Massachusetts Health Reform : Approaching Universal Coverage

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dc.creatorJanett, Robert S.
dc.date2013-05-02T20:52:36Z
dc.date2013-05-02T20:52:36Z
dc.date2013-01
dc.date.accessioned2026-07-01T00:56:48Z
dc.descriptionThe 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttps://hdl.handle.net/10986/13292
dc.identifierhttps://doi.org/10.1596/13292
dc.identifier.urihttp://hdl.handle.net/123456789/413347
dc.languageen_US
dc.publisherWorld Bank, Washington DC
dc.relationUNICO Studies Series;No. 7
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectacademic medical centers
dc.subjectaccess to health care
dc.subjectaccess to health care services
dc.subjectaccess to services
dc.subjectacute care
dc.subjectacute care hospitals
dc.subjectadministrative law
dc.subjectadministrative law judge
dc.subjectadministrative management
dc.subjectadolescents
dc.subjectadverse selection
dc.subjectaged
dc.subjectaging
dc.subjectambulatory services
dc.subjectAmbulatory Surgery
dc.subjectAppropriate treatment
dc.subjectbeds
dc.subjectblindness
dc.subjectblock grant
dc.subjectblock grants
dc.subjectBreast cancer
dc.subjectcapita health spending
dc.subjectcapitation
dc.subjectcare access
dc.subjectcase management
dc.subjectcertification
dc.subjectcervical cancer
dc.subjectClinician
dc.subjectclinicians
dc.subjectclinics
dc.subjectcommunity action
dc.subjectcommunity development
dc.subjectcommunity health
dc.subjectcommunity health center
dc.subjectcompetitive bidding
dc.subjectcomprehensive care
dc.subjectcost control
dc.subjectcost sharing
dc.subjectcosts of care
dc.subjectcounselors
dc.subjectdelivery system
dc.subjectdental diseases
dc.subjectDental Services
dc.subjectdeterminants of health
dc.subjectdetermination of eligibility
dc.subjectdiabetes
dc.subjectdiagnosis
dc.subjectdisabilities
dc.subjectdoctors
dc.subjectelderly people
dc.subjecteligibility standards
dc.subjecteligible beneficiaries
dc.subjectemergency care
dc.subjectemergency room
dc.subjectemergency rooms
dc.subjectenrollees
dc.subjectentitlement
dc.subjectentitlement program
dc.subjectFamilies
dc.subjectfamily income
dc.subjectFamily planning
dc.subjectfee-for-service
dc.subjectfee-for-service payment
dc.subjectfinancial management
dc.subjectfinancial penalties
dc.subjectfinancial resources
dc.subjectfinancial risk
dc.subjectfinancial risks
dc.subjectFiscal Policy
dc.subjectgroup insurance market
dc.subjecthealth care
dc.subjectHealth Care Costs
dc.subjecthealth care coverage
dc.subjectHealth Care Finance
dc.subjecthealth care financing
dc.subjecthealth care needs
dc.subjecthealth care program
dc.subjecthealth care providers
dc.subjectHealth Care Reform
dc.subjecthealth care sector
dc.subjecthealth care spending
dc.subjectHealth Care System
dc.subjecthealth centers
dc.subjecthealth conditions
dc.subjecthealth cost
dc.subjectHealth costs
dc.subjectHealth Coverage
dc.subjecthealth education
dc.subjecthealth expenditure
dc.subjecthealth expenditures
dc.subjecthealth financing
dc.subjecthealth financing scheme
dc.subjectHealth Indicators
dc.subjectHealth information
dc.subjecthealth insurance
dc.subjecthealth insurance coverage
dc.subjecthealth insurance plans
dc.subjecthealth insurance scheme
dc.subjecthealth insurance schemes
dc.subjecthealth outcomes
dc.subjecthealth plan
dc.subjecthealth plans
dc.subjectHealth Policy
dc.subjecthealth programs
dc.subjectHealth Reform
dc.subjectHealth reforms
dc.subjecthealth screening
dc.subjecthealth sector
dc.subjectHealth Services
dc.subjecthealth spending
dc.subjecthealth status
dc.subjectHealth System
dc.subjecthealth systems
dc.subjecthealth workers
dc.subjecthealthcare
dc.subjectHealthcare Providers
dc.subjecthealthcare services
dc.subjectHIV/AIDS
dc.subjectHome Care
dc.subjectHome Health Care
dc.subjecthospice
dc.subjecthospice care
dc.subjecthospital admission
dc.subjecthospital admissions
dc.subjectHospital Care
dc.subjecthospital services
dc.subjecthospital systems
dc.subjecthospital utilization
dc.subjecthospitalization
dc.subjecthospitals
dc.subjecthypertension
dc.subjectimmigrants
dc.subjectincentive payments
dc.subjectincome
dc.subjectincome ceiling
dc.subjectincome countries
dc.subjectInfants
dc.subjectinformal sector
dc.subjectinpatient care
dc.subjectinpatient hospital
dc.subjectInsurance
dc.subjectinsurance companies
dc.subjectInsurance Plan
dc.subjectinsurance plans
dc.subjectinsurance premiums
dc.subjectintervention
dc.subjectjudicial system
dc.subjectlaws
dc.subjectmanaged care
dc.subjectmanaged care plans
dc.subjectmarketing
dc.subjectMedicaid
dc.subjectMedicaid coverage
dc.subjectMedicaid payments
dc.subjectMedical Association
dc.subjectMedical associations
dc.subjectmedical care
dc.subjectmedical costs
dc.subjectmedical education
dc.subjectmedical equipment
dc.subjectmedical expenses
dc.subjectmedical records
dc.subjectMedicare
dc.subjectMedicare beneficiaries
dc.subjectMental Health
dc.subjectmental illness
dc.subjectMoral Hazard
dc.subjectnational health
dc.subjectnational health expenditures
dc.subjectnurses
dc.subjectnursing
dc.subjectNursing Home Care
dc.subjectnursing homes
dc.subjectoral health
dc.subjectoutpatient care
dc.subjectoutpatient hospital services
dc.subjectoutpatient services
dc.subjectpatient
dc.subjectpatient education
dc.subjectpatient satisfaction
dc.subjectpatients
dc.subjectPhysician
dc.subjectphysicians
dc.subjectpregnancy
dc.subjectpregnant women
dc.subjectPrescription Drugs
dc.subjectprimary care
dc.subjectprimary care doctors
dc.subjectPrimary Care Physician
dc.subjectprivate health insurance
dc.subjectprivate hospitals
dc.subjectprivate insurance
dc.subjectPrivate insurers
dc.subjectprivate sector
dc.subjectProsthetic devices
dc.subjectProvider incentives
dc.subjectprovider payment
dc.subjectprovision of care
dc.subjectprovision of services
dc.subjectpsychologists
dc.subjectpsychosocial support
dc.subjectpublic costs
dc.subjectPublic Health
dc.subjectpublic health insurance
dc.subjectpublic hospitals
dc.subjectpublic insurance
dc.subjectpublic providers
dc.subjectquality of care
dc.subjectrefugees
dc.subjectRehabilitation
dc.subjectscreening
dc.subjectSocial Security
dc.subjectSocial Security benefits
dc.subjectSocial workers
dc.subjectsurgery
dc.subjectunemployment
dc.subjectuse of health care services
dc.subjectvictims
dc.subjectviolence
dc.subjectvisits
dc.subjectworkers
dc.titleMassachusetts Health Reform : Approaching Universal Coverage

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