The experiences of Massachusetts hospitals as statewide health insurance reform was implemented

Journal of Health Care for the Poor and Underserved

Volumn 25, Issue 1 SUPPL1, 2014, Pages 63-78

  Bazzoli, Gloria J ^a   Clement, Jan P ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

Health reform; Hospitals; Safety net; Uninsured

Indexed keywords

ECONOMICS; HEALTH CARE POLICY; HEALTH INSURANCE; LEGISLATION AND JURISPRUDENCE; ORGANIZATION AND MANAGEMENT; PUBLIC HOSPITAL; SAFETY NET HOSPITAL; UNITED STATES; UTILIZATION;

HEALTH CARE REFORM; HOSPITALS, PUBLIC; INSURANCE, HEALTH; MASSACHUSETTS; SAFETY-NET PROVIDERS;

EID: 84894515243     PISSN: 10492089     EISSN: 15486869     Source Type: Journal    
DOI: 10.1353/hpu.2014.0073     Document Type: Article

References (28)

1. Kenney GM, Long SK, Luque A. Health reform in Massachusetts cut the uninsurance rate among children in half. Health Aff (Millwood). 2010 Jun;29(6):1242-7. http:// dx.doi.org/ 10.1377/ hlthaff.2010.0314; PMid:20530363
2. U.S. Census Bureau. Health Insurance Historical Tables, H1B Series. Washington, DC: U.S. Census Bureau, 2012. Available at: http:// www.census.gov/ hhes/ www/ hlthins / data/ historical/ HIB_tables.html.
3. Walls CA, Rhodes KV, Kennedy JJ. The emergency department as usual source of medical care: estimates from the 1998 National Health Interview Survey. Acad Emerg Med. 2002 Nov;9(11): 1140-5. http:// dx.doi.org/ 10.1111/ j.1553-2712.2002.tb01568.x; PMid:12414462
4. Irvin CM, Fox JM, Smude B. Are there disparities in emergency care for uninsured, Medicaid, and privately insured patients? Acad Emerg Med. 2003 Nov;10(11): 1271-7. http:// dx.doi.org/ 10.1111/ j.1553-2712.2003.tb00612.x; PMid:14597504
5. Hall MA. Access to care provided by better safety-net systems for the uninsured: measuring and conceptualizing adequacy. Med Care Res Rev. 2011 Aug;68(4):441-61. Epub 2011 May 2. http:// dx.doi.org/ 10.1177/ 1077558710394201; PMid:21536602
6. Cunningham P, Felland L, Stark L. Safety-net providers in some US communities have increasingly embraced coordinated care models. Health Aff (Millwood). 2012 Aug; 31(8):1698-707. http:// dx.doi.org/ 10.1377/ hlthaff.2011.1270; PMid:22869647
7. Hadley J, Holahan J, Coughlin T, et al. Covering the uninsured in 2008: current costs, sources of payment, and incremental costs. Health Aff (Millwood). 2008 Sep-Oct;27(5): w399-415. Epub 2008 Aug 25. http:// dx.doi.org/ 10.1377/ hlthaff.27.5.w399; PMid:18725375
8. Holahan J, Bovbjerg R, Hadley H. Caring for the uninsured in Massachusetts: what does it cost, who pays and what would full coverage add to medical spending. Boston, MA: Report for the Blue Cross Blue Shield of Massachusetts Foundation, 2004. Available at: http:// bluecrossmafoundation.org/ sites/ default/ files/ 041116RTCCosts CaringForUninsuredHolahan.pdf.
9. American Hospital Association. Uncompensated care pool PFY 2004 annual report and American Hospital Association Annual Survey data for 2004. Washington, DC: American Hospital Association, 2004.
10. Kaiser Family Foundation. Massachusetts health care reform plan: an update. Menlo Park, CA: Kaiser Family Foundation, 2007. Available at: http:// www.kff.org/ uninsured / upload/ 7494-02.pdf.
11. Massachusetts Division of Health Care Finance and Policy. 2008 annual report: the health safety net. Boston, MA: Massachusetts Division of Health Care Finance and Policy, 2008. Available at: http:// www.mass.gov/ chia/ provider/ client-eligibility/ health-safety-net/ health-safety-net-reports.html.
12. National Association of Public Hospitals and Health Systems. Massachusetts health reform: lessons learned about the critical role of safety-net health systems. Washington, DC: National Association of Public Hospitals and Health Systems, 2009. Available at: http:// www.naph.org/ All-Archives/ Publications/ MA-Health-Reform-Issue-Brief.aspx?FT=.pdf.
13. Massachusetts Division of Health Care Finance and Policy. Health care in Massachusetts: key indicators. Boston, MA: Massachusetts Division of Health Care Finance and Policy, 2009. Available at: http:// www.mass.gov/ chia/ researcher/ archived-publications.html#key_indicators.
14. Massachusetts Department of Health Care Finance and Policy. Uncompensated care pool PFY 2005 annual report. Boston, MA: Massachusetts Department of Health Care Finance and Policy, 2010. Available at: http:// www.mass.gov/ chia/ provider / client-eligibility/ health-safety-net/ health-safety-net-reports.html.
15. U.S. Department of Health and Human Services. Agent for Healthcare Research and Quality. Rockville, MD: U.S. Department of Health and Human Services, 2011. Available at: http:// hcupnet.ahrq.gov/ HCUPnet.jsp.
16. Healthcare Cost and Utilization Project. Cost-to-charge ratio files. Rockville, MD: Agent for Healthcare Research and Quality, 2013. Available at: www.hcup-us.ahrq.gov/ db/ state/ costtocharge.jsp.
17. Schneider H. Paying their way? Do nonprofit hospitals justify their favorable tax treatment? Inquiry. 2007 Summer;44(2):187-99. http:// dx.doi.org/ 10.5034/ inquiryjrnl _44.2.187; PMid:17850044
18. Riley GF. Administrative and claims data as sources of health care cost data. Med Care. 2009 Jul;47(7 Suppl 1):S51-5. http:// dx.doi.org/ 10.1097/ MLR.0b013e31819c95aa; PMid:19536019
19. Ingenix. Almanac of hospital financial and operating indicators, 2012. Salt Lake City, UT: OptumInsight, 2011.
20. Catholic Health Association. A guide for planning and reporting community benefit. Washington, DC: Catholic Health Association, 2006.
21. US Bureau of Labor Statistics. CPI detailed report. Washington, DC: US Bureau of Labor Statistics, 2010. Available at: http:// www.bls.gov/ cpi/ cpid1012.pdf.
22. Ku L, Jones E, Shin P, et al. Safety net providers aft er health care reform: lessons from Massachusetts. Arch Intern Med. 2011 Aug 8; 171(15): 1379-84. http:// dx.doi.org / 10.1001/ archinternmed.2011.317; PMid:21824954
23. Kane NM, Singer SJ, Clark JR, et al. Strained local and state government finances among current realities that threaten public hospitals' profitability. Health Aff (Millwood). 2012 Aug;31(8):1680-9. http:// dx.doi.org/ 10.1377/ hlthaff.2011.1401; PMid:22869645
24. Kaiser Family Foundation. Focus on health reform: summary of new health reform law. Menlo Park, CA: Kaiser Family Foundation, 2011. Available at: http:// kaiserfamily foundation.files.wordpress.com/ 2011/ 04/ 8061-021.pdf.
25. Kaiser Family Foundation. State health facts, federal DSH allotments FY 2009. Menlo Park, CA: Kaiser Family Foundation. Available at: http:// www.statehealthfacts.org / comparetable.jsp?ind=185&cat=4&sub=47&yr=1&typ=4.
26. Bazzoli GJ, Garland SG. The safety net role of public hospitals and academic medical centers: past, present and future. In: Hall M, Rosenbaum S, eds. The health safety net in a post-health care reform world. Piscataway, NJ: Rutgers University Press, 2012: 182-199.
27. Coughlin TA, Long SK, Sheen E, et al. How five leading safety-net hospitals are preparing for the challenges and opportunities of health care reform. Health Aff (Millwood). 2012 Aug;31(8):1690-7. http:// dx.doi.org/ 10.1377/ hlthaff.2012.0258; PMid:22869646
28. Summer L. The impact of the affordable care act on the safety net. Washington, DC: AcademyHealth, 2011. Available at: http:// www.academyhealth.org/ files/ FileDown loads/ AHPolicybrief_Safetynet.pdf.