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Community Choice Acute Care Hospital Listing Effective July 1, 2017 When You Use a Community Choice Hospital, You Pay a $275 Inpatient Copay Per Calendar Quarter
UNICARE STATE INDEMNITY PLAN Community Choice Acute Care Hospital Listing Effective July 1, 2017 When you use a Community Choice hospital, you pay a $275 inpatient copay per calendar quarter. Community Choice members can also use additional hospitals for the same $275 copay for certain complex procedures and neonatal ICUs. To look for hospitals, go to unicarestateplan.com and, under the Quick Links tab on the Members page, select Look for health care providers. When you use non-Community Choice hospitals, your out-of-pocket costs are higher. Addison Gilbert Hospital Lawrence Memorial Hospital Anna Jaques Hospital Leominster Hospital (UMass Memorial) Athol Memorial Hospital Leonard Morse Hospital Baystate Franklin Medical Center Lowell General Hospital Baystate Medical Center Mary Lane Hospital (Baystate) Berkshire Medical Center Massachusetts Eye and Ear Beth Israel Deaconess Medical Center – Boston Melrose-Wakefield Hospital Beverly Hospital Mercy Medical Center Brockton Hospital Merrimack Valley Hospital Burbank Hospital (UMass Memorial) Milford Regional Medical Center Cambridge Hospital Milton Hospital (Beth Israel Deaconess) Cape Cod Hospital Morton Hospital Carney Hospital Mount Auburn Hospital Charlton Memorial Hospital Nashoba Valley Medical Center Children’s Hospital Boston Needham Hospital (Beth Israel Deaconess) Cooley Dickinson Hospital New England Baptist Hospital *Dana-Farber Cancer Institute (Boston location only) Noble Hospital (Baystate) Emerson Hospital Norwood Hospital Everett Hospital (formerly Whidden Hospital) Plymouth -
Baystate Health
Baystate Health Baystate Teaching Hospital Wing Community-High Public Payer Physician Organization Baystate Franklin Health Plan Images are sized based on Baystate Medical Center Health New England the entity's portion of operating revenue within their health system. Image size is not comparable between systems. Baystate Medical Practice Operating Net Assets in Profit (Loss) Operating Revenue in Total Margin Millions in Millions Margin Millions Hospital Health System* Baystate Health $2,381.6 $1,101.8 $68.1 2.2% 2.8% Acute Hospital Baystate Franklin Medical Center $102.7 $53.2 $0.6 0.4% 0.6% Baystate Medical Center $1,296.2 $827.7 $99.8 6.6% 7.6% Baystate Noble Hospital $58.4 $16.8 $1.2 2.0% 2.0% Baystate Wing Hospital $85.6 $50.2 ($4.4) -5.7% -5.1% Physician Organization Baystate Medical Practice $307.4 ($43.6) -14.2% -14.2% Baystate Westfield Medical Corporation $12.5 ($5.4) -43.4% -43.4% Health Plan Health New England $833.9 $12.3 1.6% 1.5% * Table includes only the system's affiliated acute hospitals, physician organizations, and health plans. System totals may also include non-acute hospitals, other health care providers, other owned organizations, and consolidating eliminations. www.chiamass.gov CENTER FOR HEALTH INFORMATION AND ANALYSIS | www.chiamass.gov CHIA Berkshire Health Systems Community-High Public Payer Physician Organization Images are sized based on the entity's portion of Berkshire Medical Center Fairview Hospital operating revenue within their health system. Image size is not comparable between systems. Berkshire Faculty -
Lawrence General Hospital
Massachusetts Hospital Payment Variation 2015 2016 Share of # Hospital Relative Relative Commercial MA Acute Hospital Commercial Relative Price (Weighted Average 2016) Price Price Payments Statewide Results Published By CHIA February 2018 1 Baystate Noble 0.681 0.682 0.2% Baystate Noble Hospital 2 Holyoke Medical Center 0.722 0.728 0.2% Holyoke Medical Center 3 Lawrence General 0.754 0.736 0.4% Lawrence General Hospital 4 Anna Jaques 0.756 0.743 0.5% Anna Jaques Hospital 5 Baystate Wing 0.749 0.752 0.2% Baystate Wing Hospital 6 Cambridge Health Alliance 0.797 0.754 0.6% Cambridge Health Alliance 7 BIDH - Milton 0.760 0.757 0.4% Beth Israel Deaconess- Milton 8 Massachusetts Eye & Ear 0.833 0.760 Massachusetts Eye & Ear 9 Heywood Hospital 0.752 0.763 0.4% Heywood Hospital 10 Signature Brockton 0.785 0.787 0.7% Signature Brockton Hospital 11 Mercy Medical Center 0.806 0.796 0.6% Mercy Medical Center 12 HealthAlliance 0.781 0.804 0.4% HealthAlliance Hospital 80% of Average 13 Emerson 0.846 0.824 1.1% Emerson Hospital 14 Steward Morton 0.855 0.837 0.4% Steward Morton Hospital 15 Milford Regional 0.840 0.840 1.1% Milford Regional Medical Center 16 Lowell General 0.822 0.850 1.6% Lowell General Hospital 85% of Average 17 Northeast Beverly 0.867 0.851 1.3% Northeast Hospital 18 MetroWest 0.856 0.853 1.0% MetroWest Medical Center 19 Steward Holy Family 0.859 0.857 0.7% Steward Holy Family Hospital 20 Winchester Hospital 0.892 0.865 1.6% Beth Israel Deaconess - Plymouth 21 BIDH - Plymouth 0.861 0.865 0.8% Winchester Hospital Underpaid Hospitals -
Fallonhealth.Org Find Your Doctor
Your Network Get more choice with Select Care NETW O O M R H K D H A O S E R L B E SC C T H C E A R What you get • Greater choice at a competitive price. • Access to an expansive network that includes physician practices, community-based hospitals and medical facilities across the Commonwealth and southern New Hampshire. • Plus, worldwide emergency coverage! Please see the back of this insert for a full listing of participating Massachusetts, New Hampshire and Vermont hospitals in Select Care. Participating hospitals Select Care service area fallonhealth.org Find your doctor Just visit fallonhealth.org and follow these simple steps: • Click on “Find a doctor” in the members section, or on the home page. • Click on “Search our regional networks.” If you are looking for a specific provider, type his/her last name. Once you start typing, you will be given a list of providers to choose from. Within the search results, you will see if the provider accepts Select Care. • If you don’t have a particular provider in mind, you can use the advanced search option to search by ZIP code to find a provider convenient to you. You can use this advanced search option for specialists as well as for primary care providers. We update the provider listing on fallonhealth.org every day, so you can trust that you are seeing the most up-to-date information. You can also call our Customer Service Department to have a representative help you find the doctor you’re looking for. -
Wayfair Preferred (Narrow) Network Plan Hospitals
Wayfair Preferred (Narrow) Network Hospitals Hospital Name City State Addison Gilbert Hospital Gloucester MA Anna Jaques Hospital Newburyport MA BayRidge Hospital (acute psychiatric hospital) Lynn MA Beth Israel Deaconess Medical Center—Boston Boston MA Beth Israel Deaconess Hospital—Milton Milton MA Beth Israel Deaconess Hospital—Needham Campus Needham MA Beth Israel Deaconess Hospital—Plymouth Plymouth MA Beverly Hospital Beverly MA Boston Children’s Hospital Boston MA Boston Medical Center Boston MA Brigham and Women’s/Mass General Health Care Center at Patriot Place Foxborough MA Cambridge Health Alliance—Cambridge Campus Cambridge MA Cambridge Health Alliance—Somerville Campus Somerville MA Cambridge Health Alliance—Whidden Campus Everett MA Carney Hospital Dorchester MA Clinton Hospital Clinton MA Cooley Dickinson Hospital Northampton MA Emerson Hospital Concord MA Faulkner Hospital Jamaica Plain MA Good Samaritan Medical Center Brockton MA HealthAlliance Hospitals—Burbank Campus Fitchburg MA HealthAlliance Hospitals—Leominster Campus Leominster MA Heywood Hospital Gardner MA Holyoke Medical Center Holyoke MA Lahey Hospital and Medical Center Burlington MA Hospital Name City State Lahey Medical Center Peabody MA Lawrence General Hospital Lawrence MA Lawrence Memorial Hospital Medford MA Lowell General Hospital (includes the campus Lowell MA formerly known as Saints Medical Center) Massachusetts Eye and Ear®´ Infirmary Boston MA Mass General/North Shore Center for Outpatient Care Danvers MA Melrose-Wakefield Hospital Melrose MA Mercy -
Health Care System ACUTE INPATIENT HOSPITALS
A B C D E 1 ACUTE INPATIENT HOSPITALS PARTICIPATING IN MASSHEALTH (June 2021) Has Inpatient 2 Health Care System Acute Inpatient Hospital Town Psychiatric Unit? 3 Beth Israel Lahey Health Anna Jaques Hospital Newburyport X 4 Heywood Healthcare Athol Hospital Athol 5 Baystate Health Baystate Franklin Medical Center Greenfield X 6 Baystate Health Baystate Medical Center Springfield X 7 Baystate Health Baystate Noble Hospital Westfield X 8 Baystate Health Baystate Wing Hospital Palmer X 9 Berkshire Health Systems Berkshire Fairview Hospital Great Barrington 10 Berkshire Health Systems Berkshire Medical Center Pittsfield X 11 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Milton Milton 12 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Needham Needham 13 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Plymouth Plymouth X 14 Beth Israel Lahey Health Beth Israel Deaconess Medical Center Boston X 15 Beth Israel Lahey Health Beverly Hospital (aka Northeast Health) Beverly X 16 Boston Children's Hospital Boston X 17 Boston Medical Center Boston 18 MassGeneralBrigham Brigham & Women's Hospital Boston 19 MassGeneralBrigham Brigham and Women's Faulkner Hospital Boston X 20 Cambridge Health Alliance Cambridge Hospital Cambridge X 21 Cape Cod Healthcare Cape Cod Hospital Hyannis X 22 Steward Health Care Carney Hospital Boston X 23 MassGeneralBrigham Cooley Dickinson Hospital Northampton X 24 Dana Farber Cancer Institute Boston 25 Emerson Hospital Concord X 26 Cambridge Health Alliance Everett Hospital Everett X 27 Cape -
First Do No Harm
WINTER 2021 ` First Do No Harm Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine Message from QPSD Leadership Julian N. Robinson, MD Daniela Brown, MSN, RN, CIC Chairperson, QPS Committee Director, QPS Division Dear Colleagues, As we navigate through a second surge of the pandemic, the disproportionate impact In This Issue being experienced by minorities and people of color continues to be evident. Long- standing health and social inequities have put racial, ethnic, and LGBTQ minority groups at higher risk of serious illness and death related to Covid 19. In order to combat these 1 Message from QPS inequities, barriers such as lack of access to care, poverty, food insecurity, and discrimination must be identified and acted upon. Leadership 2 QPS Committee member The Quality and Patient Safety Division (QPSD) has asked several of the hospitals that Ziad Alfarah, MD report to us to share some of the programs that they have implemented to address the inequities in healthcare. Many organizations are attempting to close that gap by 3 Cambridge Health Alliance addressing the social, physical and economic conditions that impact health. We Hospital encourage all hospitals and ambulatory clinics to continue to share their efforts with us 4 Massachusetts General through their reporting. QPS Committee member, Dr. Ziad Alfarah also shares his thoughts Hospital on the changes that we individually can make in the fight against racism. 5 McLean Hospital The QPSD is mindful of the ongoing toll the pandemic has taken on hospitals and 6 Tufts Medical Center ambulatory clinics in the Commonwealth. In 2020, we attempted to reduce the burden 7 Update: Reporting to QPSD related to reporting by excusing the spring annual and semi-annual reports and making the fall semi-annual report and select SQRs optional. -
A Commitment to Community: Massachusetts Hospitals’ Community Benefit Initiatives
A Commitment to Community: Massachusetts Hospitals’ Community Benefit Initiatives 2020 Report Region 3 Region 1 Region 2 Region 4 Region 5 Baystate Health • Baystate Franklin Medical Center • Baystate Medical Center • Baystate Noble Hospital • Baystate Wing Hospital Berkshire Health Systems • Berkshire Medical Center Partners HealthCare • Fairview Hospital • Brigham and Women’s Faulkner Hospital Beth Israel Lahey Health • Brigham and Women’s Hospital • Anna Jaques Hospital • Cooley Dickinson Health Care • Beth Israel Deaconess Hospital – Milton • Martha’s Vineyard Hospital • Beth Israel Deaconess Hospital – Needham • Massachusetts Eye and Ear Infirmary • Beth Israel Deaconess Hospital – Plymouth • Massachusetts General Hospital • Beth Israel Deaconess Medical Center • Nantucket Cottage Hospital • Beverly and Addison Gilbert Hospitals • Newton-Wellesley Hospital • Lahey Hospital & Medical Center • North Shore Medical Center • Mount Auburn Hospital Shriners Hospitals for Children-Boston • New England Baptist Hospital Signature Healthcare Brockton Hospital • Winchester Hospital South Shore Hospital Boston Children’s Hospital Southcoast Hospitals Group Boston Medical Center Sturdy Memorial Hospital Cambridge Health Alliance Tenet Healthcare Cape Cod Healthcare • MetroWest Medical Center • Cape Cod Hospital • Saint Vincent Hospital • Falmouth Hospital Trinity Health of New England Dana-Farber Cancer Institute • Mercy Medical Center Emerson Hospital UMass Memorial Health Care Harrington HealthCare System • UMass Memorial Health Alliance – Clinton Heywood Healthcare Hospital • Athol Hospital • UMass Memorial Marlborough Hospital • Heywood Hospital • UMass Memorial Medical Center Holyoke Medical Center Wellforce • Lowell General Hospital Lawrence General Hospital • MelroseWakefield Health Milford Regional Medical Center • Tufts Medical Center A COMMITMENT TO COMMUNITY: MASSACHUSETTS HOSPITALS’ COMMUNITY BENEFIT INITIATIVES Care Beyond a Hospital’s Walls Each day Massachusetts hospitals provide high-quality, life-saving care to patients throughout the commonwealth. -
114.1 CMR 41.00: Rates of Payment for Services Provided to Industrial Accident Patients by Hospitals
The Commonwealth of Massachusetts Executive Office of Health and Human Services One Ashburton Place, Room 1109 Boston, MA 02108 CHARLES D. BAKER Tel: (617) 573-1600 Governor Fax: (627) 573-1891 www.mass.gov/eohhs KARYN E. POLITO Lieutenant Governor MARYLOU SUDDERS Secretary Administrative Bulletin 17-01 114.1 CMR 41.00: Rates of Payment for Services Provided to Industrial Accident Patients by Hospitals Effective January 1, 2017 Publication of Payment on Account Factors (PAFs) for Hospital Services The Executive Office of Health and Human Services (EOHHS), pursuant to 114.1 CMR 41.05(1) and (3), is publishing the Payment on Account Factors (PAF) for acute and non-acute hospital services rendered to industrial accident patients. The application of the PAF to all billed charges payable pursuant to 114.1 CMR 41.00 results in the payment of the average percentage of charges paid by the private sector to each hospital for its services and shall be deemed to meet the test of reasonable cost of medical services prescribed by M.G.L. c. 152, the Workers’ Compensation Act. No lesser amount shall be paid unless agreed to by the provider, insurer, and employer. Provided below are the PAFs for acute and non-acute hospital services rendered on or after January 1, 2017. Acute Hospitals PAF % Anna Jaques Hospital 55.42% Athol Memorial Hospital 35.62% Baystate Franklin Medical Center 51.90% Baystate Mary Lane Hospital 50.36% Baystate Medical Center 57.98% Baystate Wing Hospital 43.07% Berkshire Medical Center 66.85% Beth Israel Deaconess Hospital - Milton -
Commonwealth of Massachusetts Health Policy Commission
COMMONWEALTH OF MASSACHUSETTS HEALTH POLICY COMMISSION TECHNICAL APPENDIX B TRENDS IN THE MASSACHUSETTS DELIVERY SYSTEM ADDENDUM TO COST TRENDS JULY 2014 SUPPLEMENT Table of Contents 1 Mix of Providers for Inpatient Care ............................................................................................. 1 1.1 Discharges by payer type for inpatient service categories ............................................... 1 1.2 Breakdown of higher rate of hospitalization by inpatient service category ..................... 1 1.3 Proportion of non-emergent and non-transfer discharges in Massachusetts hospitals..... 1 1.4 Analysis of inpatient discharge flows across regions....................................................... 2 2 Concentration of Inpatient Care ................................................................................................... 4 2.1 Concentration of inpatient care in Massachusetts ............................................................ 4 2.2 Concentration of commercial inpatient discharges by diagnostic area ............................ 5 2.3 Systems with leading share of commercial inpatient discharges by region, 2012 ........... 6 3 Alternative Payment Methods...................................................................................................... 6 3.1 Estimate of commercial APM coverage in 2012 ............................................................. 6 3.2 Estimate of Medicare APM coverage in 2012 ................................................................. 6 3.3 Estimate -
Atrius Health 2019 Participating Providers by Tier
Atrius Health 2019 Participating Providers by Tier Atrius Health St. Vincent Hospital Exeter Hospital Miriam Hospital Ambulatory Surgery and Laser Center Winchester Hospital Franklin Regional Hospital Newport Hospital of Cape Cod Frisbie Memorial Hospital Rhode Island Hospital (including Non-Preferred hospitals Huggins Hospital Hasbro Children’s Hospital) Boston Endoscopy Center (ONLY AVAILABLE ON CHOICE POS) Boston Eye Surgery & Laser Center – Lakes Region General Hospital Roger Williams Medical Center West Massachusetts Littleton Regional Hospital South County Hospital St. Joseph’s Hospital Boston Eye Surgery and Athol Memorial Hospital Mary Hitchcock Memorial Hospital Westerly Hospital Laser Center, Inc. Baystate Franklin Medical Center Monadnock Community Hospital Women and Infants Hospital Boston Out-Patient Surgical Suites Baystate Medical Center New London Hospital Cape Cod Eye Surgery and Parkland Medical Center Baystate Noble Hospital Vermont Laser Center Baystate Wing Hospital Portsmouth Regional Hospital Cataract & Laser Center, Inc. Brattleboro Memorial Hospital Berkshire Medical Center Southern NH Medical Center Charles River Endoscopy, LLC Central Vermont Medical Center Boston Medical Center Speare Memorial Hospital Dedham Medical Associates Gifford Medical Center Brigham and Women’s Hospital St. Joseph Hospital East Pond Enterprises, Inc. Grace Cottage Hospital Brockton Hospital, Inc. The Cheshire Medical Center Eastern Massachusetts Mt. Ascutney Hospital Cape Cod Hospital The Memorial Hospital Surgery Center, LLC and Health -
Healing Inside & Out: MA Tobacco-Free Hospitals Honor Roll
Healing Inside & Out: MA Tobacco-Free Hospitals Honor Roll The Honor Roll recognizes member hospitals (more than 76%), including all their campuses, as well as certain other affiliated healthcare providers, that self- reported having fully achieved tobacco-free status, which means the grounds are completely tobacco-free, including parking lots and garages, there are absolutely no exceptions. Tobacco-Free Hospitals have policies which eliminate employee, patient and visitor exposure to tobacco smoke and assist employees and patients to quit smoking. Anna Jaques Hospital Lahey Hospital & Medical Center Athol Memorial Hospital Lawrence General Hospital Baystate Franklin Medical Center Lowell General Hospital Baystate Mary Lane Hospital Marlborough Hospital Baystate Medical Center Massachusetts Eye and Ear Infirmary Baystate Wing Hospital Massachusetts Hospital School Berkshire Medical Center Mercy Medical Center Beth Israel Deaconess Hospital-Needham MetroWest Medical Center Beth Israel Deaconess Hospital-Plymouth Milford Regional Medical Center Beth Israel Deaconess Medical Center Mount Auburn Hospital Beverly Hospital New Bedford Rehabilitation Hospital Boston Children's Hospital New England Baptist Hospital Boston Medical Center New England Rehabilitation Hospital Brigham and Women's Hospital Noble Hospital Brigham and Women's Faulkner Hospital North Shore Medical Center Cambridge Health Alliance Saint Vincent Hospital Clinton Hospital Shriners Hospital for Children Cooley Dickinson Hospital, Inc. Shriners Hospital for Children-Boston Burns Unit Dana-Farber Cancer Institute, Inc. Signature Healthcare Brockton Hospital Emerson Hospital Southcoast Hospitals Group Fairlawn Rehabilitation Hospital South Shore Hospital Fairview Hospital Spaulding Rehabilitation Hospital Boston Franciscan Hospital for Children Spaulding Rehabilitation Hospital Cape Cod Hallmark Health Corporation Spaulding Rehabilitation Hospital for Continuing Medical Harrington Hospital Care Cambridge HealthAlliance Hospitals, Inc.