The Blue Cross Blue Shield of Massachusetts Foundation, on behalf of the Massachusetts Coalition for Coverage and Care, funded a state-level analysis on the impact of the American Health Care Act (AHCA) on Massachusetts focused on 2022, when the law would be fully phased in.
National Reform in MA
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.
Medicaid, a federal-state partnership program, has advanced a variety of both federal and state health coverage reform goals over the last 50 years. There is perhaps no state in which Medicaid has played a more important role in the evolution of how health care is delivered and paid for than Massachusetts. This interactive timeline reflects some of the key moments in our history where Medicaid served to expand coverage for low-income and vulnerable people in the Commonwealth.
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).
Investing in Consumer Health Advocacy through Operating Support, Strengthening the Voice for Access: 2011-2013
This report demonstrates how a general-operating-funds approach to grantmaking can forge stronger and more effective partnerships between the philanthropy and consumer health advocacy communities. It includes examples of the positive impact this approach has had on access to health care in Massachusetts and highlights some of the activities and achievements of 2011-2013 Strengthening the Voice for Access grantee organizations.
This report – written by Elisabeth Rodman of the Blue Cross Blue Shield of Massachusetts Foundation – explains how the Commonwealth of Massachusetts chose to implement the Affordable Care Act (ACA) and the resulting changes to health programs, policies, and operations.
This report, by Robert Seifert and Amanda Littell-Clark of the University of Massachusetts Medical School’s Center for Health Law and Economics, summarizes recent efforts by the Massachusetts Medicaid program (“MassHealth”) to address enrollment volatility and provides recommendations to mitigate remaining challenges by leveraging the opportunities presented with the transition to ACA-compliant eligibility systems and programs.
Chart of state decisions related to implementation of the federal health care reform law, the Affordable Care Act (ACA). Originally created by the Center for Health Law & Economics, UMASS Medical School, and Health Care For All; updated by the BCBSMA Foundation. This document was last updated in February 2013.
Reconciling the Massachusetts and Federal Individual Mandates for Health Insurance: A Comparison of Policy Options
As a part of the 2006 Massachusetts health reform, the state implemented an individual mandate to help improve access to affordable, quality health care. The Affordable Care Act (ACA) also includes an individual mandate, which differs in many design components from the Massachusetts individual mandate.
This report, written by researchers at the Urban Institute, explores four policy options for assessing employers who do not provide affordable health insurance coverage to their workers as Massachusetts brings its state health reform law into compliance with the federal Patient Protection and Affordable Care Act.
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.
According to this new report, implementation of national health reform will direct billions of new federal dollars into the Massachusetts health care system, expand public coverage to reach more of the state's residents, and has the potential to help the state reach its cost containment and quality of care goals. Written by the Center for Health Law and Economics at the University of Massachusetts Medical School, this report is the most comprehensive assessment to date of how the national reform law intersects with the Commonwealth's own health reforms.
This analysis outlines the potential impact a national health reform bill may have on Massachusetts, including key areas that bear further monitoring.