MBTAAnalysis: A look inside the MBTA
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The MBTA shuttles over a million passengers a day around Greater…
If Kant had had a nose for public policy
Passed on by a friend with a mathematical appreciation for symmetry,…
Cut the Income Tax! Raise the Sales Tax! Lower and Raise Property Taxes!
Hey, its not my idea. It's a proposal floated by a consultant…
CPOE Initiative
The combined use of limited, or selective, provider networks and a defined contribution strategy presents an immediate opportunity for government entities and employer groups to achieve significant and sustainable health insurance savings and reduce medical cost trends, while maintaining coverage levels and quality of care. This solution illustrates the impact of changes in consumer behavior that occur as a result of economic conditions and opportunities.
Health Insurance Cost Control
The combined use of limited, or selective, provider networks and a defined contribution strategy presents an immediate opportunity for government entities and employer groups to achieve significant and sustainable health insurance savings and reduce medical cost trends, while maintaining coverage levels and quality of care. This solution illustrates the impact of changes in consumer behavior that occur as a result of economic conditions and opportunities.
A National Market for Individual Health Insurance
Health insurance markets are regulated by the states under the McCarran-Ferguson Act (15 U.S.C. 1011) of 1945. The 'purpose clause' of the Act states that regulation and taxation of the business of insurance by the states is in the public interest. As a result of McCarran-Ferguson, every health insurer must be licensed in the policyholder's state of residence. The states have responded with a complex patchwork of mandates and laws that vary widely across the country.
Ashburnham – Westminster Animal Control Agreement
Ashburnham - Westminster Animal Control Agreement
Hubbardston – Templeton Animal Control Agreement
Hubbardston - Templeton Animal Control Agreement
Amesbury, Salisbury, and Newburyport Animal Control Agreement
Amesbury, Salisbury, and Newburyport Animal Control Agreement
Sterling-West Boylston Shared Building Inspection Contract and Agreement
Sterling-West Boylston Shared Building Inspection Contract and Agreement
Hawlemont Regional School District GIC Consolidation Agreement
Hawlemont Regional School District GIC Consolidation Agreement
Amesbury, Salisbury, and Newburyport Public Health Agreement
Amesbury, Salisbury, and Newburyport Public Health Agreement
Attleboro – North Attleborough Sewer Agreement
Attleboro - North Attleborough Sewer Agreement
Attleboro – North Attleborough Water Agreement
Attleboro - North Attleborough Water Agreement
Massachusetts Healthcare Reform: A Framework for Evaluation
Passed in 2006, the Massachusetts healthcare reform bill represents an innovative approach to healthcare reform in the United States. The bill (Chapter 58 of the Massachusetts Laws of 2006) has four main goals: to use an individual mandate to expand access to near universal levels; to establish guidelines for employers' fair share' contribution and involvement; to reorganize insurance markets and manage the distribution and subsidization of several insurance plans through the new Massachusetts "Connector"; and to establish transparency that will aid in understanding and assessing the bill's cost and quality of care.
Start Here Before Cutting Into the Safety Net
This policy brief recommends $311 million in savings between now and the end of the fiscal year, through emergency and targeted cuts, returning the state workforce to 2004 levels, ending corporate welfare, and consolidating several state functions. By combining these with a $300 million withdrawal from the rainy day fund and a reasonable 4 percent cut in local aid ($200 million), the Governor could avoid further cuts to the safety net and core services.
Learning from Springfield
Like most municipalities, Springfield relies in large part on local property tax revenue to deliver services. However, collecting property tax became a challenge when, in 2004, the City was struggling to avoid financial collapse. Its woes were not due just to a lagging economy and shrinking property values.
Start Here Before Cutting Into the Safety Net
Common Sense Budget Actions Author(s): — Publication date:…
2009 Better Government Competition – Containing Healthcare Costs
2009 Better Government Competition Compendium of Winning Entries - Containing Healthcare Costs