On the latest episode of The Codcast’s Health or Consequences, Paul Hattis interviews his normal co-host John McDonough and Cheri Andes about their work 20 years ago to secure passage of a landmark health care reform law.
Health Care
Methuen Hospital will be next in a string of maternity unit closures since 2010
This will be the 12th maternity service closure in Massachusetts – five of which have occurred in Gateway Cities – since 2010. The state technically doesn’t have any maternity care deserts – counties without hospitals or birth centers offering obstetric care, and no obstetric providers. But recent losses have experts and advocates sounding the alarm.
Massachusetts health care reform met the moral moment
Living out the Brandeis credo to be a laboratory for democracy, we showed a path to providing health care coverage for nearly all residents
We declared that access to health coverage should not be left to chance or circumstance
Two decades after making health care history, Massachusetts must now face unfinished work on affordability, primary care access, and behavioral care
The Massachusetts Health Connector has been a resilient — and flexible — foundation for a bold experiment
Cost and affordability concerns, along with federal retreat on Affordable Care Act funding and policy, present big challenges as we enter our third decade
Trying to measure primary care’s downward spiral
On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Barbra Rabson, president and CEO of Massachusetts Health Quality Partners. They discuss the primary care crisis, how data transparency improves patient outcomes, and tease upcoming recommendations from the primary care task force.
‘Blunt optimist’: Mass. insurance commissioner Michael Caljouw tries to manage sea change in the industry
Caljouw sat down to discuss how his office is navigating a changing landscape.
‘It just requires people to be destitute’: Healey draws criticism over push to tighten eligibility for safety-net program
Five years after lawmakers scrapped the asset limit attached to the Emergency Aid to the Elderly, Disabled, and Children program, Gov. Maura Healey wants to bring it back at a higher threshold — a move that advocates say will impose unnecessary burdens on at-risk recipients.
Regulating insurance as health care costs surge
On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Michael Caljouw, the state commissioner of insurance. They discuss new regulations for insurers, concerns about the stability and solvency of the Massachusetts health insurance system, and insurer consolidation.
Growing health care pressure drives up spending in Healey’s annual budget
MassHealth spending would increase more than 7 percent under Gov. Maura Healey’s new state budget proposal, roughly twice as much as all other state spending in a reflection of the challenge Beacon Hill faces to control health care costs.
Filling the health care funding gaps
This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith unravels the latests state health coverage moves with Audrey Morse Gasteier, executive director of the Massachusetts Health Connector, and Alex Sheff, senior director of policy and government affairs at Health Care For All.
Healey unveils $250 million health insurance relief plan
Federal enhanced premium tax credits expired at the end of December, creating turmoil for residents whose subsidies had protected them from steep premium hikes.
What to expect when you’re expecting (legislative action)
Major policy issues like housing affordability, primary care access, and utility bills loom over Beacon Hill in 2026, when voters could also decide a dozen ballot questions and pick statewide elected officials.
The top 5 CommonWealth Beacon commentary topics in 2025
Thoughtful CommonWealth Beacon opinion pieces offered a stark contrast to a year of oxygen-sucking pronouncements by a president whose coarsening of public debate commanded nearly nonstop headlines.
‘The exits are growing, the entries are slowing’ in primary care
John McDonough and Paul Hattis talk with Zirui Song, associate professor of health care policy and medicine at Harvard Medical School and a physician at Massachusetts General Hospital. They discuss Song’s research and thoughts about the primary care crisis nationally and in Massachusetts, and dive into the promise and issues with private equity in health care.
Our top five Beacon Hill stories of 2025
The Democrats who control the levers of power in Massachusetts spent most of the year fretting about upheaval from the federal government and preparing for more expansive action down the line.
Legislature downshifts into holiday mode after short burst of activity
What reached Gov. Maura Healey’s desk, and what’s still on hold until 2026 now that the Legislature is done with major business for the year?
Health care workplace violence bill finding traction
According to a bill summary, someone in a Massachusetts health care facility is assaulted, threatened or verbally abused every 38 minutes.
When health care access is a legal puzzle
On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Matt Selig, the executive director of Health Law Advocates. They discuss the blur between medical and legal access issues, the group’s history and capacity, and their current litigation focuses.
State council approves Leicester hospital, nursing home sale
By a 10-2 vote, the council backed the $9 million transfer of Vibra Hospital of Western Massachusetts and the Meadows nursing home in Leicester, along with the property they occupy.
A year of strained systems and trust after Carney closures
This week on The Codcast, CommonWealth Beacon reporters Jennifer Smith and Hallie Claflin talk about Claflin’s deep dive into the fallout from Steward Health Care’s bankruptcy. Two communities – the Boston neighborhood of Dorchester and the rural Nashoba Valley – lost their community health centers. Just over a year later, the local emergency health systems are strained and residents say they still feel confused about why the state allowed their centers to close while others were saved.
Mass. Health Connector chief: State must ‘deal with the reality in front of us’ as critical health care deadline looms
On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute spoke with Audrey Gasteier, executive director of the Massachusetts Health Connector. Gasteier about the current crisis facing residents of the Commonwealth should the federal government fail to renew premium tax credits.
When communities lose trust: One year after Steward Health’s bankruptcy and the death of two hospitals
One year after Steward Health Care’s demise, the Nashoba Valley and Dorchester communities are grappling with strained EMS services, diminished access to care, and trust that has been broken. Local leaders, hospital staff, and residents say they are a testament to the devastation that lingers after communities lose their critical infrastructure.
The math of rural health access
This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith talks with Michael Leary, director of media relations for Berkshire Health Systems. They dive into what makes Berkshire County such a complicated place for health care access – with rural towns, busier cities, college students, and of course the seasonal visitors looking to peep some leaves or take in the snowy mountains. The far-flung region’s geography is a challenge on its own, and that’s before factoring in the system-wide staffing crunches and looming Medicaid
