Health Care Costs and Affordability

In-depth information about the causes and effects of the state's high health care costs, and the ongoing efforts of public and private stakeholders to make health care more affordable through legislation, provider payment reforms, and improvements in care delivery.


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.
August 5, 2015
Margaret Houy and Kate Bazinsky of Balit Health Purchasing, LLC report on the impact of the BCBSMA Foundation’s funding initiative.
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.
May 21, 2015
This issue brief outlines options available to the state through sections 1331 (BHP) and 1332 (State Innovation Waiver) of the ACA.

Chart Packs

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.

Interactive Resources

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.

Massachusetts Health Care Reform

A comprehensive collection of information from the Foundation and other stakeholders about the history, implementation, and progression of Massachusetts health reform around costs and affordability.

The Massachusetts Health Care Cost and Payment Reforms Resource Guide