Coverage and Care

Coverage does not always equal care. Our focus is on expanding health insurance coverage and access to care, and developing strategies to increase coverage to reach those most in need.


November 12, 2020
This brief summarizes the main legal arguments at play in California v. Texas and the recent relevant case history.
November 9, 2020
This brief and infographic describe the implications of a potential court ruling resulting in the repeal of the ACA on MA's coverage rates and federal funding.
October 5, 2020
Highlights the most recent monthly enrollment data available for MassHealth & ConnectorCare —the two most prominent sources of publicly financed health insurance in MA.
August 31, 2020
This table serves as a centralized resource that documents & describes the policy, regulatory, & administrative actions pertaining to MassHealth, Health Connector, & HSN.
December 17, 2019
This brief describes the implications of a potential court ruling resulting in the repeal of the ACA on Massachusetts’ health insurance coverage rates and federal funding.
August 20, 2019
Using newly released data from the American Community Survey, this brief examines the geography of uninsurance in MA communities.
December 11, 2018
This collection of materials is the latest in a series by the Urban Institute summarizing the findings from the 2018 Massachusetts Health Reform Survey (MHRS).
May 31, 2018
This brief frames the key issues and potential impacts to MA consumers that may result from implementation of the federal proposed rule to expand the availability of AHPs.
March 29, 2018
This brief provides an overview of the steps that MA has taken to establish a functioning market that provides consumers with meaningful access to health coverage.
November 21, 2017
This brief prioritizes issues for consideration as ACOs and MCOs prepare to integrate and fully manage comprehensive long-term services and supports.
October 5, 2017
This brief provides an update on the status of federal reauthorization for CHIP and a summary of its potential impact on the program in Massachusetts.
June 22, 2017
This report describes the Children’s Health Insurance Program (CHIP) in Massachusetts and its role as part of MassHealth.
January 5, 2017
This issue brief summarizes the key elements of the most recent MassHealth 1115 waiver extension.
July 14, 2016
This report analyzes data from 2011 and 2012 state tax filings to better understand the population in Massachusetts that remains uninsured over consecutive years.
June 1, 2016
This report, authored by the UMass Center for Health Policy and Research, includes findings from the evaluation of the 2013-2015 Connecting Consumers with Care grant program.
April 12, 2016
As we mark the 10th anniversary of Ch. 58, this fact sheet presents a summary of the law’s effects, as reported in the many studies that have focused on MA reform.
March 23, 2016
The 2015 MHRS highlights sustained gains in coverage since the passage of the 2006 health care reform law, as well as persistent gaps in health care access and affordability.
February 18, 2016
This report summarizes the findings of a qualitative study of uninsured individuals in MA to build a better understanding of the reasons they were uninsured.
September 24, 2015
This report summarizes the results of a poll examining the experience of MA seniors on the issues of affordability, access, and satisfaction with their health care coverage.
September 24, 2015
This report examines the private and public coverage options available to seniors to help fill the gaps in Medicare.
June 23, 2015
This report analyzes the 2013 MHRS by comparing the experience of adults with public coverage to adults with ESI across a number of access and affordability measures.
August 20, 2015
This issue brief, prepared by Health Management Associates, focuses on the changes to subsidized insurance in Massachusetts resulting from passage of the ACA.

Interactive Resources

November 9, 2017
This updated tracking tool provides a detailed description of key components of Chapter 224, highlighting the progress the state has made in its implementation.
April 6, 2017
This brief and set of detailed tables provide updated estimates of the number and rate of uninsurance in Massachusetts by various geographic units and categories.
September 29, 2016
This updated tracking tool provides a detailed description of key components of Chapter 224, highlighting the progress the state has made in its implementation.
March 7, 2012
An online, interactive guide to Massachusetts' 2010 health care cost containment law.
November 22, 2010
This resource outlines the legislative structures of Massachusetts health reform and associated regulations in an easy to understand format.

Chart Packs

June 27, 2017
This chart pack provides an overview of the Senate-proposed Better Care Reconciliation Act of 2017.
May 23, 2017
This state-level analysis models the impact of the American Health Care Act (AHCA) on Massachusetts focused on 2022, when the law would be fully phased in.
March 10, 2017
This chart pack provides an overview of proposals to cap federal Medicaid funding and the considerations for Massachusetts.
March 26, 2014
Chartpack summarizing the impact of the state’s 2006 health reform law. Data collected from state agency reports, national reports, and state surveys on access and coverage.