On The Road to Universal Coverage: Impacts of Reform in Massachusetts at One Year

During the first year under Massachusetts health reform, working-age adults experienced decreasing costs and increasing insurance coverage and access to health care.

What researchers found: The uninsurance rate for working-age adults in Massachusetts dropped by almost half after one year under reform. Approximately 93 percent of nonelderly adults in the state were insured either through their employers, public programs, or subsidized private insurance coverage. There were gains in access to care and a drop in financial burden of care, especially for low-income adults. There was no evidence that public insurance was crowding-out private insurance.
Why we chose this publication: The Massachusetts model offers insights for policy-makers on how a combination of insurance programs and funding mechanisms can maximize participation among individuals and employers.

What researchers studied: To examine the impact of Massachusetts reform, the project administered a telephone survey to a sample of working-age adults (ages 18–64) before the enactment of the state's health reforms (fall 2006) and after its implementation (fall 2007). Participants were asked whether they experienced changes in insurance coverage, access to care, and costs during the first year of reform.

Publication information:
"On The Road to Universal Coverage: Impacts of Reform in Massachusetts at One Year"

Long SK
Health Affairs (Web Exclusive), 27(4): w270–w284, June 3, 2008.