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Read MorePosted on August 18, 2011
An uncharacteristic air of rapprochement descended upon Beacon Hill during the first eight months of 2011. The political and economic battles that usually consume Massachusetts raged mostly outside the borders of the commonwealth.
As the fragile global recovery gave way to fears of another recession and federal budget negotiations devolved into a desperate game of chicken, Massachusetts legislators embraced the idea that the only way to solve the commonwealth’s long-term fiscal issues is through economic expansion and job growth.
It is an approach that recalls Winston Churchill’s quote that “some people regard private enterprise as a predatory tiger to be shot. Others look on it as a cow they can milk. Not enough people see it as a healthy horse, pulling a sturdy wagon.” The Patrick administration and legislative leaders seem determined during 2011 to allow the healthy private-sector horse to pull a wagon that may not be sturdy just yet, but is certainly in better shape than wagons in other states.
The most encouraging development so far this year has been the forging of a consensus around the need to control and reduce the soaring cost of health insurance. AIM has pushed aggressively to change the financial model of health care in Massachusetts from the current fee-for-service system, which rewards volume, to one in which insurers pay doctors and hospitals global fees that reward quality patient care.
Payment reform appears to enjoy almost universal support – from doctors and hospitals to employers, insurance companies, and policymakers such as Governor Deval Patrick and Attorney General Martha Coakley. More importantly, payment reform is already shifting the landscape of the health-care market as new players such as Steward Health Care System expand and Partners Health Care diversifies by announcing its intention to purchase insurer Neighborhood Health Plan.
The political season has been far from perfect for employers and many dangerous proposals such as mandated sick leave and a ban on chemicals remain in the pipeline. But the headline for employers during the first half of 2011 appears to be “so far, so good:”
“The Massachusetts Legislature deserves high marks for balancing its budget without tax increases or other impediments to job growth and economic recovery,” said John Regan, Executive Vice President of Government Affairs at AIM.
The positive political environment in Massachusetts fed an economy that remained significantly stronger than the nation as a whole. Continued strength in export sectors and technology industries helped the Bay State post a 7.6 percent jobless rate in July while the rest of the country continued to struggle at 9.1 percent.
There were significant disappointments during the first half as well:
AIM expects to remain focused for the remainder of 2011 on the two primary cost issues facing Massachusetts employers – health insurance and electricity. While the timetable for consideration of health cost reform remains unclear, AIM is determined to ensure that the emerging consensus around health cost reduction translates into legislation and rate relief for employers sometime in 2012.
Electricity will take center stage next month as AIM argues its appeal of the Cape Wind decision before the Massachusetts Supreme Judicial Court. The association also expects to continue its support of utilities that are finding renewable power at less than half the cost of Cape Wind through competitive bidding.