MA healthcare reform: An academic provider's perspective

How does Massachusetts healthcare reform and recently-passed cost containment legislation look from the perspective of an academic integrated delivery system like Partners Healthcare? There are still a few people in Massachusetts without healthcare insurance, but only a few. My colleagues like that—it's hard taking care of uninsured patients, and I don't know anyone who wants to turn back the clock. Massachusetts gets a bad rap for having high healthcare costs, but the fact is that we're relatively efficient compared to the rest of the U.S.