The MBTA shuttles over a million passengers a day around Greater…

Some towns in NW Massachusetts spend significantly more per capita than their neighbors, without using methods such as large state funding, deficit spending, and high taxes. These towns gain significant portions of their revenue from industry tax levies.

Pioneer Institute's new tool, the Massachusetts Hospital Relative Price Tracker, displays relative price and facilitates relative price comparisons among hospitals. The average price among all hospitals will have a relative price of 1.0. A relative price of 1.5 means that a hospital charges 50 percent higher than the average of all Massachusetts hospitals. Similarly, a relative price of 0.84 means that a hospital’s prices are 16 percent below average. Relative price data is collected and reported by the Commonwealth’s Center for Health Information and Analysis (CHIA) and is an aggregate measure used to evaluate price variations among different hospitals. It is recalculated annually based on data collected from commercial payers and includes information on private commercial insurance and commercially managed public insurance products such as Medicare Advantage and Medicaid Managed Organizations/Accountable Care Partnership Plans.

Joe Selvaggi talks with attorney for Pioneer Public Interest Law Center (PPILC) John La Liberte, about the work he did to successfully gain access to the MBTA retirement fund’s arbitration agreement after a seven-month legal struggle.

Many states have made promoted government efficiency and effectiveness by setting goals and tracking their progress. Massachusetts tried making a performance structure, but in 2014 it was discontinued. Today, the state lacks a comprehensive structure to track progress.

Pioneer Institute applauds Secretary of State William Galvin for filing legislation that would subject the governor’s office to the Commonwealth’s public records law.  Since 1997, Massachusetts governors have broadly interpreted the Supreme Judicial Court’s ruling in Lambert v. Judicial Nominating Council to shield themselves from releasing certain documents.  Secretary Galvin’s legislation would prohibit future governors from doing so.

Massachusetts is in the midst of wrongdoing on an unprecedented scale. Thousands of convictions had to be vacated because of the corruption of state drug laboratory chemists. Thousands more convictions were vacated because of the combined misconduct of the chemists and prosecutors. And still more will be vacated because of the Commonwealth’s repeated and deliberate failures to investigate the extent to which its evidence was compromised.

Great strides have been made to increase healthcare price transparency through online cost estimator tools and a state law that requires providers to give out price information. Yet despite the eagerness of consumers to access prices and out-of-pocket costs, many are unaware that such information is available and don’t know how to access it, according to survey results published by Pioneer Institute.

At the outset of the pandemic, limited knowledge and the need to mitigate risk understandably led to political overreach. At this point in the disaster response, though, we are far better at distinguishing fact from fiction and policies that have worked from those that have not.

At a time when the coronavirus pandemic has caused massive shifts in state policies on telehealth and scope of practice in healthcare, a new Pioneer Institute study underscores that most of the 50 states continue to suffer from weak laws regarding price transparency.  The study identified states that have laws that require carriers, providers or both to provide personalized cost information to consumers before obtaining healthcare services.  Fully 33 states placed in the lowest of the three broad analytic tiers on the strength of their state healthcare transparency laws. 

As we do each January, Pioneer shares the resolutions it hopes state leaders will adopt to bring government actions into better focus and invigorate our democracy with heightened public engagement.