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Sharon K Long - One of the best experts on this subject based on the ideXlab platform.

  • the Health Reform monitoring survey addressing data gaps to provide timely insights into the affordable care act
    Health Affairs, 2014
    Co-Authors: Sharon K Long, John Holahan, Genevieve M Kenney, Stephen Zuckerman, Dana E Goin, Douglas Wissoker, Fredric Blavin, Linda J Blumberg, Lisa Clemanscope, Katherine Hempstead
    Abstract:

    The Health Reform Monitoring Survey (HRMS) was launched in 2013 as a mechanism to obtain timely information on the ACA during the period before federal survey data will be available. The HRMS provides quarterly data on insurance coverage, access to Health care, and Health care affordability, along with changing topics of relevance to current policy and program issues. For example, data from summer 2013 show that more than 60 percent of those targeted by the Health insurance exchanges struggle with understanding key Health insurance concepts, raising concerns about their ability to evaluate trade-offs when choosing coverage.

  • sustaining Health Reform in a recession an update on massachusetts as of fall 2009
    Health Affairs, 2010
    Co-Authors: Sharon K Long, Karen Stockley
    Abstract:

    With the passage of national Health Reform legislation modeled on Massachusetts’ 2006 Reform initiative, the Bay State continues to provide important lessons for the nation. Most recently, Massachusetts has shown that although it is difficult, sustaining the gains of Health Reform in a severe recession is possible. The state’s uninsurance rate, 4.8 percent for nonelderly adults, remained at a record low in fall 2009. Access to Health care improved, and the burden of high Health care costs on individuals was reduced. However, challenges remain, as some barriers to care persist and escalating Health care costs continue to be an issue.

  • access and affordability an update on Health Reform in massachusetts fall 2008
    Health Affairs, 2009
    Co-Authors: Sharon K Long, Paul B Masi
    Abstract:

    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.

Stuart Guterman - One of the best experts on this subject based on the ideXlab platform.

  • Medicare Advantage in the era of Health Reform: progress in leveling the playing field.
    Issue brief (Commonwealth Fund), 2011
    Co-Authors: Brian Biles, Grace Arnold, Stuart Guterman
    Abstract:

    Payments to private Medicare Advantage (MA) plans have exceeded Medicare fee-for-service (FFS) costs since those payments were increased by the Medicare Modernization Act of 2003 (MMA). Payments to MA plans in 2010 exceeded average costs in FFS Medicare nationally by 8.9 percent, a total of $8.9 billion. While these extra payments are substantial, they represent a decrease relative to 2009, when MA payments were 13.0 percent, or $11.4 billion, greater than FFS costs. The decrease in MA payments relative to FFS costs, while mostly resulting from policy decisions and other factors not directly related to the Health Reform law, begins to shift MA payments toward levels mandated in the provisions that are set to go into effect in 2012.

  • innovation in medicare and medicaid will be central to Health Reform s success
    Health Affairs, 2010
    Co-Authors: Stuart Guterman, Karen Davis, Kristof Stremikis, Heather Drake
    Abstract:

    The Health Reform legislation signed into law by President Barack Obama contains numerous payment Reform provisions designed to fundamentally transform the nation’s Health care system. Perhaps the most noteworthy of these is the establishment of a Center for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services. This paper presents recommendations that would maximize the new center’s effectiveness in promoting Reforms that can improve the quality and value of care in Medicare, Medicaid, and the Children’s Health Insurance Program, while helping achieve Health Reform’s goals of more efficient, coordinated, and effective care.

John Mcdonough - One of the best experts on this subject based on the ideXlab platform.

  • From Massachusetts to 1600 Pennsylvania avenue: Aboard the Health Reform express
    Health Affairs, 2010
    Co-Authors: Kavita Patel, John Mcdonough
    Abstract:

    The journey of national Health Reform legislation from concept to President Barack Obama's desk was long and winding, but not without important guideposts. Core elements of Massachusetts' 2006 Health Reform--near-universal, affordable coverage; changes in the small-group and individual insurance markets; and an individual mandate to obtain insurance--provided a road map for policy makers charting national Health Reform. Our experience with the Massachusetts Reform informed our work on the Senate Health, Education, Labor, and Pensions Committee in 2008 and 2009. We compare national and Massachusetts Health Reforms and analyze their implications for the future.

Karen Stockley - One of the best experts on this subject based on the ideXlab platform.

  • sustaining Health Reform in a recession an update on massachusetts as of fall 2009
    Health Affairs, 2010
    Co-Authors: Sharon K Long, Karen Stockley
    Abstract:

    With the passage of national Health Reform legislation modeled on Massachusetts’ 2006 Reform initiative, the Bay State continues to provide important lessons for the nation. Most recently, Massachusetts has shown that although it is difficult, sustaining the gains of Health Reform in a severe recession is possible. The state’s uninsurance rate, 4.8 percent for nonelderly adults, remained at a record low in fall 2009. Access to Health care improved, and the burden of high Health care costs on individuals was reduced. However, challenges remain, as some barriers to care persist and escalating Health care costs continue to be an issue.

Paul B Masi - One of the best experts on this subject based on the ideXlab platform.

  • access and affordability an update on Health Reform in massachusetts fall 2008
    Health Affairs, 2009
    Co-Authors: Sharon K Long, Paul B Masi
    Abstract:

    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.