Massachusetts continues to move forward on comprehensive health reform, with uninsurance at historically low levels.
Building on that coverage expansion, there have been improvements in access to care and the affordability of care in the state, as reported in a recent Health Affairs article. Notwithstanding these successes, some of the early gains under health reform in reducing barriers to care and improving the affordability of care had eroded by fall 2008, reflecting trends that predate health reform—constraints on provider capacity and increasing health care costs.
This policy brief provides a supplement to the recent Health Affairs article, examining geographic and racial/ethnic differences in access to care and affordability of care across Massachusetts in fall 2008.
Revised August 2009.