More than two years after implementation of its landmark health insurance reforms, Massachusetts had achieved historically high levels of coverage and widespread improvements in access to care, according to this Health Affairs study—the latest in a series of reform updates funded by the Blue Cross Blue Shield of Massachusetts Foundation, The Commonwealth Fund, and the Robert Wood Johnson Foundation. A Commonwealth Fund issue brief describes how the Commonwealth Health Insurance Connector Authority—the linchpin of Massachusetts' health reform legislation—works to promote administrative ease, eliminate paperwork, offer portability of coverage, and provide standardization and choice of plans. Some of the structural components and functions of the Connector may be transferable to a national health reform model, say the authors.