Commonwealth Care, Commonwealth Choice, Health Care Reform, Individual Mandate

Outreach workers do the hard work of explaining policy changes to real people, so often they are among the first to hear feedback about how they are working. Not surprisingly, this was a theme of the Western Mass. Health Access Network meeting this February, when we gathered with outreach and enrollment workers from Berkshire, Franklin, Hampshire and Hampden counties. HAN members doing enrollment agreed that there is still confusion and frustration in their communities.

December was intense... this is the 'take-away' from our Health Access Network meetings in Amherst and Boston this month. Across the board, people providing enrollment assistance in hospitals, community health centers and community organizations were faced with a huge number of people trying to get health insurance coverage before the Dec. 31 deadline. John Bergeron from Hilltowns Community Health Center got the prize for the latest request for assistance; he received several phone messages on the evening of December 31 from people looking to comply with the mandate.

It's been reported that over the past year more than about 200,000 Massachusetts residents have been provided access to comprehensive public health insurance: either through Commonwealth Care or MassHealth. What about those who aren't eligible for publicly subsidized programs and must enroll in employer-sponsored plans?

The increased cost of insuring employees and their families has forced many local employers to make hard choices about their insurance offerings.