Medicaid Reform

Across the country, state and local healthcare expenditures have gone from $121 billion in 1993 to more than $285 billion in 2007. The number is expected to reach $565 billion by 2016 – a five-fold increase in 23 years. Building on its research into Massachusetts’ $13 billion liability for employee healthcare benefits, Pioneer will focus on ways for cities and towns to manage their liabilities. At the state level, Pioneer will focus on the cost of Medicaid programs, specifically long-term care and insurance reforms.


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