Health Affairs

Health Affairs, 27, no. 4 (2008): w285-w297 (Published online 3 June 2008) doi: 10.1377/hlthaff.27.4.w285 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Massachusetts Health Reform Implementation: Major Progress And Future Challenges

John E. McDonough, Brian Rosman, Mehreen Butt, Lindsey Tucker and Lisa Kaplan Howe

Since its passage in April 2006, the Massachusetts health reform law (Chapter 58) has expanded affordable insurance coverage to 355,000 people. Major milestones have been achieved, including establishment of new coverage programs, merger of small-group and nongroup insurance markets, creation of an insurance "Connector," determination of affordability and penalty standards for an individual mandate, and launch of employer responsibility requirements. Key challenges remain, including full implementation of the individual mandate, cost control, and securing of long-term financing. Massachusetts health reform is offering valuable and important lessons for the nation.

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