Oped: MA health care

State leaders need to work together to tackle Medicaid challenge MASSACHUSETTS HAS A unique culture when it comes to health care.  Over the last quarter century, we have seen the business, provider, payer, consumer, and academic sectors come together to advance reforms aimed at expanding coverage and containing the cost of care. Whether it was repeal...
Read this op-ed in the Boston Herald (September 4, 2016). Sometimes the Affordable Care Act (ACA) seems like part of history. While headlines about implementation pains persist, many changes are taking place under the radar. One such change that has received almost no attention is a new fee on Medicaid, called MassHealth in Massachusetts. The ACA...
Published in The Boston Globe, JUNE 01, 2016 AFTER NEARLY a decade of opposition, Boston may be on the verge of getting its first for-profit walk-in clinic. Although it’s not yet official, it appears the city’s Zoning Board of Appeals has approved an urgent-care center application in West Roxbury. Almost 3,000 “convenience” clinics in 41 states...
By Josh Archambault and Eric Dahlberg. This op-ed originally appeared in the Boston Herald on Nov. 7, 2014. Our state health insurance exchange’s failed website will be one of the major headaches that Charlie Baker’s administration will inherit. Massachusetts’ first-in-the-nation Health Connector site, launched in 2006, has been out of service since Oct. 1, 2013,...
By Josh Archambault Date: April 10, 2014 Read it here. Seven months after open enrollment began under the Affordable Care Act, Massachusetts’ online health insurance exchange doesn’t work, and the state government is just firing the primary contractor CGI, without a final plan for how to fix it. Since we can’t change the past, the...
Op-Ed by Mary Connaughton & Josh Archambault Wednesday, May 15, 2013 Think because you live in Massachusetts you’re protected from the Obamacare insurance premium spikes that you have seen in the national news? Think again, especially if you work at a small company. Ineffective cash-flow management is the No. 1 cause of business failure and layoffs....
Put retiree health care to bid AS I SEE IT http://www.telegram.com/article/20130226/ NEWS/102269882/1020/opinion By Josh Archambault and Casey Miles (published on Feb 26, 2013) Critics suggest changing insurers can be problematic, but at least two Massachusetts cities already competitively bid their health care insurance. The evidence shows that they have been able to decrease costs and...
President Barack Obama has consistently said that Massachusetts was the template for the Affordable Care Act, often referred to as ObamaCare. So the conventional wisdom has been that the new law won’t change much here. But a new Pioneer Institute study demonstrates just how wrong the conventional wisdom has been. Starting in 2018, the federal...
Massachusetts has chosen to incubate health care solutions rather than wait on the rest of the country. That impulse is correct, provided we take the task seriously. The past 90 days have given us two examples of big policy changes — one empirically based and understated; the other hasty and oversold. First the good news....
http://commonhealth.wbur.org/2012/07/mass-health-reform-as-pig-in-a-poke I had to look up this expression to make sure I was using it correctly, but yes, indeed, the opinion piece in the Boston Herald today from The Pioneer Institute’s Josh Archambault argues that the legislature is buying a pig in a poke when it comes to the cost-cutting health reform measures soon up...