Will Brownsberger — State Senator, Democrat, 2d Suffolk and Middlesex District

The single payer amendment came to a vote this afternoon during the first day of debate on the Senate health care bill. After a vigorous debate, the Senate voted it down in a roll call with 15 voting yes (including me) and 22 voting no. This was a much stronger showing than had previously been [...]

A very positive element in the Senate health care cost control legislation is the creation of a Prevention and Wellness Trust Fund. I strongly support the creation of this fund because it will support cost-effective community-based prevention.

During the health care debate, there will be an important conversation on Single Payer health care reform. I do broadly support Single Payer health care and I am cautiously optimistic that the legislation before the Senate will move us in the right direction.

After over a year of hearings and discussions, the House and Senate have both released global health care cost control bills. The highest level institutions in Boston – government, business, major hospitals and insurers – are all deeply engaged in the conversation about the options.

The Senate President’s Office released S. 2660, the Health Care Reform Bill.

Did your office find whether the Kaiser Foundation report on Massachusetts funding of Mental Health was accurate?  In that report, Massachusetts was reported as paying significantly less per capita than any New England state, save Rhode Island, for Mental Health Services. The difference was startling. http://statehealthfacts.org/ A recent SAMSHA report stated that 1 in 5  (19.9%) of American adults [...]

Will, This the report I where I found state comparisons on mental health expenditures.  http://www.statehealthfacts.org/comparemaptable.jsp?cat=5&ind=278 Thanks for following up with DMH to see if it can shed some light. Pam

Hi Will, We talked on March 15 about the accumulated cuts of $55 million to mental health services in Massachusetts since 2009, more than any other New England state. Yesterday, I tried to verify on-line how much Massachusetts spends per capita on mental health, compared to the other New England states.  Recent facts were scarce, but the [...]

Q: If health insurance is something one can buy, why not let people buy what insurance they want? A: To call it insurance is a misleading misnomer. Since sickness befalls everyone sooner or later, unlike house fires or auto accidents, we are not protecting ourselves against an event which usually affects other people. The term [...]

Hi Will … The bill passed recently preventing unions from collective bargaining on health plan design was sold by you and others on the basis that municipal managers needed the flexibility it offered in the face of rising health care costs, that benefits were unusually generous in some towns (e.g. $5 co-pays, very low premium [...]

  Complex system requires complex changes Consumer involvement needed, perhaps through tiered plans Standardization and transparency in price and quality reporting needed Coordinated care, medical homes, bundled payments—all mean rewarding value and outcomes rather than services IT is critical A slow transition is needed     In June, the Department of Healthcare Finance and Policy [...]

Some have found the conversation about municipal health care reform confusing. Here is a summary perspective.

Highlights of the final budget include good local aid results, strong municipal health reform, limited spending with no new taxes, moderate reforms of the public counsel system and relatively good funding for a number of high priority human services.

Analysis of the Attorney General’s report: Examination of Health Care Cost Trends and Cost Drivers Pursuant to G.L. c. 118G, § 61?2(b) Report for Annual Public Hearing June 22, 2011   Wide disparities in healthcare payments exist that are not due to variations in quality Simply changing to global payments does not reduce costs More [...]

Hearing was the first of several Bill would change healthcare payments and organizations Everyone “pro” cost control, but some details at issue Providers concerned with over-regulation, lack of flexibility Others want public-option, public wellness provisions Committee concerned with cost estimates and funding     The joint committee on healthcare finance held its first hearing regarding [...]

The $8.6 Million payout to the ousted Blue Cross CEO ( Cleve Killingsworth) doesn’t give me much confidence in this near-monopoly “Non-Profit” company or its Board of Directors. (Directors are paid  over $50,000 per year each, for one meeting a month). That’s a lot of co-pays at $20 each !    Note that Killingsworth will [...]

  Summary Massachusetts already has several levels of limits on malpractice suits and damages Pretrial tribunals Caps on non-economic damages Caps on attorney’s fees Malpractice rates set by the Insurance Commissioner Pretrial tribunals are not a significant barrier to pursuing a suit The amount of bond necessary to move forward is too low and has [...]

Hi Will: I wanted to write to you about what I consider a disturbing trend in the medical insurance industry. A number of health plans are placing physicians into tiers based one mostly there cost to treat a particular common diagnosis. The plans are supposed to include quality of care as well but have not [...]

The practical potential for reducing health care costs by eliminating insurance mandates is less than commonly believed.

It isn’t clear that major state legislation is needed to advance experimentation with new health care cost-control models in Massachusetts. It may be primarily within the proper role of the executive branch to collaborate with federal Medicare and Medicaid administrators and move forward.