Abstract
In April 2006, Massachusetts enacted
legislation to reorganize both its health insurance markets and a
large portion of its health care subsidy system. In this paper we
consider how the Massachusetts approach differs from most previous
state health reform efforts, while also noting its antecedents. We
examine the policy implications of the legislation's key elements
and discuss how other states might consider altering the scope and
specifics of those components. We conclude that both parts of the
Massachusetts reform strategy merit consideration by other states
and together hold promise for expanding coverage, particularly by
addressing the problem of coverage discontinuity.
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First appeared in Health Affairs