Sick in Massachusetts: Views on Health Care Costs and Quality

This poll – conducted in April and May 2012 by researchers at the Harvard School of Public Health – asked “sick” Massachusetts residents a series of questions related their perception of health care costs and quality in Massachusetts, the reasons for cost and quality problems, and their personal experience with cost and quality issues. The results showed that sick residents are very concerned about health care costs in Massachusetts, and some struggle with their own costs of care. Though respondents were less troubled by the quality of care in the state, there were indications of problems, especially around care coordination and communication. The poll was conducted in partnership with 90.9 WBUR and the Robert Wood Johnson Foundation.

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. 

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.

Health Reform in Massachusetts: An Update as of Fall 2010

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. This report is based on the 2010 Massachusetts Health Reform Survey (MHRS), which has tracked the impact of the law annually since 2006.

Innovations in Medicaid: Considerations for MassHealth

Report summarizing the results of a series of interviews conducted by the Center for Health Care Strategies with key Medicaid stakeholders from across the country on cutting-edge Medicaid strategies including: purchasing strategies to optimize delivery systems; payment strategies to leverage existing funds; integrated models of care to improve services for complex populations; and opportunities for improved organizational capacity.

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.

Beyond Parity: Mental Health and Substance Use Disorder under Payment and Delivery System Reform in Massachusetts

This report by Colleen Barry of the Johns Hopkins Bloomberg School of Public Health explores opportunities and issues around integrating behavioral health care and primary care under the Affordable Care Act (ACA) and payment and delivery system reforms in Massachusetts. The report provides preliminary recommendations on how these major policy changes might be implemented with the goal of improving the coordination, quality and outcomes of mental health and addiction care in the Commonwealth.

Public Perceptions of Health Care Costs in Massachusetts

This poll, fielded in late September 2011 and led by Robert Blendon at the Harvard Opinion Research Program, probed 1002 Massachusetts adults on various questions surrounding health care costs, including their perceptions of major cost drivers, who they believe should take the lead on addressing costs and how important is it for the state to take major action. The results reveal that the public is greatly concerned over rising costs and ready for the state to take major actions to tackle them.

FY2012 General Appropriations Act Brief

This budget brief describes the sections of the Fiscal Year 2012 (FY 2012) final budget bill as signed by the legislature and including the Governor's vetoes' that are relevant to MassHealth (Medicaid) and other programs that support health care coverage for the state's low- and moderate-income populations. It is the final 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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The ACA's Impact on Medicaid: Changes and Opportunities for MassHealth

This report, by Beth Waldman from Bailit Health Purchasing and Kate Nordahl of the Massachusetts Medicaid Policy Institute, provides an in-depth discussion of the provisions from the Affordable Care Act (ACA) which impact Medicaid programs and how these provisions will be applied in Massachusetts.