With six years of implementation under their belts and an estimated 98 percent insurance rate in the state, a report citing a number of Massachusetts business leaders illustrates why they believe working closely with policy-makers and other stakeholders on health reform has resulted in better outcomes than if they had stayed on the sidelines. The Massachusetts business community has been intensely involved in shaping health policy for more than a quarter century, and many believe that without their engagement, the state’s 2006 health reform law may never have been passed. 

This report explains how and why Massachusetts’ business leaders became involved and the difference their engagement has made. The brief also provides an overview of results and lessons learned, and includes the perspectives of entrepreneurs and other business leaders on how health reform has affected their companies, their employees, and the state’s overall business climate.