Health Affairs

Health Affairs, 28, no. 4 (2009): w578-w587 (Published online 28 May 2009) doi: 10.1377/hlthaff.28.4.w578 © 2009 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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Access And Affordability: An Update On Health Reform In Massachusetts, Fall 2008

Sharon K. Long and Paul B. Masi

Massachusetts continues to move forward on comprehensive health reform. Uninsurance is at historically low levels, despite the recent economic downturn. Building on that coverage expansion, access to and affordability of care in the commonwealth have improved. Notwithstanding these successes, some of the early gains in reducing barriers to care and improving the affordability of care had eroded by fall 2008, reflecting trends that predate health reform in Massachusetts: constraints on provider capacity and increasing health care costs. Because these are national concerns as well, Massachusetts continues to offer lessons for national reform efforts.

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