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HEALTH POLICY FRAMEWORK BILL CREATES COUNCIL TO MEET 10 BROAD GOALS


By Amy Lambiaso
STATE HOUSE NEWS SERVICE

STATE HOUSE, BOSTON, FEB. 9, 2004….Citing rising overall costs, growing numbers of uninsured residents, and increased competition for health care industry jobs, leading lawmakers on Monday detailed a broad plan to lay out a new health care policy framework.

The legislative plan comes as Gov. Mitt Romney’s administration continues to grapple with its own plan to expand health care services while containing costs. Health and Human Services Secretary Ronald Preston is working on a proposal that Romney says may be ready sometime this year. Beacon Hill’s latest effort, led by Sen. Richard Moore (D-Uxbridge), is a response to years of budget cuts and public health crises without “any comprehensive plan to guide those critical choices,” said Moore, co-chairman of the Health Care Committee.

State officials and health care advocates say those budget cuts, combined with rising costs and increased mandates, have conspired to create a thorny mess. “Until now, we’ve had no vision of where we want our health care system to go or how to get there,” said Moore.

The plan, referred to as “A Caring Commonwealth, The Health Care Policy of Massachusetts,” lays out 10 goals for improving the health care system and establishes a 33-member Massachusetts Health Policy Coordinating Council to help implement the goals and issue annual progress reports.

The committee intends to advance the bill (S 2145) following a public hearing on Wednesday, aides said. The policy agenda runs for 42 pages and features more than 150 objectives on how to achieve the 10 basic goals by 2015. Many can be achieved within the next year or by 2010, according to the bill.

“There is very little else you could do this year that is more important than this,” said John McDonough, executive director of Health Care For All, during Monday’s public hearing. “We know the problems are bigger than Medicaid. Medicaid is simply the tail, it is not the dog.”

The 10 goals are patient-centered care, specifically patient safety, effectiveness, timeliness of care, efficiency and equity; prevention and care management; providing universal health care for all residents; strengthening the public health system; strengthening the preparedness for a public health emergency; establishing a funding mechanism to support health care needs during tight fiscal times; retaining the doctors and health care professionals that train in Massachusetts; maintaining the health care system’s role as central in the state’s economy; developing a system for the “least restrictive environment” for people as they get older, and achieving a system of “compassionate end of life care.”

Health care experts, on hand Monday to welcome the bill and offer their support, said because Massachusetts is a national leader in the bio-tech and medical industry, an industry that is key to the state’s economy, the state needs to be more active about maintaining the industry’s health.
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HEALTH POLICY FRAMEWORK BILL CREATES COUNCIL TO MEET 10 BROAD GOALS

“Right now, we are leading the nation in our retreat from coverage. We can lose our edge,” said Ron Hollander, president of the Massachusetts Hospital Association. “Without coverage, everything else falls apart.”

Michael Widmer, president of the Massachusetts Taxpayers Foundation, said the state is in “desperate” need of creating a long-term planning system for its health care programs to replace the myriad priorities and proposals that currently exist in a largely informal fashion.

“We’ve gotten into this situation where everybody loses,” he said. “We all give lip service to health care, education and workforce development training, that they are critical to our future. And while that’s all well and good, and true, we need to support those areas. And health care is certainly at the top of the list.” Prior to Monday’s State House hearing, Moore held oversight hearings in Waltham, Springfield and Worcester during the fall, attended by many of the same experts who lent their voice on Monday.

Public Health Commissioner Christine Ferguson was unable to attend Monday, but was at the Waltham hearing in October when she told the committee: “the Romney administration is very much in sync with the goals of your policy,” according to Moore’s staff. Information on the bill and full details of the plan is available at

www.caringcommonwealth.com.

www.statehousenews.com

 

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