Blog: ACA

This past Monday, Pioneer held the 13th annual Hewitt Healthcare Lecture to honor our longtime chairman (and chairman of Beth Israel Deaconess) Colby Hewitt, Jr. The crowd of 250 enjoyed a substantive and fun night — the two can go together! — at Harvard Medical School’s Joseph B. Martin Conference Center.  The 2019 Hewitt Keynote Speaker, U.S. Health...
The transition to a new healthcare exchange in Massachusetts has gone poorly. In a forthcoming report, Pioneer Institute will examine what exactly went wrong during implementation, with the help of two whistle-blowers and internal audits on the project.   Yet during the research for that project, Pioneer uncovered multiple incidents of state officials misleading and...
Governor Patrick has now called our Health Connector cost estimate report "politically motivated," "spurious" and "inaccurate." He's gone back and accused Pioneer of "making stuff up out of thin air." He can employ whatever words he likes, but he cannot deny the cruel mathematics of public finance. The Governor needs to ask his staff for more...
This letter was sent via email to the Patrick Administration earlier today.  October 9, 2014 Governor Deval Patrick Massachusetts State House Office of the Governor Room 105 Boston, MA 02133 Dear Governor Patrick: On Monday the State House News Service reported your statements that the additional cost to fix the state’s healthcare exchange website will not...
Last week, Pioneer Institute released a report showing that the cost of transitioning to an Affordable Care Act-compliant health insurance exchange is likely to top $1 billion over two years. The figure includes $540 million in 2014 for a new transitional Medicaid program that was created when the state exchange failed last year. Read our report:...
In FY2011, the year prior to passage of the Affordable Care Act, the administrative budget of the Massachusetts Health Connector Authority was $29 million.  By FY2013, while the Connector Authority struggled to implement its change to ACA, its budget had risen to $55 million.  By FY2014, it had risen to $118 million.  In FY2015, its...
When we talk about the Big Dig, we talk in big, round numbers. Why?  Because it cost gobs of money. You can debate whether it was worth it, and for years we did. Journalists dug into the story. Careers were dashed and fortunes were made in the process. We don't distinguish between federal and state...
Yesterday Massachusetts officials announced plans to default to Healthcare.gov, but also announced a quixotic sprint to try first try to rebuild the entire site in five months with a brand new, no-bid taxpayer-paid contract to health care software developer hCentive. This move comes eight months into open enrollment, after launching the worst performing exchange in...
As a result of the failed Connector website, 160,000 Massachusetts residents are on temporary public Medicaid coverage even though they don't qualify for MassHealth. Failure at the Connector will cost Massachusetts taxpayers over $100 million dollars this year. So, Pioneer has questions about how Massachusetts went from having a well-functioning Exchange to one of the...
Chris Cassidy at the Boston Herald is reporting that Jean Yang, the executive director of the Massachusetts Health Connector, will be called before two Congressional committees to explain the failings of the exchange under the ACA on Thursday April 3rd at 10am. It should be noted that Yang will be the only executive director who...