While Obama has been vague about the details of his health plan, the next administration's health care designs reflect what has been put in place in Massachusetts since then-Gov. Mitt Romney signed a universal health care law in 2006. Both plans leave the employer-based health care system alone while providing individuals access to cheaper insurance rates in the group market and penalizing employers that do not offer health insurance.
There is, however, one key exception: Unlike Massachusetts, Obama has not supported a law requiring individuals to purchase insurance-a politically fraught policy that is nonetheless seen as crucial to the success of Massachusetts' effort.
"We have internally described [Obama's plan] as 'Massachusetts light,' " said Michael Thompson, principal in the human resource services group of PricewaterhouseCoopers.
By ditching the mandate for individuals to purchase insurance, Obama may have removed a political stumbling block. But in its absence he would have to contend with the consequences.
"I'm sure politically, the incoming administration would like to stay away from an individual mandate," said Jon Gabel, a senior fellow at the National Opinion Research Center in Washington. "But I have a hard time figuring out how it will work without an individual mandate, and I think others think that too."