Massachusetts Looks to Revamp its Healthcare

They are looking to move from a fee for service to a flat fee per patient.

I do not expect this to work. I think that the individual mandate is flawed, but it is the only thing that states are allowed to do under ERISA, so that is everyone's solution.

Just eliminating the preemption clause from ERISA would go a long way toward solving the problem, because states would compete on the quality and cost effectiveness of their health care for businesses, as opposed to competing on tax giveaways.