Focus Network - MASM Easy Access Hospitals*

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Focus Network - MASM Easy Access Hospitals* Addison Gilbert Hospital Boston Medical Center Massachusetts Eye and Anna Jaques Hospital Cambridge Health Alliance Ear Infirmary Athol Hospital Carney Hospital Melrose-Wakefield Hospital Baystate Franklin Medical Center Charlton Memorial Hospital Mercy Medical Center Baystate Medical Center Dana-Farber Cancer Institute Metrowest Medical Center – Framingham Union Baystate Noble Hospital Emerson Hospital Metrowest Medical Baystate Wing Hospital Fairview Hospital Center – Leonard Morse Berkshire Medical Center Floating Hospital for Children Morton Hospital at Tufts Medical Center Beth Israel Deaconess Mt. Auburn Hospital Hospital – Milton Good Samaritan Medical Center Nashoba Valley Medical Center Beth Israel Deaconess Harrington Memorial Hospital New England Baptist Hospital Hospital – Needham Campus Health Alliance – Clinton Hospital – Beth Israel Deaconess Clinton Norwood Hospital Hospital – Plymouth Health Alliance – Clinton Hospital – St. Anne’s Hospital Beth Israel Deaconess Leominster St. Elizabeth’s Medical Center Medical Center Heywood Hospital St. Luke’s Hospital Beverly Hospital Holy Family Hospital Saint Vincent Hospital Boston Children’s Hospital Holyoke Medical Center Signature Healthcare at Lexington Lahey Clinic Hospital Brockton Hospital Boston Children’s Hospital Sturdy Memorial Hospital at North Dartmouth Lawrence General Hospital Tobey Hospital Boston Children’s Hospital Lawrence Memorial Hospital of Medford at Peabody Lowell General Hospital Tufts Medical Center Boston Children’s Hospital Marlborough Hospital Winchester Hospital at Waltham Focus Network - MA Authorized Access Hospitals* There are two Authorized Access hospitals – Boston Children’s Hospital and UMass Memorial Medical Center in Worcester. These hospitals are available in limited circumstances and require a medical review and authorization by Harvard Pilgrim before seeking services in order to have those services covered. *Changes to our network may occur at any time. For the most current information, visit the provider search tool at www.harvardpilgrim.org. Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care, Harvard Pilgrim Health Care of New England and HPHC Insurance Company. cc7912 8_20.

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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
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THC Massachusetts
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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
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The Direct Care Network Move Forward with a Health Plan That Works for You
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