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Wednesday, July 2, 2008  

Costs Still Plague Massachusetts Health Insurance

Massachusetts health insurance is facing both ups and downs, as the state's mandatory coverage laws run up against growing costs.

On the up side, according to Kaiser's Daily Health Policy Report, since Massachusetts health insurance became a legal requirement enrollment in health coverage has jumped, and the number of uninsured adults has decreased to about 7% of the population.

There are about 355,000 newly enrolled residents in the state, some enrolled with help from state subsidies, some on their own, and some through employer-sponsered plans that were a requirement of the new Massachusetts health insurance laws.

But there are down sides, and they're expensive. The law was expected to cost $472 million in the first year, but because of higher-than-expected enrollment in government-sponsored programs, the actual cost was $625 million. State costs are thus going up for next year, as are the costs paid by residents.

The report states that "monthly premiums for partially subsidized coverage increased by an average of 9.4%" and for those purchasing private coverage costs will increase by about 5.1%.

Lawmakers argue that the goal was always to make Massachusetts health insurance a legal requirement first, and then figure out the costs later. This would then force "the political leadership, doctors, hospitals and health insurers to grapple with how to make this affordable."

Hopefully, that's exactly what will happen in the coming months, making Massachusetts an example of how to manage health care for the rest of the country.

Monday, June 30, 2008  

Washington Health Insurance May See a Boon

In most cases we hear about states struggling to find the funds needed for health care reform. But thanks to a large settlement from big tobacco, Washington health insurance and care services may be in for a big boost.

Washington, D.C. received a total of $245 million dollars as its share of a national settlement between tobacco companies and states. Local officials had asked the RAND corporation to conduct a study of the areas that needed the most help with Washington health insurance services, and health care in general.

According to the article at Kaiser's Daily Health Policy Report, RAND suggests that Washington, D.C. should spend $90 million of the funds on "services provided by community health centers in the district's underserved areas," allowing for better health care for those people who can't afford Washington health insurance, or who are too underinsured to enjoy decent care.

Another $24 million was recommended for improving electronic health records, and $7.5 million for mental and oral health issues, as well as numerous smaller projects.

While Mayor Adrian Fenty hasn't been concrete about how and where the funds will ultimately go, should he follow RAND's suggestions, those people who need Washington health insurance may be in for a treat when they discover that their state has provided for them and for their health care.