On December 22, 2008, the Centers for Medicare and Medicaid Services approved Massachusetts' request to renew the MassHealth Section 1115 Research and Demonstration Waiver (Waiver) for an additional three years, through the end of state fiscal year 2011. The Waiver, which has been in place since 1997, authorizes critical federal funding for several health coverage programs for low-income individuals and for the Commonwealth's safety net health system for uninsured residents. It is the programmatic and financial underpinning of the state's health care reform law.
Community Catalyst report on the role that foundations and other philanthropic organizations played during more than two decades of health care reform efforts in Massachusetts. (January 2009)
This report summarizes the impact of health reform thus far and may be used as a point of reference for policy makers who are considering approaches to health reform elsewhere at either the state or national level. If the Massachusetts model continues to work, all or part of this model and its supporting principles may be useful in local or national health reform efforts.
An eight-page issue brief that analyzes the impacts of health reform on insurance coverage across different population groups in the state. Specifically, it examines differences in insurance coverage by demographic characteristics (e.g., age, race/ethnicity, and gender), health status, employment, and geography.
A fact sheet that introduces MassHealth, the Massachusetts Medicaid program, describing its basic structure, benefits and beneficiaries. It examines how enrollment and spending have changed over time and describes some current policy issues and challenges.
An easy-to-use guide describing public health insurance options in Massachusetts and a set of flow charts illustrating the eligibility pathways to these programs for low-income people and families, elderly people, and people with disabilities. Also available on the Pathways to Coverage website.
Implementing the Rosie D. Remedy: The Opportunities and Challenges of Restructuring a System of Care for Children's Mental Health in Massachusetts
The district court ruling in Rosie D. v. Romney, and the subsequent remedy now being implemented by state health and human service agencies, have the potential to transform the delivery of mental health services for children with serious emotional disturbances in Massachusetts. This issue brief explores the implications and potential effects of the case and the resulting remedy on the MassHealth program, other state programs, the behavioral health and social service delivery systems, and affected children and their families.
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.
Pay-for-Performance to Reduce Racial and Ethnic Disparities in Health Care in the Massachusetts Medicaid Program
The 2006 Massachusetts health care reform law included a provision to make Medicaid hospital rate increases contingent upon quality measures, including measures of the reduction of racial and ethnic disparities. To date, no other pay-for-performance programs have incorporated measures of the reduction of racial and ethnic disparities into their incentives. MMPI organized the Massachusetts Medicaid Disparities Policy Roundtable to bring together a group of experts to develop and recommend an approach to implementing the program.
An independent report by health care journalist Irene Wielawski that examines how various interests in Massachusetts politics forged consensus to pass the 2006 health reform law.
Data from the Kaiser Family Foundation/Harvard School of Public Health/Blue Cross Blue Shield of Massachusetts Foundation Massachusetts Health Reform Tracking Survey. This was the first in a series of surveys measuring Massachusetts residents attitudes towards and experiences with the 2006 health reform law.