Excerpt: HSC researchers recently conducted a follow-up site visit to Massachusetts to explore the impact of the state's reform effort on employers more than a year into its implementation .... While employer support for the reform has been relatively strong to date, findings ... suggest two potential changes that may threaten employers' continued support. First, higher costs from increased take up of employer-sponsored coverage and rising premiums, coupled with improved access to the nongroup, or individual, insurance market, potentially weaken employers' motivation and ability to provide coverage. Second, employer frustration appears to be growing as the state pressures them to increase their responsibilities.

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