PioneerHealth explores market-based reforms to rein in the cost and improve the quality of care in Massachusetts. Our healthcare research is focused on state and federal health care reform, Medicaid, and cost containment.

With so many deaths occurring at long-term care facilities, in Massachusetts and other states, Pioneer has added a new COVID-19 tracker, with data from the state’s weekly Public Health Report. This data includes any nursing home, rehabilitation center or other long-term care facility with 2+ known COVID-19 cases and facility-reported deaths. This tracker includes the number of licensed beds, ranges of case numbers, deaths, and deaths per bed for 320 facilities.  Pioneer will update the tracker weekly.

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Massachusetts Hospitals Pull Back on Charity Care as Revenue from Federal 340B Drug Discount Program Explodes

Over the past decade, the revenue for hospitals generated by the federal 340B drug discount program, initially intended to serve low-income, uninsured populations, has exploded even while a number of important Massachusetts hospitals have reduced the level of charity care they provide, according to a new study published by Pioneer Institute. The Pioneer Institute study, “340B Drug Discounts: An Increasingly Dysfunctional Program,” notes that nationwide, 340B drug sales rose from $9 billion in 2014 to $38 billion in 2020.

Pandemic Dead Reckoning: Unseen Casualties of Public Health Interventions

Hubwonk host Host Joe Selvaggi talks with Pioneer Institute’s Senior Fellow Dr. Bill Smith about new evidence that during the past two years of the pandemic, there were as many unseen excess deaths from non-Covid-related diseases as seen from Covid. They discuss the need for public health leaders to pivot their messaging to address this hidden mortality.

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With Congress and the Trump Administration poised to repeal the Affordable Care Act, many observers are asking what the replacement plan looks like.  A new book, U-Turn: America’s Return to State Healthcare Solutions, proposes that the states take the lead in healthcare reform, as Massachusetts did in 2006, and that Washington facilitate the transition, rather than try to dictate every move.