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Published at www.nejm.org October 21, 2009 (10.1056/NEJMp0909295)

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Massachusetts has long been known for its academic medical centers, biomedical research, high-quality health care, and perhaps not unrelatedly, high health care costs. In 2006, the state captured national attention when it passed a landmark health care reform bill, under which it has achieved near-universal coverage of state residents. Some observers, however, have questioned whether this reform has been too costly.

The Massachusetts reform law expanded Medicaid coverage; created state-subsidized insurance, called Commonwealth Care, for low-income persons who are not eligible for Medicaid; merged the individual and small-group insurance markets; instituted an employer "fair share assessment" and an individual mandate; . . . [Full Text of this Article]

Source Information

From the Massachusetts Executive Office of Health and Human Services, Boston.

This article (10.1056/NEJMp0909295) was published on October 21, 2009, at NEJM.org.

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