable Care Act in Massachusetts: Changes in Subsidized Coverage Programs

In March 2010, President Obama signed The Patient Protection and Affordable Care Act (ACA), which included significant changes impacting health insurance coverage across the United States. Although many elements of the ACA were based on Massachusetts’ health insurance reform, there were still many decisions and activities that Massachusetts needed to address in order to comply with the new federal Medicaid and health insurance marketplace requirements, most of which were required to be effective as of January 2014.

Monitoring Access to Care in Massachusetts: Comparing Public Coverage with Employer-Sponsored Insurance Coverage

This report, prepared by Sharon Long and Thomas Dimmock of the Urban Institute, further analyzes the 2013 Massachusetts Health Reform Survey (MHRS) by comparing the experience of adults with public coverage to adults with employer-sponsored insurance (ESI) coverage across a number of access and affordability measures. Findings from the analysis show problems with access to care were more prevalent for adults with public coverage than for those with ESI.

Coverage Options for Massachusetts: Leveraging the Affordable Care Act

In this issue brief, Patricia Boozang, Deborah Bachrach and Hailey Davis of Manatt Health Solutions, review the coverage and delivery system challenges that Massachusetts could address through sections 1331 (the Basic Health Program) and 1332 (Waivers for State Innovation) of the Affordable Care Act (ACA).

UPDATED: Health Reform in Massachusetts: Assessing the Results

This chartpack summarizes the impact of the 2006 Massachusetts health reform law. The chartpack gathers data from surveys and analyses by state government agencies including the Massachusetts Center for Health Information and Analysis, the Massachusetts Department of Revenue, and the Massachusetts Health Insurance Connector Authority, as well as highlights from health reform tracking surveys conducted by the Urban Institute. This document has been designed to support the use of the charts in slide presentations, and we encourage readers to use them.

Reaching the Remaining Uninsured in Massachusetts: Challenges and Opportunities

This report is the latest in a series by the Urban Institute analyzing the impact of the Massachusetts health reform law based on the Massachusetts Health Reform Survey (MHRS).  Findings show that that the remaining uninsured are disproportionately young, male, Hispanic, and non-citizens.  The data presented also show the geographic areas of the state with high numbers of uninsured children and non-elderly adults.