Sit Tight, Take Hold, Thunder Road

“Oh, Thunder Road, oh, Thunder Road

Lying out there like a killer in the sun

Hey, I know it’s late, we can make it if we run

Oh oh oh oh, Thunder Road

Sit tight, take hold, Thunder Road”

                                                                           Sung and written by Bruce Springsteen

There’s no question that storm clouds are on the horizon for health care and the GIC.  State revenues continue to be tight and health care costs are crowding out other critical needs — like education and local aid.  Meanwhile, prescription drug costs and health care utilization show no signs of slowing, and high cost provider groups with tremendous market clout maintain high prices.  We will continue to push forward with Centered Care and new ways of paying for care, but these are tectonic shifts in the marketplace and won’t happen quickly.

President-elect Trump is expected to make changes to the Affordable Care Act, which will have a ripple effect on the GIC.  If funding mechanisms that underline health care reform change or are eliminated, costs for other purchasers, including the GIC, will rise.  It is also possible that benefits and eligibility for coverage mandated by the ACA may be rolled back.  That said, exactly what will happen is only speculation at this point.

We have also been working with some large offline agencies that are not on the state’s payroll system to assist with reconciliation problems that affect eligibility, coverage and payments of benefits.  Collaboration with others is of paramount importance in moving the health care marketplace to a more efficient, effective, and affordable position.  We have a very committed staff remaining, despite a lot of transition over the last year, and also have a supportive Commission dedicated to the GIC’s mission and our move to greater efficiencies, including a major upgrade of the critical eligibility system. 

Together we will weather the storms ahead while providing quality benefits at reasonable costs to our members and to the Commonwealth of Massachusetts.

This information provided by the Group Insurance Commission .