The Milbank quarterly
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The Milbank quarterly · Mar 2010
Health care reform in Massachusetts: implementation of coverage expansions and a health insurance mandate.
Much can be learned from Massachusetts's experience implementing health insurance coverage expansions and an individual health insurance mandate. While achieving political consensus on reform is difficult, implementation can be equally or even more challenging. ⋯ National lessons from the Massachusetts experience come not only from the specific decisions made but also from the process of decision making, the need to keep stakeholders engaged, the relationship of decisions to existing programs and regulations, and the interactions among program components.