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Small Employers, there is something you can do.

Many people have received coverage via health care reform and that has been good for the Commonwealth.  However, it’s clear now, that there have been losers too— small businesses.  The Globe article yesterday highlighted the situation for small businesses today:  http://www.boston.com/business/articles/2009/11/15/blue_cross_rates_for_small_businesses_to_surge?mode=PF The state is holding hearings to examine the cause of these increases and to assess whether changes should be made to how small businesses purchase insurance.   We should examine what has caused these increases in rates, was it the merger with the non-group market (something that can only explain a very small increase, by my accounting), increases due to benefit mandates (like the Rx coverage decision made by the Connector), or simply health care trends (as the BCBS representative […]

Go back to the Governor's bill

The Senate is going to be debating a bill that on the face of it lifts the charter school cap. But it is deeply flawed. Some of it goes back to the Governor’s first proposal on charters in February 2009. With the Race to the Top fund in the balance, he showed leadership in changing his view in July, when he issued a proposal that maximizes the possibility of receiving federal funds and (1) doubles the number of kids in charters, (2) leaves the rest of the existing in tact, with a framework to ensure that charter operators redouble their efforts to enroll special needs and English language learners. The Senate Ways & Means bill under consideration is deeply flawed. […]

Innovation or re-inventing the flat tire

The state legislature’s rewrite of the governor’s two education bills, to expand charter schools and to create new “readiness” schools, is now one bill. Readiness schools are now called “innovation” schools. The charter sections seem to be ok, though we will see as it moves forward if quotas for specific types of students will be part of the final package. That would not be helpful, though requiring charters to do robust outreach to special needs and English language learners is ok with me. One big question I have on the readiness, now innovation, schools. Given that the statutory draft calls for approval by two-thirds of the teachers in the school in order to move forward, I am wondering if we […]

Transparency — Bring it on

On Friday, my old agency released a report entitled “Measuring Health Care Quality and Cost in Massachusetts.”  The report can be found here:  http://www.statehousenews.com/qualitycost.pdf.  This report is full of really useful information on quality and costs for various procedures at hospitals in Massachusetts.   Unfortunately the report received very little press and consumers probably don’t even know it is available.  The information can also be found on the consumer website, developed by the Health Care Quality and Cost Council.  This new report allows you to see a profile of a  hospital’s indicators on one page and allows you to compare all hospitals in the state (compared to the website which only allows you to compare 4 hospitals at a time).   This is […]

Charter opponents have no more legs to stand on

So the unions and superintendents tried the argument that charters do not serve as many disadvantaged students. We dismantled that argument. While charters don’t serve as many special needs kids and English Language learners, both categories designated by adults, they serve many more minority and poor students. So, then the Mass Teachers Association cries out about high attrition in a handful of high-powered charter schools in Boston. But they forget that choice schools are about parents making choices. And, oops, they forget that in fact there is more attrition in the Boston Public Schools. And, uh, ooh, ah, they forget that in the charters they are pointing fingers at there is only a dropout rate of 10 percent, which is […]