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

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Latest Publications

Healthcare
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…
Healthcare
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Beautiful Bill and its $50 billion Rural Health Transformation Program, states now face growing pressure to modernize outdated telehealth laws or risk falling behind in access, affordability, and federal funding competitiveness.
Healthcare
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.
Healthcare
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.
Healthcare
May 9, 2025

Pioneer Institute Launches Tracker Showing Drug Price Controls Are Raising Out-of-Pocket Costs for Medicare Patients

A new data tool from Pioneer Institute reveals that federal drug price controls—intended to reduce out-of-pocket costs for seniors—are instead making many prescription drugs more expensive for Medicare beneficiaries.  

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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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Explore Our Work

American Citizenship, Healthcare, Opportunity
February 26, 2025

State Report Card on Telehealth Reform: Progress Slowed in 2024 Leaving Patients Without Access

Healthcare
January 23, 2025

Pioneer Institute Study Calls for Reforms to Ensure that Pharmacy Benefit Manager Practices Benefit Patients, Healthcare Payers

Healthcare
August 19, 2024

Pioneer Institute: 340B Hospitals Does Not Necessarily Translate to Charity Care

American Citizenship, Healthcare, Opportunity
August 8, 2024

Average Weekly Wages of Healthcare Workers Across a Decade

American Citizenship, Healthcare
July 23, 2024

An Evaluation of 340B in Massachusetts

Healthcare
July 11, 2024

Do No Harm to the Health Policy Commission

American Citizenship, Healthcare, Transportation
July 11, 2024

How Public Transportation’s Efficiency Changed During Covid

American Citizenship, Healthcare
June 25, 2024

New Online Tool Tracks MA Hospital Revenue from Commercial Sources

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Meet the Experts

William Smith, Ph.D.

William Smith, Ph.D.

Senior Fellow, Director of PioneerHealth
 Barbara Anthony

Barbara Anthony

Senior Fellow
 Robert Popovian, Ph.D.

Robert Popovian, Ph.D.

Senior Fellow
 Joshua Archambault

Joshua Archambault

Senior Fellow

Fact of the day

Full-Time State Employees: 2024

How big is your state government? Florida ranks last in the U.S. for full-time state government employees per 100K population — just 706 in 2024. Massachusetts had nearly double that with 1,401 per 100K. Explore the numbers: https://loom.ly/TDrajc0 #facts #stategovernmentemployees
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