Haislmaier Edmund F, Owcharenko Nina
Center for Health Policy Studies at the Heritage Foundation in Washington, DC, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):1580-90. doi: 10.1377/hlthaff.25.6.1580.
In April 2006, Massachusetts enacted legislation to reorganize both its health insurance markets and a large portion of its health care subsidy system. In this paper we consider how the Massachusetts approach differs from most previous state health reform efforts, while also noting its antecedents. We examine the policy implications of the legislation's key elements and discuss how other states might consider altering the scope and specifics of those components. We conclude that both parts of the Massachusetts reform strategy merit consideration by other states and together hold promise for expanding coverage, particularly by addressing the problem of coverage discontinuity.
2006年4月，马萨诸塞州颁布立法，对其医疗保险市场和大部分医疗补贴体系进行重组。在本文中，我们探讨马萨诸塞州的做法与以往大多数州的医疗改革努力有何不同，同时也指出其前身。我们研究了该立法关键要素的政策影响，并讨论了其他州如何考虑改变这些要素的范围和细节。我们得出结论，马萨诸塞州改革战略的两个部分都值得其他州考虑，共同有望扩大医保覆盖范围，特别是通过解决医保覆盖中断的问题。
