https://pioneerinstitute.org/wp-content/uploads/Copy-of-11.-Employees-of-the-Public-Sector-1-3.png 512 1024 EJ McMahon https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png EJ McMahon2022-06-21 06:41:572022-06-21 06:41:57Rolling the Retirement Dice: Why the MBTA Should Steer Clear of Pension Bonds
This study illustrates why issuing pension obligation bonds (POBs) to refinance $360 million of the MBTA Retirement Fund’s (MBTARF’s) $1.3 billion unfunded pension liability would only compound the T’s already serious financial risks.
https://pioneerinstitute.org/wp-content/uploads/MBTA-bus-image-1-e1517851963497.jpg 466 700 David Clancy https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png David Clancy2019-10-10 16:56:132020-06-29 13:29:52The Merit Rating Board: Review and Recommendations
Significant administrative failings involving the Registry of Motor Vehicles have drawn attention to an entity called the Merit Rating Board (MRB or the Board). MRB’s administrative personnel and processes have been the subject of sharp criticism, and also extensive ongoing reform efforts. This policy brief reviews the relevant circumstances, and makes recommendations for consideration by MRB and other government personnel as they move forward.
https://pioneerinstitute.org/wp-content/uploads/credit-card-24.png 512 1024 William Oliver https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png William Oliver2018-10-22 16:26:392020-06-29 14:07:18MassHealth Protecting Medicaid Resources for the Most Vulnerable
This report finds that Massachusetts' enhanced eligibility verification has allowed MassHealth, the Commonwealth’s Medicaid program, to save significant resources that could be redirected to the care of truly needy Medicaid recipients.
https://pioneerinstitute.org/wp-content/uploads/credit-card-7-1.png 512 1024 Joshua Archambault https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Joshua Archambault2017-05-17 16:46:552020-06-29 16:48:58What Massachusetts Should Do in an Uncertain Healthcare World
Regardless of what happens in the debate over repealing and replacing the ACA in D.C., Massachusetts has to tackle health care costs intelligently. We need to do more than provide insurance; we need to increase access to care. That means thinking seriously about the role of private market insurers, insurance regulations and the regulation of medical providers.
https://pioneerinstitute.org/wp-content/uploads/credit-card-6-1.png 512 1024 Barbara Anthony https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Barbara Anthony2017-05-01 16:43:322020-06-29 16:45:45Counter Point What Massachusetts Should Do As Uncertainty Engulfs US Healthcare System
Regardless of what takes place at a national level, Massachusetts has its own set of challenges to continue pursuing the state’s commitment to universal coverage at affordable prices. This report offers a ten-point program that the state should vigorously focus on in the days ahead.
https://pioneerinstitute.org/wp-content/uploads/credit-card-4-2.png 512 1024 Tom Mashberg https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Tom Mashberg2016-06-01 13:20:242020-07-01 13:25:39Combating Opioid Addiction in Massachusetts: A Hospital-Based Solution Shows Promise in Reducing Relapses and ER Costs
Preliminary results suggest that a new program that gives opioid overdose patients at Beth Israel Deaconess Hospital-Plymouth (BID-Plymouth) multiple opportunities to access detox programs, psychological counseling, anti-abuse drugs and other services is proving effective at reducing recidivism and returning opioid users to more productive lives.
https://pioneerinstitute.org/wp-content/uploads/WhistleblowingDoctor.jpg 199 300 Joshua Archambault https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Joshua Archambault2015-05-11 16:02:362020-07-01 16:04:07Whistleblowers Expose the Massachusetts Connector
State officials knew that development of a federal Affordable Care Act (ACA) website was off track for more than a year before the October 1, 2013 launch date. Instead of raising concerns about the project, they misled the public by minimizing the shortcomings of the contractor hired to build the website, asked state workers to approve shoddy work and appear to have covered up the project’s abysmal progress in a presentation to federal officials.
https://pioneerinstitute.org/wp-content/uploads/health-costs-1030x579-1.jpg 579 1030 Joshua Archambault https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Joshua Archambault2015-01-01 10:05:002021-11-23 10:44:45Baker’s Dozen A Common Sense Healthcare Agenda for the Next Governor
Healthcare must remain a top policy priority for the next administration. It consumes nearly half of the state budget, has been a "pac-man" eating up resources for every other public policy priority, and has been an important driver of legislative discussions around tax increase proposals. The current path is unsustainable.
https://pioneerinstitute.org/wp-content/uploads/researcher-holding-beeker.jpg 1415 2122 Christina England https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Christina England2014-01-01 10:20:202020-07-13 10:23:27Out of the Filing Cabinet and Into the Fire: How the Shift from Paper to Electronic Health Records Has Endangered Patient Privacy and Security and How to Calm the Flame
This paper will discuss the importance of secure medical records in health information exchanges (HIEs), the general history of EHRs in the US and in Massachusetts particularly, the history of privacy rights in the medical field, and finally efforts being taken to ensure more protected and private EHRs.
https://pioneerinstitute.org/wp-content/uploads/hospital-hallway.jpg 1761 1706 Joshua Archambault https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Joshua Archambault2013-10-31 22:24:422020-07-30 22:27:04A First Step Toward Retiree Healthcare Reform, But Much More is Needed
A First Step Toward Retiree Healthcare Reform, But Much More is Needed was provided in October 2013.
https://pioneerinstitute.org/wp-content/uploads/researcher-holding-beeker.jpg 1415 2122 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2012-12-01 11:44:152020-07-15 11:49:58Consumer Driven Health Care: A New Agenda for Cost Control in Massachusetts
This paper provides a discussion of CDHC, what it is and how it can help constrain health care costs and increase patient engagement in Massachusetts. While supply-side approaches are also necessary for cost control, without engaged consumers, Massachusetts may find that it cannot accomplish its cost-containment goals as quickly or as successfully as desired.
https://pioneerinstitute.org/wp-content/uploads/credit-card-21.png 512 1024 John Biebelhausen https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png John Biebelhausen2011-09-01 09:51:582020-07-27 09:57:00Innovative Medical Liability Reform
This paper describes Massachusetts' existing medical liability system, including how it has failed to achieve its social objectives, the impact of the system on health care costs, and recent efforts towards reform. It presents policy options for medical liability reform. It examines both traditional and nontraditional avenues of reform along with strategies for advancing medical liability reform in Massachusetts.
https://pioneerinstitute.org/wp-content/uploads/credit-card-7-1.png 512 1024 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2011-06-01 09:37:002020-07-27 09:42:43Business Solutions to the Health Care Crunch
While larger employers have engaged their employees in wellness initiatives and consumer-driven approaches, small employers have often lagged behind. Small businesses can, however, adopt these health benefit approaches to address their own rising health care costs.
https://pioneerinstitute.org/wp-content/uploads/caretakers-e1557953012328.jpg 534 750 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2011-03-01 16:36:192020-07-20 16:40:11Fixing the Massachusetts Health Exchange
The importance of this work is especially clear as the Patient Protection and Affordable Care Act of 2010 (ACA) requires a health benefit exchange to be operating in every state by 2014. The question of the Connector's effectiveness is of critical importance to other states as they try to plan and design what an exchange will look like in their own state' For Massachusetts, the ACA provides both opportunities and challenges moving forward.
https://pioneerinstitute.org/wp-content/uploads/researcher-holding-beeker.jpg 1415 2122 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2010-04-01 16:26:232021-12-29 12:25:38An Interim Report Card on Massachusetts Health Care Reform: Part 4
This report is the final report in a series of four. Earlier reports in this series evaluated access to health insurance and health care, equitable and sustainable financing, and administrative efficiency. The focus of this report will be on cost-effective quality, and the analysis will be organized by the four "Scorecard Metric,' presented in Figure 1.
https://pioneerinstitute.org/wp-content/uploads/female-doctor.jpg 1415 2122 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2010-03-01 15:27:082021-11-23 10:35:21An Interim Report Card on Massachusetts Health Care Reform: Part 3
This report is the third in a series of four. The focus of this report is on administrative efficiency.
https://pioneerinstitute.org/wp-content/uploads/41201105871_c18458d338_o-1.jpg 3060 4590 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2010-02-01 15:02:492021-11-23 10:44:12An Interim Report Card on Massachusetts Health Care Reform: Part 2
As an alternative to analyzing the reform’s impact on isolated issues, in January 2009 the Pioneer Institute proposed a framework for evaluating the reform.
https://pioneerinstitute.org/wp-content/uploads/credit-card-8-1.png 512 1024 Amy Lischko https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Amy Lischko2010-01-01 14:32:102021-11-23 10:48:03An Interim Report Card on Massachusetts Health Care Reform: Part 1
The focus of this report is on the reduction of barriers to access.
https://pioneerinstitute.org/wp-content/uploads/credit-card-7-2.png 512 1024 Pioneer Institute https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Pioneer Institute2009-01-01 22:38:442020-08-01 22:41:52A 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.
https://pioneerinstitute.org/wp-content/uploads/care_button-1.jpg 788 1400 Steve Poftak https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Steve Poftak2009-01-01 15:16:532020-07-27 15:20:56Massachusetts 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.
https://pioneerinstitute.org/wp-content/uploads/Downtown_Worcester_Massachusetts.jpg 1581 3177 Steve Poftak https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Steve Poftak2008-06-01 14:40:542020-07-27 14:48:41GIC Consolidation
The Middle Cities Initiative seeks to help the Commonwealth's older cities, which face economic, demographic, and political challenges. These challenges cover a wide range of issues—entrenched political cultures, significant infrastructure costs, underperforming schools, struggling retail and manufacturing sectors, crime, and poorly targeted state programs. The Initiative's goal is to develop and disseminate concrete policies to help the Middle Cities grow.
https://pioneerinstitute.org/wp-content/uploads/Copy-of-credit-card-13.png 512 1024 Pioneer Institute https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Pioneer Institute2008-01-01 22:34:592020-08-01 22:38:16Wellness Health Incentive Payment Program
Sustainable healthcare should always involve an accountable partnership between the payor and the third party insurance administrator. The Wellness Health Incentive Payment (WHIP) Program facilitates better health/wellness outcomes by holding health insurance vendors fiscally responsible for health and wellness activity. The WHIP rewards or penalizes health insurance administrative vendors according to the vendor's wellness activity performance against nationally recognized health and wellness standards.
https://pioneerinstitute.org/wp-content/uploads/city-maintenance-truck.jpg 1667 2500 Steve Poftak https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Steve Poftak2007-08-01 13:57:172020-07-27 14:00:23Fixing Maintenance in Massachusetts
The horrifying spectacle of the Minnesota bridge collapse has prompted a national reevaluation of the condition of our public infrastructure. In Massachusetts, two recent reports have found a multi-billion dollar backlog of deferred maintenance.
https://pioneerinstitute.org/wp-content/uploads/Banner-8.png 512 1024 Pioneer Institute https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Pioneer Institute2007-07-01 13:21:512020-07-27 13:25:07The Estuaries Project
The Massachusetts Estuaries Project, through the University of Massachusetts-Dartmouth School of Marine Science and Technology (SMAST), supports the Massachusetts Department of Environmental Protection (DEP) in the development and implementation of policies to protect nitrogen-sensitive coastal embayments. The Project collects data and develops models to manage and restore the 89 embayment systems that comprise the coastline of southeastern Massachusetts. The Project encompasses new technologies, regulatory approaches and funding mechanisms to reduce the costs of conducting estuarine restoration.
https://pioneerinstitute.org/wp-content/uploads/credit-card-26.png 512 1024 Eric Berman https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Eric Berman2006-07-01 16:37:302020-07-13 16:50:47The Elephant in the Room: Unfunded Public Employee Health Care Benefits and GASB 45 Public Employee Benefits Series: Part 3
This paper will review Statement 45’s potential impact on governments and review existing disclosures in financial reports as well as bond offering statements. The paper will discuss the Statement’s impact on budgets and governmental operations, including collective bargaining. Funding options under Statement 45 will be detailed, including the advantages and disadvantages of irrevocable trusts and OPEB bonds.
https://pioneerinstitute.org/wp-content/uploads/credit-card-6-1.png 512 1024 Nancy Kane https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Nancy Kane2004-11-01 14:20:272020-07-13 14:28:12Comparing the Clinical Quality and Cost of Secondary Care in Academic Health Centers and in Community Hospitals
This study analyzes data from hospitals in six states, including Massachusetts, to compare the cost and quality of secondary care for under-65, privately insured patients in Academic Health Centers (AHCs) and non-AHC or community hospitals.
https://pioneerinstitute.org/wp-content/uploads/credit-card-8-1.png 512 1024 Charles Baker, Jr. https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Charles Baker, Jr.2002-12-01 15:11:032020-07-13 15:17:19Rationalizing Health and Human Services
Over the course of the past decade, thousands of organizations have used business process redesign and information technology to get to know their customers well, and they have used that information to do a better job of meeting their customers’ needs. Five years ago, anyone who had a checking account, a mortgage, an auto loan, and a credit card with the same financial institution might as well have been dealing with four different companies. Today, more often than not, that individual gets one statement each month that consolidates his or her entire relationship with that financial institution. The bank knows the extent of its relationship with each customer, and its customers can manage their accounts and loans in a unified, coordinated manner.
https://pioneerinstitute.org/wp-content/uploads/credit-card-7-1.png 512 1024 Jack Needleman https://pioneerinstitute.org/wp-content/uploads/logo_440x96.png Jack Needleman1999-02-01 13:20:312020-07-13 13:29:49Nonprofit to For Profit Conversions in Health Care: A Review
The analysis presented in the paper suggests areas in which caution must be exercised to assure that community benefits provided by nonprofits are preserved in a post-conversion environment, and that full value is realized and appropriately redirected. Nothing in the analysis indicates that nonprofit to for-profit conversion should be barred from consideration in Massachusetts.