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CONTEXT Much can be learned from Massachusetts's experience implementing health insurance coverage expansions and an individual health insurance mandate. While achieving political consensus on reform is difficult, implementation can be equally or even more challenging. METHODS The data in this article are based on a case study of Massachusetts, including… (More)
Hospital use and spending greatly increased in 2001 and 2002, reversing a long-term trend. In this paper we contend that the forces driving current hospital expenditures are more likely to continue than they are to abate. If current trends continue, real hospital spending per capita will increase 75 percent between 2002 and 2012, and the demand for hospital… (More)
Massachusetts is in the midst of a demographic shift that will leave the state with unprecedented ethnic, racial and cultural diversity. In light of this change, health care services in the Commonwealth need to respond to and serve an increasingly multicultural population. The time is now for bold initiatives to reduce behavioral health and health service… (More)
A complex mix of government regulation and market competition characterizes the economics of prescription drug pricing. This paper provides background information necessary to understand this dynamic and evaluate potential change. It examines prescription drug price trends over time. Increasing growth is attributed to development and marketing of new… (More)
This issue brief outlines five strategies for improving the quality of treatment in Massachusetts: (1) Engaging detoxification clients in a broader continuum of treatment, (2) Improving retention in treatment, (3) Providing client/family-centered services, (4) Increasing the use of evidence-based treatment approaches, and (5) Supporting recovery to address… (More)
of the Harvard School of Public Health. None of these individuals — nor the Forum — was paid by any party for work on this report.