Health Research Institute

The Massachusetts Experience: Reform shifts the healthcare landscape

In a two-part series, PwC’s Health Research Institute examines how Massachusetts health reform impacted employers, insurers, and healthcare providers -- and what this may mean for the US healthcare industry under the Affordable Care Act.

Part I: Employer-sponsored health insurance post reform

More than seven years after Massachusetts enacted its health reform law, data from the state reveal that employer health coverage rose, even as coverage declined nationally. The Massachusetts experience illustrates why employers contemplating benefits changes ought to consider a range of factors including recruitment and retention, absenteeism, tax implications along with the influence of an individual mandate.

Part II: New wave of consolidation for health sector post reform

In three successive laws over seven years, the state of Massachusetts has expanded coverage to virtually every resident and put in place controls intended to curb rising costs. The result: a fresh wave of industry consolidation, signs of improved health, modest changes in patient behavior, stubbornly high costs and a recognition that true transformation takes years if not decades.

Published 2013

Jeff Gitlin
Principal, US Health Industries Advisory Leader
Tel: +1 (646) 471 8248
Robert Valletta
US Health Services Leader
Tel: +1 (617) 530 4053
Benjamin Isgur
Health Research Institute Leader
Tel: +1 (214) 754 5091