Modeling the Impacts of the American Health Care Act on Massachusetts

The Blue Cross Blue Shield of Massachusetts Foundation, on behalf of the Massachusetts Coalition for Coverage and Care, funded a state-level analysis on the impact of the American Health Care Act (AHCA) on Massachusetts focused on 2022, when the law would be fully phased in.

Created by the Urban Institute’s Health Policy Center, this analysis uses state-level cost and coverage data from MassHealth (the state’s Medicaid program), the Massachusetts Health Connector Authority, and the Center for Health Information and Analysis. It is believed to be the first published study of the bill’s impact on an individual state.

Implementing the Affordable Care Act in Massachusetts: Changes in Subsidized Coverage Programs

In March 2010, President Obama signed The Patient Protection and Affordable Care Act (ACA), which included significant changes impacting health insurance coverage across the United States. Although many elements of the ACA were based on Massachusetts’ health insurance reform, there were still many decisions and activities that Massachusetts needed to address in order to comply with the new federal Medicaid and health insurance marketplace requirements, most of which were required to be effective as of January 2014. This issue brief, prepared by Health Management Associates, focuses on the changes in eligibility, benefits, cost sharing (including premiums), and health plan options available to individuals receiving subsidized insurance in the Commonwealth before and after implementation of the ACA.

Coverage Options for Massachusetts: Leveraging the Affordable Care Act

In this issue brief, Patricia Boozang, Deborah Bachrach and Hailey Davis of Manatt Health Solutions, review the coverage and delivery system challenges that Massachusetts could address through sections 1331 (the Basic Health Program) and 1332 (Waivers for State Innovation) of the Affordable Care Act (ACA). This brief describes the federal requirements related to these sections of the law and identifies the options the Commonwealth could pursue to advance its coverage, fiscal, and policy priorities, including: improving affordability and ease of access to coverage for low-income residents, continuing the expansion of insurance coverage to hard-to-reach populations, and evaluating and revisiting policy decisions like the individual mandate to determine the best fit for Massachusetts.

Re-Forming Reform Part 2: Implementing the Affordable Care Act in Massachusetts

This report – written by Elisabeth Rodman of the Blue Cross Blue Shield of Massachusetts Foundation – explains how the Commonwealth of Massachusetts chose to implement the Affordable Care Act (ACA) and the resulting changes to health programs, policies, and operations. This report serves as a follow up to Re-Forming Reform: What the Patient Protection and Affordable Care Act Means for Massachusetts, and describes the changes to the state’s subsidized coverage options, eligibility and enrollment policies and procedures, private insurance market, and payment reform initiatives that will result from ACA implementation.

Affordable Care Act Tracking Tool

Chart of state decisions related to implementation of the federal health care reform law, the Affordable Care Act (ACA). Originally created by the Center for Health Law & Economics, UMASS Medical School, and Health Care For All; updated by the BCBSMA Foundation. This document was last updated in February 2013. Please refer to Re-Forming Reform Part 2: Implementing the Affordable Care Act in Massachusetts for more information regarding ACA implementation in the Commonwealth.

Reconciling the Massachusetts and Federal Individual Mandates for Health Insurance: A Comparison of Policy Options

As a part of the 2006 Massachusetts health reform, the state implemented an individual mandate to help improve access to affordable, quality health care. The Affordable Care Act (ACA) also includes an individual mandate, which differs in many design components from the Massachusetts individual mandate.

This report, written by Linda J. Blumberg and Lisa Clemans-Cope of the Urban Institute, examines the three policy options for Massachusetts with regard to its individual mandate. The state can eliminate its mandate, maintain the mandate in its current form, or maintain but modify its mandate to be more consistent with the ACA. In comparing the three options, the researchers consider several criteria, including minimizing complexity for residents, maximizing political acceptability, limiting the administrative burden on the state, minimizing impacts on state revenue, and minimizing disruption to the state’s current system, which has effectively increased insurance coverage and ensured a minimum level of benefits across all insurance markets since 2006.

Business Community Participation in Health Reform: The Massachusetts Experience

This report funded in part by the Foundation explains how and why Massachusetts business leaders became involved in health reform and the difference their engagement has made and presents the perspectives of individual entrepreneurs, business owners and executives on how Massachusetts health reform has affected their companies, their employees and the overall business climate in Massachusetts.

Massachusetts Under the Affordable Care Act: Employer-Related Issues and Policy Options

This report, written by researchers at the Urban Institute, explores four policy options for assessing employers who do not provide affordable health insurance coverage to their workers as Massachusetts brings its state health reform law into compliance with the federal Patient Protection and Affordable Care Act.

The Interactive Guide to Chapter 288

An online, interactive guide to Chapter 288 of the Acts of 2010, Massachusetts' most recent health care cost containment law. This online tool includes full, up-to-date text, section-by-section summaries and links to relevant reports, commissions, state agencies and final regulations.

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Massachusetts Health Reform: A Five-Year Progress Report

Blue Cross Blue Shield of Massachusetts Foundation report by Alan G. Raymond on the first five years of Massachusetts health reform implementation, including comprehensive assessments of how the law is working, impacts on coverage and access to care, and cost and funding.