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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.

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.

This report is part of the RAND technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

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