This article published in Health Affairs found that though Massachusetts has implemented near-universal insurance coverage reforms there are still disparities in care for low income residents. The article explores various strategies that could be adopted to assist this population, while also suggesting that additional research could be done to learn more about the barriers to access. 

Clark, C. R., et. al. (2011).  Lack of access due to costs remains a problem for some in Massachusetts despite the states' health reforms. Health Affairs, 30(2):247-255. doi: 10.1377/hlthaff.2010.0319. http://content.healthaffairs.org/content/30/2/247.abstract

Authors: Cheryl R. Clark, Jane Soukup, Usha Govindarajulu, Heather E. Riden, Dora A Toyar, and Paula A. Johnson