Summary of Chapter 224 of the Acts of 2012

This report – written by Anna Gosline and Elisabeth Rodman of the Blue Cross Blue Shield of Massachusetts Foundation – summarizes the key components of Chapter 224 of the Acts of 2012, “An Act Improving the Quality of Health Care and Reducing Costs Through Increased Transparency, Efficiency and Innovation,” which was signed into law on August 6, 2012. The law aims to control health care cost growth through a number of mechanisms, including the creation of new commissions and agencies to monitor and enforce the health care cost growth benchmark, wide adoption of alternative payment methodologies, increased price transparency, investments in wellness and prevention, an expanded primary care workforce, a focus on health resource planning, and further support for health information technology, among others. For a more in depth look at the Medicaid provisions in the law, see the Foundation’s report: Chapter 224 of the Acts of 2012: Implications for MassHealth. For additional information about scheduled stakeholder meetings, grant opportunities, and other implementation updates, see the state's website, Implementing Health Care Cost Containment.

Fiscal Year 2013: House and Senate Budget Comparison Brief

This budget brief compares the House and Senate Fiscal Year 2013 (FY 2013) budget proposals for MassHealth (Medicaid) and other health care programs. It is the fourth in a series of fact sheets published by the Massachusetts Medicaid Policy Institute (MMPI) and produced by the Massachusetts Budget and Policy Center in partnership with the Massachusetts Law Reform Institute.

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Benefits of Slower Health Care Cost Growth for Massachusetts Employees and Employers

This report by Jonathan Gruber of the Massachusetts Institute of Technology models the potential benefits to the economy if health care costs were to grow more slowly than projected. In the face of rising health insurance costs, studies find, employers tend to reduce or blunt the rise of employee wages as well as offer less generous insurance coverage. But employers cannot pass along all the increased costs of health insurance as decreased wages and benefits. Any additional costs must be offset either by cutting jobs or by accepting lower business profits. This report presents three potential scenarios of slower health care cost growth between 2011 and 2019 and models the subsequent impacts on employee wages, employer spending on health insurance as well as employer profits and workforce investments. The report finds that slower growth in premiums would result in billions of dollars in savings for both employees and employers. 

The Governor's House 2 Budget Proposal for FY2013

This budget brief describing the Governor's Fiscal Year 2013 (FY 2013) budget proposal for MassHealth (Medicaid) and other health care programs is the first in a series of fact sheets that will be published by the Massachusetts Medicaid Policy Institute (MMPI) and produced by the Massachusetts Budget and Policy Center in partnership with the Massachusetts Law Reform Institute. MMPI will be publishing budget fact sheets at each stage in the FY 2013 budget process, as budget proposals move through the legislature.

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Stabilizing MassHealth Funding: Options to Break the Recurring Cycle of Expansion and Contraction

Stabilizing MassHealth Funding: Options to Break the Recurring Cycle of Expansion and Contraction, written by Beth Waldman of Bailit Health Purchasing, Robert Seifert of the Center for Health Law and Economics at the University of Massachusetts Medical School, and Kate Nordahl of MMPI, discusses the challenges and implications of the counter-cyclical nature of the Medicaid program and options to reduce the reactive swings in MassHealth funding and scope of services that can come with downturns in the economy.

Massachusetts Health Reform: A Five-Year Progress Report

Blue Cross Blue Shield of Massachusetts Foundation report by Alan G. Raymond on the first five years of Massachusetts health reform implementation, including comprehensive assessments of how the law is working, impacts on coverage and access to care, and cost and funding.

Dual Eligibles in Massachusetts: A Profile of Health Care Services and Spending for Non-Elderly Adults Enrolled in Both Medicare and Medicaid

Comprehensive report presenting combined Medicare and Medicaid spending data for non-elderly adults (ages 21 to 64) dually eligible for Medicare and Medicaid in Massachusetts. This report was created by Ellen Breslin Davidson and Tony Dreyfus of BD Group. MMPI produced this report in collaboration with the Office of Medicaid in the Executive Office of Health and Human Services. Designed to support use of the charts in slide presentations.