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114.1 CMR 41.00: Rates of Payment for Services Provided to Industrial Accident Patients by Hospitals

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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 39.22% Beth Israel Deaconess Hospital - Needham 51.58% Beth Israel Deaconess Hospital - Plymouth 47.15% Beth Israel Deaconess Medical Center 57.34% Boston Medical Center 47.63% Brigham and Women's Faulkner Hospital 40.66% Brigham and Women's Hospital 41.19% Cambridge Health Alliance 58.67% Cape Cod Hospital 67.62% Clinton Hospital 28.00% Cooley Dickinson Hospital 57.40% Dana-Farber Cancer Institute 41.33% Emerson Hospital 45.50% Fairview Hospital 70.85% Falmouth Hospital 67.44% Hallmark Health 50.09% Harrington Memorial Hospital 39.51% HealthAlliance Hospital 40.56% Heywood Hospital 45.39% Holyoke Medical Center 46.35% Kindred Hospital Boston Median Kindred Hospital Boston North Shore Median Lahey Health - Winchester Hospital 60.13% Lahey Hospital & Medical Center 56.46% Lawrence General Hospital 42.34% Lowell General Hospital 47.35% Marlborough Hospital 32.83% Martha's Vineyard Hospital 65.31% Massachusetts Eye and Ear Infirmary 44.80% Massachusetts General Hospital 44.60% Mercy Medical Center 49.62% MetroWest Medical Center 45.21% Milford Regional Medical Center 51.41% Morton Hospital 67.64% Mount Auburn Hospital 58.30% Nantucket Cottage Hospital 84.50% Nashoba Valley Medical Center 40.18% New England Baptist Hospital 67.93% Newton-Wellesley Hospital 40.95% Noble Hospital 37.15% North Shore Medical Center 45.69% Northeast Hospital 56.23% Saint Vincent Hospital 56.89% Signature Healthcare Brockton Hospital 42.51% South Shore Hospital 63.84% Southcoast Hospitals Group 54.40% Steward Carney Hospital Inc. 67.31% Steward Good Samaritan Medical Center 63.62% Steward Holy Family Hospital Inc. 55.10% Steward Norwood Hospital Inc. 61.00% Steward Saint Anne's Hospital Inc. 51.93% Steward St. Elizabeth's Medical Center 68.90% Sturdy Memorial Hospital 76.23% Tufts Medical Center 49.23% UMass Memorial Medical Center 42.77% Acute Hospital Median PAF for Out-of-State and New Hospitals 50.88% Non-Acute Hospital PAF Braintree Rehabilitation Hospital 46.82% HealthSouth Fairlawn Rehabilitation Hospital 55.58% HealthSouth Rehabilitation Hospital of Western Massachusetts 60.16% Kindred Hospital Northeast - Stoughton Median New England Rehabilitation Hospital 79.22% New England Sinai Hospital - A Steward Family Hospital Inc. 38.86% Spaulding Hospital - Cambridge 51.73% Spaulding Rehabilitation Hospital - Boston 44.88% Spaulding Rehabilitation Hospital - Cape Cod 57.28% Vibra Hospital of Western Massachusetts (formerly Kindred Park View) Median Whittier Rehab Hospital Westborough 35.91% Whittier Rehabilitation Hospital - Bradford 35.14% Non-Acute Hospital Median PAF for Out-of-State and New Hospitals 49.28% .
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