Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Massachusetts Health Reform: Bragging Rights and Growing Pains


Monday, May 19, 2008

Many have proclaimed the Massachusetts health care reform plan a success, noting the greater than expected enrollment rates in the program’s first 18 months. But some observers sound notes of concern.

One consequence of the high enrollment, primarily among those who qualify for subsidies, is that the program is projected to cost $153 million more than budgeted, even before taking into account continued growth in enrollment expected over the next several months. There are also reports of shortages of primary care providers, as the newly insured line up for medical visits. More than 340,000 formerly uninsured citizens of MA – more than half of the estimated 600,000 who were uninsured in 2006 – now have coverage.

Policy makers considering health reform, including states and Congress, are looking to Massachusetts as a laboratory to inform their proposals. How is implementation of universal coverage progressing in Massachusetts? How is the Connector model working? Does affordability remain an issue for implementation of the individual mandate? How is the employer community responding to the reforms? Are quality and access being addressed along with coverage? What steps are being taken to meet the challenges?

To address these and related questions, the Alliance for Health Reform and the Kaiser Family Foundation sponsored a May 19 briefing. Panelists were: Jon Kingsdale, Commonwealth Health Insurance Connector Authority; John McDonough, Health Care for All; Matthew Fishman, Partners HealthCare; and Grace-Marie Turner; Galen Institute. Ed Howard of the Alliance and Diane Rowland of the Kaiser Family Foundation co-moderated.

Speakers

 Ed Howard, Alliance for Health Reform, Moderator
 Diane Rowland, Kaiser Family Foundation, Moderator
 Matt Fishman, Partners HealthCare, Speaker
 Jon Kingsdale, Commonwealth Connector Authority, Speaker
 John E. McDonough, Health Care for All, Speaker
 Grace Marie-Turner, Galen Institute, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Massachusetts Health Reform: Bragging Rights and Growing Pains (Adobe Acrobat PDF), 5/19/2008
Full Webcast/Podcast: Massachusetts Health Reform: Bragging Rights and Growing Pains

The transcript, full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

John McDonough Presentation (PowerPoint), 5/19/2008
Jon Kingsdale Presentation (PowerPoint), 5/19/2008
Matt Fishman Presentation (PowerPoint), 5/19/2008
Grace-Marie Turner Presentation (PowerPoint), 5/19/2008

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Massachusetts Health Care Reform is Pioneer Effort, But Complications Remain (Adobe Acrobat PDF), Annals of Internal Medicine, 3/18/2008
Single-Payer Utopia? (Response to Marcia Angell) (Adobe Acrobat PDF), Galen Institute, 4/25/2008
The Mass.-ter Plan (Adobe Acrobat PDF), National Journal, 6/10/2006
How Healthy is this Alliance? (Adobe Acrobat PDF), Boston Globe, 3/24/2008
List of Experts (Adobe Acrobat PDF), Alliance for Health Reform, 5/15/2008
Speaker Biographies (Adobe Acrobat PDF), Alliance for Health Reform, 5/15/2008
Massachusetts Health Reform: Bragging Rights and Growing Pains (Word Document), Word Document, 5/19/2008
Sourcelist (Adobe Acrobat PDF), , 5/19/2008

Offsite Materials (briefing documents saved on other websites)

Health Care in Massachusetts: Key Indicators (Adobe Acrobat PDF),Massachusetts Division of Health Care Finance and Policy, 1/1/2008
States in Action: A BimonthlyLook at Innovations in Health Policy, The Commonwealth Fund, 5/1/2008
Annual Report: MA Health Care Quality and Cost Council (Executive Summary), Massachusetts Health Care Quality and Cost Council, 4/1/2008
In Massachusetts, Universal Coverage Strains Care, New York Times, 4/5/2008
5 Lessons Learned from Massachusetts State Health Reform, ACHP, 5/1/2008
Health Care for All: A Healthy Voice (Adobe Acrobat PDF),Health Care for All Massachusetts, 1/1/2008
Massachusetts Health Care Praised, But Struggles with Cost, PBS NewsHour, 4/28/2008
Revisiting Massachusetts Health Reform: 18 Months Later (Adobe Acrobat PDF),Community Catalyst, 12/1/2007
Massachusetts Health Reform Tracking Survey (Adobe Acrobat PDF),Kaiser Family Foundation, 7/1/2007

Photos

Jon Kingsdale, executive director of the Commonwealth Health Insurance Connector in Massachusetts, presents a progress report on health reform in his state. (14 min.) From the May 19 briefing cosponsored by the Kaiser Family Foundation.

Matt Fishman, vice president for community health at Partners HealthCare in Boston, describes challenges to be solved as health reform evolves in Massachusetts and assets helpful to solutions. (12 min.) From the May 19 briefing cosponsored by the Kaiser Family Foundation.

John McDonough, executive director of Health Care for All in Boston, discusses details of health reform in Massachusetts and how it came about. (14 min.) From the May 19 briefing cosponsored by the Kaiser Family Foundation.

Grace-Marie Turner, president of the Galen Institute, offers cautions about health reform implementation in Massachusetts. (15 min.) From the May 19 briefing cosponsored by the Kaiser Family Foundation.

 

Briefing for Reporters on State Health Initiatives


A governor met with reporters Friday, February 19 to discuss the latest health care innovations and changes they are pursuing or implementing. Gov. Asa Hutchinson, R-Ark., discussed his experience with the state's program to move newly eligible Medicaid beneficiaries to qualified health plans, and his intentions for changes moving forward.

Read More


Health Care Consolidation: What You Need to Know


A recent whirlwind of mergers and acquisitions has thrown health care industry consolidation into the spotlight. In 2014 alone, there were 1,299 mergers and acquisitions in the health care sector at a value of $387 billion, a new record. In this roundtable for reporters, featuring a top FTC official and two experts, panelists discussed the drivers behind this recent trend; the scope and extent of consolidation among doctors, hospitals and insurers; implications for consumers and other stakeholders; and the roles of the Department of Justice (DOJ) and the Federal Trade Commission (FTC).

Click here for video
Click here for transcript

Read More 

New Toolkit on Health Care Consolidation


There were 1,299 mergers and acquisitions in the health care sector in 2014 at a value of $387 billion, both record highs. A new Alliance for Health Reform toolkit, “Health Care Consolidation,” looks at the drivers behind this trend, as well as implications for key players in the health care system and regulatory issues surrounding the issue.  Critics argue that consolidation could have a harmful impact on consumers, including higher costs, while others say some amount of activity is necessary to reshape the health care industry following changes implemented by the Affordable Care Act.

Read More 

What Tools do Patients Need? Video


What is the key to creating a more consumer-friendly and patient-centered health care system? Leading experts address challenges and potential solutions in a new Alliance video featuring Benjamin Moulton of the Informed Medical Decisions Foundation, Robin Gelburd of FAIR Health, and Tim Skeen Anthem.

Click here for video.

Read More 

Video from Reporter Roundtable on Open Enrollment III


On October 5, speakers at a reporter roundtable held at the National Press Club on open enrollment III provided the latest information about premium trends and drivers, health plan availability and new comparison tools for consumers to use in choosing health plans. They discussed trends in the role of navigators and brokers, and increasing consumer expectations, particularly around the ease of the process.

Click here for video.

Read More 

Toolkit on Connection Between Health and Housing


A new Alliance toolkit, “The Connection between Health and Housing: The Evidence and Policy Landscape,” provides a detailed look into federal, state and local initiatives, as well as cost implications for health and housing programs.

Attempts to tie health and housing policy are gaining momentum, amid evidence that housing, a social determinant of health, is an important factor in the health status of various populations. More than 610,000 people experience homelessness in the U.S., and over 250,000 individuals within that population have a severe mental illness or a chronic substance use disorder, according to the Department of Housing and Urban Development.

Read More 

Toolkit on Biosimilars


The Alliance for Health Reform has released a new toolkit, “Biosimilars: Unpacking Complex Issues.”

The Affordable Care Act created an expedited licensure pathway for biosimilars, and, in March 2015, the U.S. approved the first biosimilar, leaving policy makers, regulators, providers and stakeholders to grapple with regulatory and financial questions.

Biosimilars are similar – but not identical – to biologic drugs, and cost less. Unlike traditional pharmaceuticals, biologic drugs are derived from living organisms and tissues, making them more complex and expensive to produce.

Read More 

Experts Discuss Workplace Wellness Programs


In a new interview video, Karen Pollitz, senior fellow, private insurance and health reforms, The Kaiser Family Foundation and Dan Newton, vice president, product/solutions development and behavior economics, Anthem Care Management discuss the impact of workplace wellness programs. They address questions about regulations and program design and analyze the scope of wellness programs.

Read More 

Toolkit on Long-Term Services and Supports (LTSS)


The aging of the baby boomers and the increase in the number of old-old persons (those 85 and older) are predictors for the increasing need for long-term services and supports (LTSS). Among persons age 65 and over, an estimated 70 percent will use LTSS. A new Alliance for Health Reform toolkit, “Long-Term Services and Supports: Changes and Challenges in Financing and Delivery,” provides a background on LTSS and discusses policy issues surrounding the topic.

Read More 

Copyright 1997-2016 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap