Affordability Gap Remains Despite Coverage Gains

This collection of reports and chart packs is the latest in a series by the Urban Institute analyzing the results of the Massachusetts Health Reform Survey (MHRS), which has been conducted since 2006. This round of the survey, which was fielded in the fall of 2012, was jointly funded by the Robert Wood Johnson Foundation and the Blue Cross Blue Shield of Massachusetts Foundation. These results provide both a means for continuing to monitor the efforts in Massachusetts to sustain the coverage gains achieved through the 2006 health reform law and an important new baseline against which to assess the impact of the state’s efforts to improve the affordability of care and reduce health care spending. Findings show that while coverage and access to care remain strong in Massachusetts, health care costs continue to be a burden for many individuals and families.  

This year’s results are presented in a variety of publications including:

• a five page summary, including comparing Massachusetts to the nation
• a series of infographics focused on the following topics: coverage, changing patterns of care, medical debt;
• a policy brief analyzing the impact of health care costs in depth;
• a full report; and,
• a chart pack.

For those interested in learning more about the methodology of the survey, please see this report and this survey instrument tool.

The Blue Cross Blue Shield of Massachusetts Foundation and the Robert Wood Johnson Foundation will be making the complete survey results for all six years of the survey available for public use through the Inter-university Consortium for Political and Social Research.

Findings from the survey were featured at a Foundation event on March 26, 2014. See materials from the event located here.

This chartpack summarizes the impact of the 2006 Massachusetts health reform law. The chartpack gathers data from surveys and analyses by state government agencies including the Massachusetts Center for Health Information and Analysis, the Massachusetts Department of Revenue, and the Massachusetts Health Insurance Connector Authority, as well as highlights from health reform tracking surveys conducted by the Urban Institute. This document has been designed to support the use of the charts in slide presentations, and we encourage readers to use them. We plan to update this chartpack regularly.

This report is the latest in a series by the Urban Institute analyzing the impact of the Massachusetts health reform law based on the Massachusetts Health Reform Survey (MHRS).  Findings show that that the remaining uninsured are disproportionately young, male, Hispanic, and non-citizens.  The data presented also show the geographic areas of the state with high numbers of uninsured children and non-elderly adults. Suggested outreach strategies to reach the remaining uninsured include targeting specific populations of uninsured individuals as well as specific geographic areas with higher rates and numbers of uninsured. Click here to view a one-page graphic with key findings from the report.

These fact sheets highlight the major implications of Massachusetts’s 2012 health care cost containment law, Chapter 224, for four key stakeholder groups:  hospitals, health plans, consumers, and clinicians. From increased data reporting requirements for hospitals and health plans, to greater cost transparency for consumers, Chapter 224 will have significant impacts on many aspects of the Massachusetts health care system in the years ahead.

For a comprehensive overview of the entire law, see the Foundation’s report: Summary of Chapter 224 of the Acts of 2012. For an in-depth look at the Medicaid provisions in the law, see the Foundation’s report: Chapter 224 of the Acts of 2012: Implications for MassHealth.

This poll – conducted in April and May 2012 by researchers at the Harvard School of Public Health – asked “sick” Massachusetts residents a series of questions related their perception of health care costs and quality in Massachusetts, the reasons for cost and quality problems, and their personal experience with cost and quality issues. The results showed that sick residents are very concerned about health care costs in Massachusetts, and some struggle with their own costs of care. Though respondents were less troubled by the quality of care in the state, there were indications of problems, especially around care coordination and communication. The poll was conducted in partnership with 90.9 WBUR and the Robert Wood Johnson Foundation.

This report is the latest in a series by the Urban Institute analyzing the impact of the Massachusetts health reform law. Findings show that despite the state's economic recession Massachusetts has maintained record low levels of uninsured and access to needed health care has improved. This report is based on the 2010 Massachusetts Health Reform Survey (MHRS), which has tracked the impact of the law annually since 2006.

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.

Released on the fifth anniversary of the passage of Massachusetts health reform, this comprehensive slide deck pulls together the findings of surveys and other efforts to monitor the impact of the 2006 Massachusetts health reform law. The charts in this report track the impact of Massachusetts health reform efforts on coverage and access to care, the response to the individual mandate, employer participation in providing coverage to employees, and public opinion. Data come from surveys and analyses by state government agencies including the Massachusetts Division of Health Care Finance and Policy, the Massachusetts Department of Revenue, and the Massachusetts Health Insurance Connector Authority. In addition, highlights from health reform tracking surveys conducted annually by the Urban Institute are included. Updated regularly.

This report is the latest in a series by the Urban Institute analyzing the impact of the Massachusetts health reform law. Findings show that despite the state's economic recession Massachusetts has maintained record low levels of uninsured and access to needed health care has improved. Additionally, disparities in coverage and care have been eliminated or narrowed. Solid public support for the health reform law continues. This report is based on the 2009 Massachusetts Health Reform Survey (MHRS), which has tracked the impact of the law annually since 2006.

This policy brief based on data from the 2009 Massachusetts Health Reform Survey shows that women have achieved significant gains in insurance coverage and in access and use of health care since health reform was implemented in Massachusetts. The gains were particularly strong for subgroups of women who had lower levels of coverage and poorer access prior to reform, including lower-income women, women of minority race/ethnicity, and women without dependent children.

This policy brief by Sharon Long of The Urban Institute measures geographic and racial disparities in access to health care in Massachusetts. The data in the brief comes from the third annual Massachusetts Health Reform Survey. This revised version of the policy brief, which was originally published 5/28/2009, reflects changes made after an error in constructing survey weights was discovered and corrected. These changes do not impact the basic findings and conclusions in the original policy brief with respect to geographic differences; however, it does lead to more evidence of racial/ethnic differences in the affordability of health care in Massachusetts.

An eight-page issue brief that analyzes the impacts of health reform on insurance coverage across different population groups in the state. Specifically, it examines differences in insurance coverage by demographic characteristics (e.g., age, race/ethnicity, and gender), health status, employment, and geography.

Data from the Kaiser Family Foundation/Harvard School of Public Health/Blue Cross Blue Shield of Massachusetts Foundation Massachusetts Health Reform Tracking Survey. This was the first in a series of surveys measuring Massachusetts residents attitudes towards and experiences with the 2006 health reform law.

This report by Sharon Long and Mindy Cohen provides a snapshot of Massachusetts’s adult population prior to the implementation of the 2006 health reform legislation in the state.

An examination of how to define affordability relative to the enforcement of the individual mandate requirement of the 2006 health reform law.