Negotiations on a final compromise could prove arduous, but the House and Senate agree on the fundamental idea of more than doubling the share of health care spending that goes toward primary care to ease the crisis that’s left many patients struggle to find appointments.
Health Care
Posted inHealth Care
Health insurance woes reaching ‘inflection point,’ commissioner says
The escalating use of low-value care — medical services that are unnecessary for patient care — was identified as a contributor to health care spending growth. One in four commercially insured residents received at least one low-value service in 2024.
Posted inHealth Care
Small businesses still in line for double-digit health premium increases — with some relief
Newly approved health insurance premium rates in the so-called merged market mean hundreds of thousands of Bay Staters will face average increases of more than 10 percent in 2027.
Posted inHealth Care
House eyes passage of bill altering criteria for late-term abortions
The bill would eliminate the existing criteria that allows for abortions to be performed 24 weeks or later into a pregnancy. Instead, leaving it up to the professional judgment of the physician performing the abortion.
Posted inState Government
House counteroffer to primary care may focus on prescription drugs
Pressed about aspects of a potential health care bill, House Speaker Ron Mariano said, “I know the committee, health care policy, has done an awful lot of work in prescription drug stuff, so we’ll start probably with that, and see where that takes us.”
Posted inHealth Care
Healey intervenes as Brigham nurses, home care workers prepare to strike
Healey held a meeting Monday afternoon with leaders from Mass General Brigham and the Massachusetts Nurses Association, though no bargaining committee members attended.
Posted inEnvironment
With public health at stake, many Boston hospitals struggle to meet the city’s air pollution goals
“If the city wants to make real progress on climate goals, the building sector is where the biggest changes have to happen.”
Posted inState Government
July is here, and that means it’s busy season again on Beacon Hill
An even-year July 31 is always a critical crossroads for the House and Senate, but rules changes this time around mean it will look different than it has for the past two decades. And as the House budget chief put it, “it can’t go worse” than last term.
Posted inThe Codcast
Bad incentives and industry headwinds vex Point32Health CEO
Patrick Gilligan has a lifetime of experience in health care. One year ago, he accepted the role of CEO of Point32Health, a regional nonprofit health insurance provider. On this month’s edition of Health or Consequences, hosts John McDonough and Paul Hattis ask Gilligan to take a deep dive into the current state of health insurance. Are patients getting what they’re paying for? How are health insurers cutting costs while remaining competitive? How is market consolidation contributing to rising health care costs? And what policies might help stem the tide?
Posted inState Government
Healey’s ‘serious’ look at health care also a confidential effort
Bay Staters are increasingly unable to afford care, with many forgoing doctor’s visits and other health care services due to escalating cost concerns that are exacerbated by rising premiums and the prevalence of high deductible plans
Posted inHealth Care
Regulators attach conditions to MGB-CVS MinuteClinic plan
Regulators have been intrigued about the prospect of an innovative care model to expand primary care access, but the sticker shock continues to linger and the HPC said Thursday it “remains uncertain” whether or when MinuteClinic will “provide comprehensive, high-quality primary care.”
Posted inHealth Care
Senate ready to force more money toward primary care — and away from specialists
Inviting a political fight with influential hospital systems, the Senate plans to approve legislation that would more than double the share of health care dollars that go toward the ailing primary care sector.
Posted inThe Codcast
Health care coverage for immigrants remains in limbo
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 Vicki Pulos, a senior health law attorney at the Massachusetts Law Reform Institute. They discuss the massive 2025 federal tax-and-spend law and its consequences for MassHealth and the Connector, what the state can do to limit coverage losses, and immigrant insurance eligibility cuts.
Posted inHealth Care
Health insurers seek double-digit premium hikes on small businesses, again
A year after Gov. Maura Healey dubbed health insurance premium increases “simply unsustainable,” carriers are once again pursuing sizable rate changes that will fuel ongoing debate about the state’s affordability.
Posted inThe Codcast
The grassroots campaign that changed health care
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.
Posted inHealth 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.
Posted inHEALTH CARE AT 20
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
Posted inHEALTH CARE AT 20
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
Posted inHEALTH CARE AT 20
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
Posted inThe Codcast
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.
Posted inEconomy
‘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.
Posted inState Government
‘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.
Posted inThe Codcast
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.
Posted inState Government
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.
