THE PIONEER BLOG

Applying Finance to Health Care: ROI of Wellness Programs

A new report from Health Fairs Direct, a corporate health and wellness events provider, asks the very important question: What is the most effective way to control rising healthcare costs? While they might be somewhat self-interested given their line of work running health and wellness events, the return on investment analysis should inform any company tackling this issue. The Connector has launched a wellness program recently and should examine this study for any best practices. The report analyzed 50 studies of the wellness programs offered at different organizations including Johnson and Johnson, Citibank, DuPont, Duke University and The California Public Retirees System. Here are the six best wellness initiatives Health Fairs Direct identified as producing the the greatest ROI: Health […]

The Hidden Transit Enemy? Dwell Time.

Transit riders (like me) love to complain about how long certain trips take. We wish trains, trolleys, and buses could go faster. But a lesser known factor making trips longer is dwell time — how long you spend at stops and stations waiting for people to board. New York City has instituted a “Select Bus Service” strategy on several key routes, instituting a couple of tactics to reduce trip time by reducing dwell time. (Its also worth noting that this type of bus-rapid-transit-like service is incredibly low cost to implement relative to almost any other transit expansion or enhancement). Most importantly, this service lowers dwell time by taking fare payment off the bus. Each station on the route has fare […]

If the State Takes the MBTA’s Debt, Then…

Multiple voices have suggested during this debate that the state take over the MBTA’s Big Dig Debt. Just today, MassDOT Sec’y added his voice to the debate noting that a debt transfer was not “a bad idea”. Administration and Finance Secretary Jay Gonzalez responded that this was “not a realistic solution”. (SHNS, sub req’d.) This space has noted before that the term “Big Dig Debt” can be misleading, as it refers to transit projects funded as part of a side agreement to the Big Dig (and not funding of projects related to the roadway itself). But let’s play along with idea, if we transfer the $1.7b in debt associated with the Big Dig transit projects, what are the implications. In […]

Food For Thought on Saving Schools Money in Massachusetts

Yesterday, the Globe’s Deirdre Fernandes reported on the spat between Newton North High School’s food contractor and the student-run Tiger’s Loft Bistro. The contractor, Whitsons Culinary Group, was sore about the school allowing a competitor to serve food in the building. After all was said and done, the school and the contractor made up, and the student-run bistro will re-open and be able to serve students once again. There are two lessons to learn: Businesses may like to talk about the need for competition, but they never like it when there is a direct competitor. That’s why for over a year, Whitsons sought a clause in its contract that barred competition. Not much of a news flash there, but it […]

The Political Elegance of the MBTA’s Deficit Solution

If you want the details of today’s MBTA deficit solution, take a look for yourself. Slide 4 is the key breakdown of the total solution. Service reductions account for only about 8% of the deficit reduction, fare increases account for almost 40%, and the rest is a series of budgetary nips, tucks, and rummaging through available pockets of cash. The fare increases total $72.9 million (below the $87 million to $135 million range in the original two scenarios). And they appear to have gained widespread acceptance. Imagine if the T had lead with just a request for a fare increase. It would have been ugly. Instead, they gave people a rough choice between service cuts and a fare increase. And […]

Sigh. Another MBTA Procurement Snafu?

As a sometimes commuter rail passenger, it’s depressing to contemplate that a plan to replace almost 20% of the commuter rail’s passenger cars is now at least a year or more behinds schedule. The need for an upgrade to the fleet was brought home to me in sharp relief during a recent trip to the Danbury Railway Museum. Among the old trains from the golden age of rail on exhibit was a passenger coach whose interior would have been indistinguishable from some of the older commuter rail coaches (that date back to the ’70s and ’80s). In procurement, hindsight is always 20/20. The MBTA took a much lower bid from a far less experienced manufacturer. And it looks like at […]

WSJ on “The Great Experiment” in Health Care

Kim Strassel of the Wall Street Journal($) wrote on Pioneer’s health care book today, and  she highlights a very important historical point. Major entitlement reform is only possible when some level of national consensus has been achieved around end goals. In The Great Experiment: The States, The Feds and Your Healthcare we examine welfare reform in the mid-1990’s as a perfect example of this paradigm. Excerpt from The Wall Street Journal column: The more conservatives have been forced to think about health care, the more they’ve understood the merits of state experimentation. Jim Stergios, executive director of the Pioneer Institute—a free-market think tank in Boston that has published a book on ObamaCare and RomneyCare titled “The Great Experiment: The States, the Feds, […]

The Patrick Administration’s Guide to the Public Records Law

(Co-authored with Pioneer’s partner, Muckrock, which has extensive experience with public records requests at the federal, state, and municipal level) Hot on the heels of “Sunshine Week”, when MassPIRG celebrated the Patrick Administration’s commitment to transparency, we thought we’d collect some best practices in transparency we’ve learned over the years from the Administration. Massachusetts’s Public Records Law was created to allow citizens to access important government documents and provide another avenue of government oversight. After all, the documents are paid for by our tax dollars and in some cases, such requests are the only avenue to provide public accountability. But over the years, Commonwealth bureaucracy has developed increasingly “creative” interpretations of transparency, saving the public the trouble of having to […]

Stop grading Massachusetts transparency on a curve

As Pioneer’s Steve Poftak has pointed out, the Office for Administration and Finance has been crowing about an “A-” transparency rating given to it by the Massachusetts Public Interest Research Group, which applauded the state’s Open Checkbook portal. But while Open Checkbook is a great initiative, saying it makes Massachusetts transparent is a bit like saying your toddler’s the next Tom Brady because he can throw his food on the floor. The Bay State has a lot of growing up to do. Earlier this week, WBUR invited me on to talk about the “C” grade the State Integrity Investigation gave Massachusetts in its “Corruption Risk Report Card.” I told reporter Deborah Becker that I thought that grade was still too lenient: Given the […]

State Spends Millions — No Paper Trail

Our next adventure in accountability and transparency in state government starts with the Executive Office of Housing and Economic Development, helmed by Greg Bialecki. That office (or at least one of its subunits) oversees the Capital Access Program. The intriguing thing about this program is that a single private entity, the Massachusetts Business Development Corporation (“MBDC”) is named in statute as the manager of the program (and recipient of funds). The state retains oversight through a contract that is renewed every two years and a statutorily-mandated “annual review and assessment of the performance of the MBDC.” So, we were curious what the program was achieving with the millions it has received from the state over the years. On January 20, […]

Transparency and Accountability for UMASS Law School

(See correction/clarification below) In an effort to aid in the Governor’s quest for greater accountability in state government, Pioneer turned its transparency efforts towards the UMASS Law School. Pioneer has long been a critic of the law school project but let’s see how the school’s own data grades it. First problem: Neither UMASS nor the Board of Higher Education ever laid down any initial performance benchmarks in any of their planning documents. They told us where they would go in the future, but not where they were starting from. Second problem: UMass was not wild about releasing the information on these benchmarks. 10 separate follow-ups were required to get what we wanted. And the Public Records Law? Treated as a […]

Massachusetts Transparency: A long, long waiting game

For over a year now, the Pioneer Institute has been pursuing a series of public records requests on a variety of issues, from school performance to the state’s fated investment into Evergreen Solar. It’s largely been an exercise in frustration, denials misdirection, but I have learned some things about the state of public access in Massachusetts, and given the state’s been crowing about a recent A- transparency report card , it seemed like a good time to share it with a handy infographic (Click to enlarge).

The Boston Foundation Whacks Steve Grossman

The Boston Foundation has put out an interesting document, City of Ideas: Reinventing Boston’s Innovation Economy. In it, they conclude that that state lottery (run by Treasurer Grossman) is a drain on poor communities, returning far less in local aid then their citizens pay in. In Saturday’s Globe, Op-ed writer Renee Loth picks up the theme, noting that Exacerbating the trend [towards disproportionate taxation of the poor] is the state lottery — basically a kind of voluntary taxation. The top 20 communities in lottery sales — mostly low-income towns like Chicopee and Lynn — contributed $1.25 billion more in 2011 than they got back in unrestricted local aid. What’s missing from this analysis is an understanding of how the Lottery […]

How to Pay For High-quality Teachers

We all want high-quality teachers, right? What are we doing about it? The state has started to push teacher evaluations across the state, and that is great. Especially great because for far too long school managers and supervisors did not perform regular evaluations, which at the very least are useful for professional feedback and growth. I do have my doubts that a bureaucratic, one-size-fits-all evaluation system is terribly useful besides the obvious fact that it will require more people to fill out paper. My doubts are practical ones. If you are running a school and seeking to peg its performance at a very high level, there are times when you want your teachers to focus on improving their individual performance; […]

Fund the MBTA or People Will Die!

Got your attention? The Metropolitan Area Planning Council got mine earlier this week with their finding that implementation of the MBTA’s two deficit reduction scenarios would cause “roughly 10 avoidable” to “about 15 avoidable deaths per year”. That’s right, 10 – 15 death per year. Digging further into the report — what’s causing most of the deaths? Almost all of them are caused by the possibility that service cutbacks will move people from transit to driving, resulting in a decline of 8.3 minutes per day in average walking per new commuter. That 8.3 minute decline in daily walking becomes….wait for it… 9 – 14 deaths per year. So I guess the desired conclusion is that the MBTA should be funded […]