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Massachusetts health care performing badly?

March 1, 2010 By bostonshepherd

Today’s WSJ has a rather negative article on the state of our state’s universal health insurance program.

Before everyone at BMG has a cow just because it was the WSJ that leveled this criticism, perhaps you can read the (free) op ed piece  and comment on some of the metrics reported.

Yes, yes, I know it’s on the Op Ed page, but I’m hoping you’ll address the facts.  Are they accurate? Here are some important ones:

  • $47 million deficit in 2010 (that’s what?  6% deficit?)

  • 5% budget increase over 2010 to $913 million for 2011

  • 6.7% annual spending growth

  • highest in the nation premiums

  • 30% premium growth in the individual market since 2006 (but when was the plan implemented?)

  • medical loss ratio of 112%, a blueprint for provider bankruptcy

    The WSJ further reports that Patrick may consider capping premiums?  Did I read that right?  Insurers already pay $1.12 in benefits for every $1.00 in premium collected.  

    How will capping premiums not create health care service shortages?  At what point do insurers simply fold up shop?

    Is not having 15% higher relative costs for health care than other states, after adjusting for the higher wages and salaries and other cost of living factors, a disincentive for employers to expand or relocate to MA?

    I’m not adverse to our state’s universal health coverage, from a practical point of view (though certainly I am philosophically,) but if the WSJ report is true, how is any of this sustainable?

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    Comments

    1. david says

      March 1, 2010 at 10:47 am

    2. kbusch says

      March 1, 2010 at 11:51 am

      I don’t know. You’re the one posting the diary.

    3. paulsimmons says

      March 1, 2010 at 12:57 pm

      Source: DemConWatch, January 17, 2010:

      <

      p>The Massachusetts Division of Health Care Finance and Policy performed a study. You can read it in its entirety after the jump (they made a nice PowerPoint.) A few highlights from the sole state with 96% insurance coverage:

      <

      p>Non-elderly adults were the most likely to report difficulty obtaining health care, at 28%.  17% of children and 24% of the total population had difficulty obtaining health care in Massachusetts in 2008 despite the fact that the official (and inflated) estimates claim that about 97% of the populace now has health insurance.
      ————–
      Non-elderly adults in fair or poor health were more likely to report difficulty obtaining health care than those in better health (40% versus 27%).
      ————–
      The principle reason care is difficult to obtain is that re-imbursements under subsidized plans is extremely low, resulting in many doctors freezing their practices and refusing to admit new patients.  Thus the pressure on Emergency Rooms continues. 26% of the Massachusetts residents report an ER visit in the past 12 months.
      —————
      16% of residents with medical problems report difficulty paying medical bills. Remember, these numbers do not even include the 21% who reported going without needed healthcare because they could not afford it.
      —————-
      Unmet need for care because of cost was highest among non-elderly adults with family income between 150% and 299% FPL (Federal Poverty Line). Some 40% of residents in this income group skipped needed health care in the past 12 months, compared with 15% of those with family income at or above 500% FPL.
      —————–
      Non-elderly adults in fair or poor health were more likely than those in better health to have gone without needed health care because of cost (43% versus 24%).
      ———————–
      Non-elderly adults with a disability were more likely than those without a disability to have gone without needed health care because of cost (38% versus 23%).

      <

      p>Link to the Imaged MDHCFP Presentation:

      • kbusch says

        March 1, 2010 at 7:36 pm

      • mr-lynne says

        March 1, 2010 at 8:32 pm

        … on the idea that the coverage estimates are inflated?

        • paulsimmons says

          March 2, 2010 at 11:59 am

          …therefore unusable on-line.  When I do posts and comments on policy, I prefer to use credible sources accessible to third-party footnoting.

          <

          p>The sources used above, for example, indicate the Patrick Administration’s own in-house assessment.  That assessment is also in the public domain, with other assessments and studies .

          <

          p>It’s not my appraisal; it’s that of the Governor’s own experts within the executive agencies responsible for monitoring the program.

          <

          p>Hence the link to the image file.

    4. roarkarchitect says

      March 1, 2010 at 6:13 pm

      Have seen 30% + increases.

    5. lasthorseman says

      March 1, 2010 at 8:39 pm

      because it was a retarded idea in the first place, setting up Massachusetts as the pilot state for UnConstitutional mandated insurance.  Far above who pays for what just about every health related topic is a complete disaster.  From toxic food additives to GMOs,forced vaccines and hypocondriac inducing 24/7 “ask your doctor for” ads.
      Oh, yeah, I could go on and on.

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