Blog: Medicaid

At some point many people find themselves needing help to care for themselves. For the elderly, nursing homes provide that help, either temporarily or on a long-term basis.   In 2014, there were 1.4 million individuals in nursing homes nation-wide, with 41,255 of them in Massachusetts. Nursing home residents accounted for 3.7 percent of citizens...
Studies show that 90 percent of the elderly want to live out their days at home. With familiarity sewn into every corner, home feels warm and secure. Moving to a nursing home can be terrifying, replacing the familiar with the unfamiliar and often separating couples because of different needs for care. Many adult children lament...
Today, Pioneer Institute submitted recommendations to the Commonwealth of Massachusetts' Special Senate Committee on Health Care Cost Containment and Reform. Pioneer applauds provisions of the proposed legislation that would reduce emergency room use and re-admissions, expand scope of practice, and embrace telemedicine. The Committee should also be commended for looking to other states' accomplishments in...
With 2015 revenues off by a sliver ($18 million), the state is facing a $750 million hole in the budget.  My friend at the Massachusetts Budget and Policy Center, Noah Berger, notes that tax cuts in the 1990s led to decreased state revenues on the order of $3 billion. I find his view unconvincing for a...
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...
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:...
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...
Pioneer has long advocated for reforming the way that healthcare is delivered to those on both Medicaid and Medicare. In fact the idea won the 2012 Better Government Competition. Winners of the 2012 Better Government Competition from Mike Dean on Vimeo. This morning State House News Service reported that the state has finalized agreements with...
1.      Why is Massachusetts giving the federal government a free pass to overtake the states right to regulate our insurance marketplace? For an example, see the ongoing saga over rating factors changes, under which 60% of small companies will experience premium increases. Bob Dylan singing  The Times They Are a-Changin' 2.      Why is Massachusetts letting...
Much as been written this past week about the second year results of the Oregon Medicaid lottery experiment. (See Avik Roy's post at Forbes for a clear and full background.) I believe the results from this study will drive many future decisions about Medicaid and how it is structured given the methodological uniqueness of the program. While the...