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Massachusetts Employers' Support for Health Reform Continues as More Firms Offer Coverage

A study on the support for health care reform in Massachusetts among employers, with a focus on the "Fair Share" requirement and the impact on smaller firms. Lessons learned and the mitigation of "crowd-out" with the individual mandate.

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Massachusetts Employers' Support for Health Reform Continues as More Firms Offer Coverage

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  1. After the Mandates: Massachusetts Employers Continue to Support Health Reform As More Firms Offer Coverage Jon R. Gabel Heidi Whitmore Jeremy Pickreign Will Selheim Shova KC Valerie Bassett

  2. Study Data and Methods • Robert Wood Johnson Foundation/NORC survey of Massachusetts employers in Spring 2007 and 2008 • Public and private firms in Massachusetts with three or more workers • Firms randomly chosen from Dun and Bradstreet • Sample sizes • 2007 – 1,052 firms • 2008 – 1,003 firms • Kaiser Family Foundation/Health Research and Educational Trust Employer Health Benefits Surveys, 2007 and 2008, provides national comparison group • 2007 – 1,997 firms • 2008 – 1,927 firms • Questionnaires are highly similar but not identical. • Use of statistical weights • Employer weights • Employee weights

  3. Exhibit 1 “Overall the Massachusetts Health Care Reform Plan Has Been Good for Massachusetts,” responses by firm size 2008 * Firm size category is statistically different from other size firms at .05 level Source: RWJF/NORC/BCBSF of MA Survey of Massachusetts Employers: 2008

  4. Conclusions • Support for health care reform in the employer community continues. • A majority of firms support the “Fair Share” requirement and applying these requirements to firms with 10 or fewer works. • Where is the crowd-out?

  5. Lessons Learned • Employer participation in the authorizing legislation was critical in the employer community’s acceptance of reform. • Individual mandate mitigates “crowd-out.”

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