Payment Reform: The Massachusetts Experiment

 

JAMA Forum — The Massachusetts Health Care Reform Experiment: A Success

To some extent, the Affordable Care Act (ACA) is based on the “Massachusetts experiment,” the health care legislation passed by the state in 2006, leading politicians on both sides of the political aisle to claim it as a success or failure. Supporters assert that the legislation resulted in nearly universal health insurance coverage in Massachusetts. Detractors point out that the quality of coverage may be suboptimal and its costs are exorbitant. Both sides have overstated their cases.Massachusetts health care reform was evolutionary, not revolutionary. In 1985, the state established a “free care pool” paid for by profitable facilities to support the safety net hospitals. Hospital rate deregulation in 1991 resulted in a cost crisis, leading both conservative and liberal politicians in Massachusetts to cooperate on legislation. In 2006, a Republican Governor, a Democratic Speaker of the House, and a Democratic President of the State Senate collaborated to develop Massachusetts health insurance reform. The Republican Governor insisted on a proposal originally written by Stuart Butler, PhD, of the conservative Heritage Foundation (and a JAMA Forum contributor), which included an individual mandate to purchase health insurance. Butler said, “If a young man wrecks his Porsche and has not had the foresight to obtain insurance, we may commiserate, but society feels no obligation to repair his car. But health care is different. If a man is struck down by a heart attack in the street, Americans will care for him whether or not he has insurance.”

Although it is true that the legislation resulted in near-universal health insurance coverage in Massachusetts, including 98% of the state’s population and nearly 100% of children, baseline rates of insurance were high before the law went into effect. In 2007-2008, when the law was just being implemented, uninsured rates in Massachusetts were only 5% at a time when up to 25% of the population of California, another progressive state, was uninsured.

Submitting a Job Listing

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April 7, 2016

April 7, 2016

A custom online listing and linked descriptions in the weekly member newsletter are offered for $150/month. To make a payment, click HERE

After downloading and completing the form, please email it to advertisements@maappn.com

Once the submission form and receipt of payment are received by MAAPPN then you will be notified of your published listing.

Our Purpose

  • Provide a presence and testimony as needed at the State House on bills pertinent to our professional work
  • Consistent tracking of legislation relevant to the interests of MAAPPN members
  • Foster high standards of advanced nursing practice & education
  • Promote the professional development of nurse clinicians
  • Develop position statements on relevant issues
  • Provide feedback and collective support to politicians who consistently advocate for our professional interests
  • Increase involvement of members with committee work to enhance efficacy and productivity

About MAAPPN

The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) began in 1975 as a Massachusetts grassroots nursing organization representing the interests of advanced practice psychiatric nurses and the clients we serve.

The group was organized to promote independent nursing practice for psychiatric clinical nurse specialists (CNS).

Initially known as Nurses United for Reimbursement of Services (NURS), the group lobbied successfully for the passage of law in 1986 that allowed psychiatric CNSs to receive third party reimbursement.

In 1987, another bill sponsored by MAAPPN was passed granting clinical privileges and staff membership in health care facilities. CNSs gained authorization to sign for emergency involuntary hospitalization evaluations in 1989.

In 1992, MAAPPN co-sponsored a bill which granted prescriptive authority. The guardianship bill, also sponsored by MAAPPN, was passed in 2002.

Today, MAAPPN is the only organization in the state of Massachusetts that exclusively represents the interests of advanced practice psychiatric nurses – both psychiatric clinical nurse specialists and psychiatric nurse practitioners.

 

RESOURCES AND SUPPORT SERVICES

Resource organizations, affiliates and services …

Czech nursing students.

Czech nursing students. (Photo credit: Wikipedia)

Accreditation

ANCC Home Page
Home page for American Nurses Credentialling Center

Continuing Education

Optum-Provider Express is pleased to present its latest webinar topic:
DSM-5 and ICD-10: Keeping up with Kaleidoscopic Changes
Optum is aligning the implementation and use of the DSM-5 with the national ICD-10 implementation on October 1, 2014. Registration required for this 1 hour session.
Sessions offered in Dec, Jan and Feb. Space is limited, so register soon. www.providerexpress.com/webinars

ANCC Pharma Contact Hr requirement
ANCC Pharmacotherapeutic Contact Hour requirements

DSM-5 Transition to ICD-10  – FAQ
Diagnostic changes and impact on coding

Education

National League for Nursing
The National League for Nursing advances excellence in nursing education

Employment Opportunities

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Practice

MA Board of Registration of Nursing
Contact information, rules, regulations, nurse practice act, & license, renewal, verification

American Nurses Association
NursingWorld is the online destination for the American Nurses Association

American Psychiatric Nurses Association
APNA’s official website and your resource for psychiatric mental health nursing.

ANCC 
Click here for APRN role FAQ

Prescribing

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