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Abstract

Massachusetts passed legislation in 2006 ensuring health insurance to most residents, but rising costs and a weak economy threaten the sustainability of the reform. We analyzed 21 options for reducing health care spending in the state and identify those options that might produce savings over the next decade. Long-term solutions will require significant investments in information infrastructure and primary care capacity and fundamental change in health care delivery.

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This work was sponsored by the Commonwealth of Massachusetts, Division of Health Care Finance and Policy and was carried out by RAND Health, a division of the RAND Corporation.

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