The Secrets of Massachusetts' Success: Why 97 Percent of State Residents Have Health Coverage

Research Report

The Secrets of Massachusetts' Success: Why 97 Percent of State Residents Have Health Coverage

December 7, 2009

Abstract

Less than two years after Massachusetts' 2006 reform law was implemented, 2.6 percent of residents were uninsured-the lowest proportion ever recorded in an American state. The state's individual mandate alone does not explain this result, since it is not enforced against adults with incomes at or below 150 percent FPL or children. During a multi-day site visit, researchers identified several factors contributing to Massachusetts' high enrollment, including an intensive marketing campaign; use of data to establish subsidy eligibility for newly-insured residents; an integrated eligibility system serving multiple subsidy programs with a single application; and healthcare provider/community-based organization-driven application assistance.

Research Area: 

Centers

To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.