Massachusetts Health Reform : Approaching Universal Coverage

The commonwealth of Massachusetts, one of the 50 states in the United States of America, has achieved near universal health coverage of its 6.6 million residents after a landmark reform made health insurance mandatory for all residents in 2006. The reform was only the latest step in a sequence of na...

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Main Author: Janett, Robert S.
Format: Working Paper
Language:en_US
Published: World Bank, Washington DC 2013
Subjects:
Online Access:http://hdl.handle.net/10986/13292
id okr-10986-13292
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic academic medical centers
access to health care
access to health care services
access to services
acute care
acute care hospitals
administrative law
administrative law judge
administrative management
adolescents
adverse selection
aged
aging
ambulatory services
Ambulatory Surgery
Appropriate treatment
beds
blindness
block grant
block grants
Breast cancer
capita health spending
capitation
care access
case management
certification
cervical cancer
Clinician
clinicians
clinics
community action
community development
community health
community health center
competitive bidding
comprehensive care
cost control
cost sharing
costs of care
counselors
delivery system
dental diseases
Dental Services
determinants of health
determination of eligibility
diabetes
diagnosis
disabilities
doctors
elderly people
eligibility standards
eligible beneficiaries
emergency care
emergency room
emergency rooms
enrollees
entitlement
entitlement program
Families
family income
Family planning
fee-for-service
fee-for-service payment
financial management
financial penalties
financial resources
financial risk
financial risks
Fiscal Policy
group insurance market
health care
Health Care Costs
health care coverage
Health Care Finance
health care financing
health care needs
health care program
health care providers
Health Care Reform
health care sector
health care spending
Health Care System
health centers
health conditions
health cost
Health costs
Health Coverage
health education
health expenditure
health expenditures
health financing
health financing scheme
Health Indicators
Health information
health insurance
health insurance coverage
health insurance plans
health insurance scheme
health insurance schemes
health outcomes
health plan
health plans
Health Policy
health programs
Health Reform
Health reforms
health screening
health sector
Health Services
health spending
health status
Health System
health systems
health workers
healthcare
Healthcare Providers
healthcare services
HIV/AIDS
Home Care
Home Health Care
hospice
hospice care
hospital admission
hospital admissions
Hospital Care
hospital services
hospital systems
hospital utilization
hospitalization
hospitals
hypertension
immigrants
incentive payments
income
income ceiling
income countries
Infants
informal sector
inpatient care
inpatient hospital
Insurance
insurance companies
Insurance Plan
insurance plans
insurance premiums
intervention
judicial system
laws
managed care
managed care plans
marketing
Medicaid
Medicaid coverage
Medicaid payments
Medical Association
Medical associations
medical care
medical costs
medical education
medical equipment
medical expenses
medical records
Medicare
Medicare beneficiaries
Mental Health
mental illness
Moral Hazard
national health
national health expenditures
nurses
nursing
Nursing Home Care
nursing homes
oral health
outpatient care
outpatient hospital services
outpatient services
patient
patient education
patient satisfaction
patients
Physician
physicians
pregnancy
pregnant women
Prescription Drugs
primary care
primary care doctors
Primary Care Physician
private health insurance
private hospitals
private insurance
Private insurers
private sector
Prosthetic devices
Provider incentives
provider payment
provision of care
provision of services
psychologists
psychosocial support
public costs
Public Health
public health insurance
public hospitals
public insurance
public providers
quality of care
refugees
Rehabilitation
screening
Social Security
Social Security benefits
Social workers
surgery
unemployment
use of health care services
victims
violence
visits
workers
spellingShingle academic medical centers
access to health care
access to health care services
access to services
acute care
acute care hospitals
administrative law
administrative law judge
administrative management
adolescents
adverse selection
aged
aging
ambulatory services
Ambulatory Surgery
Appropriate treatment
beds
blindness
block grant
block grants
Breast cancer
capita health spending
capitation
care access
case management
certification
cervical cancer
Clinician
clinicians
clinics
community action
community development
community health
community health center
competitive bidding
comprehensive care
cost control
cost sharing
costs of care
counselors
delivery system
dental diseases
Dental Services
determinants of health
determination of eligibility
diabetes
diagnosis
disabilities
doctors
elderly people
eligibility standards
eligible beneficiaries
emergency care
emergency room
emergency rooms
enrollees
entitlement
entitlement program
Families
family income
Family planning
fee-for-service
fee-for-service payment
financial management
financial penalties
financial resources
financial risk
financial risks
Fiscal Policy
group insurance market
health care
Health Care Costs
health care coverage
Health Care Finance
health care financing
health care needs
health care program
health care providers
Health Care Reform
health care sector
health care spending
Health Care System
health centers
health conditions
health cost
Health costs
Health Coverage
health education
health expenditure
health expenditures
health financing
health financing scheme
Health Indicators
Health information
health insurance
health insurance coverage
health insurance plans
health insurance scheme
health insurance schemes
health outcomes
health plan
health plans
Health Policy
health programs
Health Reform
Health reforms
health screening
health sector
Health Services
health spending
health status
Health System
health systems
health workers
healthcare
Healthcare Providers
healthcare services
HIV/AIDS
Home Care
Home Health Care
hospice
hospice care
hospital admission
hospital admissions
Hospital Care
hospital services
hospital systems
hospital utilization
hospitalization
hospitals
hypertension
immigrants
incentive payments
income
income ceiling
income countries
Infants
informal sector
inpatient care
inpatient hospital
Insurance
insurance companies
Insurance Plan
insurance plans
insurance premiums
intervention
judicial system
laws
managed care
managed care plans
marketing
Medicaid
Medicaid coverage
Medicaid payments
Medical Association
Medical associations
medical care
medical costs
medical education
medical equipment
medical expenses
medical records
Medicare
Medicare beneficiaries
Mental Health
mental illness
Moral Hazard
national health
national health expenditures
nurses
nursing
Nursing Home Care
nursing homes
oral health
outpatient care
outpatient hospital services
outpatient services
patient
patient education
patient satisfaction
patients
Physician
physicians
pregnancy
pregnant women
Prescription Drugs
primary care
primary care doctors
Primary Care Physician
private health insurance
private hospitals
private insurance
Private insurers
private sector
Prosthetic devices
Provider incentives
provider payment
provision of care
provision of services
psychologists
psychosocial support
public costs
Public Health
public health insurance
public hospitals
public insurance
public providers
quality of care
refugees
Rehabilitation
screening
Social Security
Social Security benefits
Social workers
surgery
unemployment
use of health care services
victims
violence
visits
workers
Janett, Robert S.
Massachusetts Health Reform : Approaching Universal Coverage
geographic_facet UNITED STATES
relation UNICO Studies Series;No. 7
description The commonwealth of Massachusetts, one of the 50 states in the United States of America, has achieved near universal health coverage of its 6.6 million residents after a landmark reform made health insurance mandatory for all residents in 2006. The reform was only the latest step in a sequence of national and state programs that successively enrolled more people in private and public health insurance programs over a period of four decades. Massachusetts passed chapter 58 of the acts of 2006, the Massachusetts health care reform law, on April 12, 2006, and over a five-year period, more than 400,000 previously uninsured residents were provided with comprehensive health benefits. As of 2012, 98.2 percent of the population is covered, including 99.8 percent of children. Massachusetts has the highest rate of health insurance coverage of any state in the country. The program has widespread popular support, and it served as a model for the design of President Obama's affordable care act, which established a plan for mandatory coverage on a national basis for the first time in the United States. This report will briefly describe the reform and its context, but will focus for purposes of simplicity on the operational details of the mass health program of health insurance for the poor. A discussion of the administration and management of Mass Health can offer a glimpse into the inner workings of all other insurance plans in the commonwealth. Mass health, private insurance, and Commonwealth Care share similar tools, controls, and strategies.
format Publications & Research :: Working Paper
author Janett, Robert S.
author_facet Janett, Robert S.
author_sort Janett, Robert S.
title Massachusetts Health Reform : Approaching Universal Coverage
title_short Massachusetts Health Reform : Approaching Universal Coverage
title_full Massachusetts Health Reform : Approaching Universal Coverage
title_fullStr Massachusetts Health Reform : Approaching Universal Coverage
title_full_unstemmed Massachusetts Health Reform : Approaching Universal Coverage
title_sort massachusetts health reform : approaching universal coverage
publisher World Bank, Washington DC
publishDate 2013
url http://hdl.handle.net/10986/13292
_version_ 1764423122276057088
spelling okr-10986-132922021-04-23T14:03:07Z Massachusetts Health Reform : Approaching Universal Coverage Janett, Robert S. academic medical centers access to health care access to health care services access to services acute care acute care hospitals administrative law administrative law judge administrative management adolescents adverse selection aged aging ambulatory services Ambulatory Surgery Appropriate treatment beds blindness block grant block grants Breast cancer capita health spending capitation care access case management certification cervical cancer Clinician clinicians clinics community action community development community health community health center competitive bidding comprehensive care cost control cost sharing costs of care counselors delivery system dental diseases Dental Services determinants of health determination of eligibility diabetes diagnosis disabilities doctors elderly people eligibility standards eligible beneficiaries emergency care emergency room emergency rooms enrollees entitlement entitlement program Families family income Family planning fee-for-service fee-for-service payment financial management financial penalties financial resources financial risk financial risks Fiscal Policy group insurance market health care Health Care Costs health care coverage Health Care Finance health care financing health care needs health care program health care providers Health Care Reform health care sector health care spending Health Care System health centers health conditions health cost Health costs Health Coverage health education health expenditure health expenditures health financing health financing scheme Health Indicators Health information health insurance health insurance coverage health insurance plans health insurance scheme health insurance schemes health outcomes health plan health plans Health Policy health programs Health Reform Health reforms health screening health sector Health Services health spending health status Health System health systems health workers healthcare Healthcare Providers healthcare services HIV/AIDS Home Care Home Health Care hospice hospice care hospital admission hospital admissions Hospital Care hospital services hospital systems hospital utilization hospitalization hospitals hypertension immigrants incentive payments income income ceiling income countries Infants informal sector inpatient care inpatient hospital Insurance insurance companies Insurance Plan insurance plans insurance premiums intervention judicial system laws managed care managed care plans marketing Medicaid Medicaid coverage Medicaid payments Medical Association Medical associations medical care medical costs medical education medical equipment medical expenses medical records Medicare Medicare beneficiaries Mental Health mental illness Moral Hazard national health national health expenditures nurses nursing Nursing Home Care nursing homes oral health outpatient care outpatient hospital services outpatient services patient patient education patient satisfaction patients Physician physicians pregnancy pregnant women Prescription Drugs primary care primary care doctors Primary Care Physician private health insurance private hospitals private insurance Private insurers private sector Prosthetic devices Provider incentives provider payment provision of care provision of services psychologists psychosocial support public costs Public Health public health insurance public hospitals public insurance public providers quality of care refugees Rehabilitation screening Social Security Social Security benefits Social workers surgery unemployment use of health care services victims violence visits workers The commonwealth of Massachusetts, one of the 50 states in the United States of America, has achieved near universal health coverage of its 6.6 million residents after a landmark reform made health insurance mandatory for all residents in 2006. The reform was only the latest step in a sequence of national and state programs that successively enrolled more people in private and public health insurance programs over a period of four decades. Massachusetts passed chapter 58 of the acts of 2006, the Massachusetts health care reform law, on April 12, 2006, and over a five-year period, more than 400,000 previously uninsured residents were provided with comprehensive health benefits. As of 2012, 98.2 percent of the population is covered, including 99.8 percent of children. Massachusetts has the highest rate of health insurance coverage of any state in the country. The program has widespread popular support, and it served as a model for the design of President Obama's affordable care act, which established a plan for mandatory coverage on a national basis for the first time in the United States. This report will briefly describe the reform and its context, but will focus for purposes of simplicity on the operational details of the mass health program of health insurance for the poor. A discussion of the administration and management of Mass Health can offer a glimpse into the inner workings of all other insurance plans in the commonwealth. Mass health, private insurance, and Commonwealth Care share similar tools, controls, and strategies. 2013-05-02T20:52:36Z 2013-05-02T20:52:36Z 2013-01 http://hdl.handle.net/10986/13292 en_US UNICO Studies Series;No. 7 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington DC Publications & Research :: Working Paper Publications & Research UNITED STATES