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‘Rich Hospital, Poor Hospital’ by Nancy Turnbull

If you need any convincing about the urgent need for reform of provider payment, check out the latest report on hospital financial performance from the Massachusetts Division of Health Care Finance and Policy. The report gives a very stark picture of the growing gulf between the “haves and have-nots” among hospitals in the Commonwealth. I …

“Two Thoughts About Possible Reforms To The Massachusetts Health Insurance Market” by Nancy Turnbull

Thought #1 The Globe today has a story about an “offer” from America’s Health Insurance Plans and the Blue Cross and Blue Shield Association, the two largest health insurer trade groups, to give up risk rating—the practice of varying premium rates by health status. Massachusetts did this back in 1990 for small employers and in …

“The Taxman Cometh” by Nancy Turnbull

The process of implementing Chapter 58 has been full of surprises. For me, one of the biggest is that April 15 has come and gone with so little public outcry about the individual mandate (IM). The IM is the most radical feature of the state’s health reform law. (Before any of you readers gang up …

SHARED RESPONSIBILITY by Nancy Turnbull

The board of the Connector, on which I serve, is facing some difficult decisions about enrollee premiums and cost-sharing for the Commonwealth Care (CommCare) program. State finances are tight, CommCare enrollment is larger than expected, and health care costs and premiums continue to rise much faster than overall inflation or wages. All of these factors …