Now that the Supreme Court has upheld the federal health overhaul, which was based on the Massachusetts model, the state’s experience becomes more relevant than ever for the rest of the country. WBUR’s Martha Bebinger has been covering Massachusetts health reform since soon after its inception almost a decade ago. What better time to ask her to distill it all into a 5-part FAQ?
1. Does the requirement that virtually everyone get health insurance actually work to bring universal coverage?
Let’s begin with basic numbers. The latest figures show that about 98 percent of Massachusetts residents now have health insurance, up from 94 percent before the reform (this earlier number varies a bit depending on the source.)
2. Does the threat of having to pay a penalty if you don’t get health insurance actually work?
Some economists say that yes, the threat of the penalty has been the key reason that more people have been signing up for their employer’s insurance or buying their own, but I haven’t seen that quantified.
What we can say is that only a small percentage of the Massachusetts population has actually been penalized since the state reform passed in 2006: About 200,000 in a state of about 6.5 million. And as the penalties rise (see the chart at left) the number who pay them has been dropping.
The number of residents who, according to their state tax returns, are subject to paying the penalty:
67,000 in 200753,000 in 200848,000 in 200944,000 in 2010
3. How much has the law cost Massachusetts? Continue reading