Healthcare Reform: Completing the Journey
A guide to understanding where we’ve been and where
we are headed
The healthcare system in Massachusetts
continues to evolve. We now provide the best healthcare coverage in the
country. Health insurance premium rate increases continue to decline.
Hospitals are dramatically cutting their expense trend. There is an
enormous increase in the amount of publicly available information about
healthcare costs, quality, and access, and many government and private
sector healthcare changes, improvements and initiatives are
While no one should declare victory, there
is no denying the real progress that has been made. Government and
private sector leaders can take pride in the progress achieved to
Now, as we look forward to future challenges,
it’s clear that a balanced approach is required. Government
control of the payment and delivery system has already proven to be
a flawed approach. But the private market alone is not the answer,
either; it too needs guidance at times to help it remain on the right
track. We need a system that respects the responsibility of government
to protect the public interest and the ability of the private market to
be efficient and innovative in providing services and jobs.
This website is designed to assist the public and
policymakers in the creation and implementation of a reformed
Massachusetts healthcare payment and delivery system.
We'll continually update the site with materials you can
use to better understand the complex changes now occurring. Check
MHA has produced this 16-page Completing the Journey
publication to help explain the hospital community's vision for
reforming of the state's healthcare payment and delivery system.
Completing the Journey explains key reform concepts, discusses
reform efforts already underway in the commonwealth, and outlines
important considerations that must be kept in mind as reform legislation
Essential Facts of Reform
MHA is also producing
a series of one-page summations of key reform concepts. Visit here
regularly as we expand this resource.
What’s at stake? What is already underway in
Massachusetts? What needs to be accomplished with healthcare reform?
Read this concise overview paper
The market IS working! Let’s maintain that success.
Learn about the advances already underway to create a more
cost-effective healthcare system by clicking here
state and federal government decides not to pay for the cost of care
provided to patients, they are requiring providers to both give
pay for much of that care. It is a big problem. It
contributes to both destabilizing the healthcare system and increasing
private insurance premiums. Learn more by clicking here
Six Payment Reform Papers
Over the course of the past two years, MHA delved deep into
the payment reform issue and produced six well-received papers that
analyzed, and offered recommendations on, issues central to the reform
debate. MHA's papers examine the essential societal needs that need
to be protected when devising new payment and delivery system
reforms, the oversight structures that should govern this massive
healthcare transformation, and how consumers and employers would be
affected by the necessary benefit designs – among many other
topics. To immerse yourself in the details of the Massachusetts
healthcare reform effort, please visit MHA’s Payment Reform Series of Whitepapers