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Championing market-based reforms to rein in the cost and improve the quality of care for patients.

April 3, 2026

The Massachusetts Economy and the Inflation Reduction Act’s Medicine Price Controls 

Questions abound about the resilience of the Massachusetts economy.  Pioneer Institute has documented that high-net-worth individuals are fleeing the state for states with friendlier tax environments.  There is also a question about whether small businesses in the state can sustain and thrive in a business environment increasingly characterized by high…
January 12, 2026

State Report Card on Telehealth Reform: Incremental Progress in 2025 Leaves Many States Unprepared for Rural Health Transformation Funding

Boston, Mass – A new report from the Cicero Institute and Pioneer Institute finds that while state legislatures remained active on telehealth policy in 2025, most states made only incremental progress toward modern, patient-centered telehealth systems. With the passage of the One Big Beautiful Bill and its $50 billion Rural Health Transformation Program, states now face growing pressure to modernize outdated telehealth laws or risk falling behind in access, affordability, and federal funding competitiveness.
September 25, 2025

Study Rates Every State’s Telehealth Laws for Patient Access and Ease of Providing Services

Los Angeles (Jan. 5, 2022) — A new report from Reason Foundation, Cicero Institute and Pioneer Institute rates every state’s telehealth policy for patient access and ease of providing virtual care.
June 25, 2025

Study Finds Trump’s Most Favored Nation Drug Proposal Could Still Raise Out-of-Pocket Costs Without PBM Reform

BOSTON — Out-of-pocket drug costs for seniors may rise under President Trump’s Most Favored Nation (MFN) proposal if policymakers do not address the role of pharmacy benefit managers (PBMs), according to a brief released today by the Pioneer Institute.

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Pioneer’s Data Labs

Pioneer’s Data Labs empower you by pulling back the curtain. They give you the ability to compare the performance of all 50 states and D.C. against common policy goals. 

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Dependency Index – Federal Money to the States

Think you know which states depend most on Washington? Pioneer’s new Dependency Index may change your mind. Alaska ranks most dependent on federal funds, and Idaho ranks least. Check out where your state ranks here! https://loom.ly/6LMwO0c