After expanding coverage, MA looks to cut costs

BOSTON (AP) - Four years after Massachusetts passed the nation's most ambitious health care law, Gov. Deval Patrick and lawmakers are working to rein in spiraling insurance costs.

Those costs are threatening to undermine the 2006 health care law, which mandated nearly universal health coverage.

Supporters say the next big goal is to find a way to slow surging premiums while maintaining services.

It's a task of mind-boggling complexity requiring cooperation among doctors, hospitals, insurers, regulators, state lawmakers and the administration.

One option, supporters say, is to move away from a system that pays doctors and hospitals for each test and procedure and instead reward them for maintaining the overall health of their patients.

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