Statewide Emergency Care Hospitals by City 4
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Emergency Behavioral Health Services
ALERT #24 ___________________ October 5, 2007 EMERGENCY BEHAVIORAL HEALTH SERVICES POLICIES AND PROCEDURES FOR EMERGENCY SERVICES PROGRAMS AND HOSPITAL EMERGENCY DEPARTMENTS FOR MBHP MEMBERS AND UNINSURED CONSUMERS The following information should be communicated immediately to other appropriate staff in your organization. The Massachusetts Behavioral Health Partnership (MBHP) is the company that manages behavioral health (mental health and substance abuse) services for MassHealth’s Primary Care Clinician (PCC) Plan Members*. Additionally, MBHP is contracted with the Department of Mental Health to manage most of the Emergency Services Programs (ESPs) across the Commonwealth. In that role, MBHP is issuing this Alert to hospital Emergency Departments (EDs), MBHP network providers, and other interested stakeholders in order to provide clarification and guidance relative to the management of behavioral health emergencies in the ED setting. More specifically, this Alert delineates the roles and responsibilities of the Emergency Services Programs (ESPs) and describes an individual’s progression through this system, with a goal of expediting his or her movement through the hospital ED and into acute behavioral health services, as medically necessary. ESPs function as a “safety net” for all citizens of the Commonwealth regardless of age, payer, or ability to pay. It is important to note that the policies and procedures in this Alert applies to those populations for whom the ESPs are contracted with MBHP to serve, which includes MBHP members, MassHealth (non-MCO enrolled) Members, uninsured consumers, and DMH consumers. However, it is also important to note that MassHealth also requires the four Managed Care Organizations (MCOs) contracted with MassHealth to utilize the ESP system for emergency behavioral health services for MassHealth MCO enrolled Members. -
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 -
Health Care in Massachusetts: Key Indicators
DHCFP Health Care in Massachusetts: Key Indicators November 2008 Deval L. Patrick, Governor JudyAnn Bigby, Secretary Commonwealth of Massachusetts Executive Office of Health and Human Services Timothy P. Murray Sarah Iselin, Commissioner Lieutenant Governor Division of Health Care Finance and Policy Introduction About this Report Table of Contents Health Care in Massachusetts: Key Indicators is a quarterly report from the Division of Health Care Finance and Policy. Key Indicators provides an overview of the Massachusetts health care landscape through data reported by providers, health plans, government, and surveys of Massachusetts residents and employers. The Division received positive feedback from readers of prior editions of this report and has incorporated suggestions for improvement where possible. We continue Health Insurance Coverage 2 to strive to make this report as useful as possible and welcome your feedback. In this edition of Health Care in Massachusetts: Key Indicators, the Division found that since the implementation of Employer Survey 4 health reform over 442,000 additional people have obtained health insurance. Nearly half of that growth (187,000) has been in private group coverage (i.e., through employers) or individual purchase. In the first six months of the Health Uncompensated Care Pool/ Safety Net, volume in hospitals and community health centers decreased by 36% compared to the same period in the prior year. Payments decreased by 38% over the same period. This edition also includes updates of the following: Health Safety Net 7 cost trends in health insurance premiums compared to the Commonwealth Health Insurance Connector Authority’s affordability schedule for 2008, health plan financial performance, hospital financial performance, and other indica- Health Insurance Premiums 11 tors of health care in Massachusetts. -
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. -
Inpatient Hospital Discharge Database Documentation Manual
Division of Health Care Finance and Policy Fiscal Year 2005 Inpatient Hospital Discharge Database Documentation Manual DATA ISSUED MAY 2006 Division of Health Care Finance and Policy Two Boylston Street Boston, Massachusetts 02116-4704 http://www.mass.gov/dhcfp General Documentation FY2005 Inpatient Hospital Discharge Database Table of Contents Page Introduction 1 Compact Disk (CD) File Specification 2 SECTION I. GENERAL DOCUMENTATION 3 PART A. BACKGROUND INFORMATION 4 1. General Documentation Overview 4 2. Quarterly Reporting Periods 5 3. Development of the FY05 HDD Database 6 4. DRG Grouper Methodology 7 PART B. DATA 10 1. Data Quality Standards 11 2. General Definitions 13 3. General Data Caveats 14 4. Specific Data Elements 16 a. Existing Data Elements 16 b. New Data Elements 19 c. Important Note Regarding Use of Race Code 21 d. DHCFP Calculated Fields 22 PART C. HOSPITAL RESPONSES 23 1. Summary of Hospitals’ FY05 Verification Report Responses 24 2. List of Error Categories 30 3. Summary of Reported Discrepancies by Category 31 4. Index of Hospitals Reporting Data Discrepancies 34 5. Individual Hospital Discrepancy Documentation 35 PART D. CAUTIONARY USE HOSPITALS 46 PART E. HOSPITALS SUBMITTING DATA FOR FY05 48 1. List of Hospitals Submitting Data for FY2005 49 2. Hospitals with No Data Submissions for FY2005 51 3. Discharge Totals and Charges by Quarter 52 MA DIVISION OF HEALTH CARE FINANCE & POLICY – MAY, 2006 i General Documentation FY2005 Inpatient Hospital Discharge Database Table of Contents Page PART F. SUPPLEMENTARY INFORMATION 61 Supplement I – List of Type A and Type B Errors 62 Supplement II – Content of Hospital Verification Report Package 64 Supplement III – Hospital Addresses, DPH ID, ORG ID 65 & Service Site Numbers Supplement IV – Mergers, Name Changes, Closures, Conversions, 71 and Non-Acute Care Hospitals Supplement V – Alphabetical Source of Payment List 78 Supplement VI – Numerical Source of Payment List 86 SECTION II. -
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 -
Table of Contents
Fallon Medicare Plus™ Central HMO Plan Provider Directory This directory is current as of September 2, 2021. This directory provides a list of Fallon Medicare Plus Central’s current network providers. This directory is for the Fallon Medicare Plus Central service area which includes all of Worcester County. To access Fallon Medicare Plus Central’s online provider directory, you can visit fallonhealth.org/medicare. For any questions about the information contained in this directory, please call our Customer Service Department at 1-800-325-5669, 8 a.m.–8 p.m., Monday–Friday (Oct. 1–March 31, seven days a week). TTY users should call TRS 711. This document may be available in an alternate format such as braille, larger print, or audio. For more information call our Customer Service Department at 1-800-325-5669. Issued: September 8, 2021 Table of contents Notice of nondiscrimination ................................................................................................................... ii Multi-language interpreter services ....................................................................................................... iii Section 1: Introduction What is the service area for Fallon Medicare Plus Central? ................................................................... v How do you find Fallon Medicare Plus Central providers that serve your area? .................................... v Section 2: List of Network Providers Primary care (PCPs) ............................................................................................................................. -
EMERGENCY CARE HOSPITALS by City
EMERGENCY CARE HOSPITALS By City You can go to any hospital listed below for emergency care. You do not need a referral. Your provider will make plans for you to go to one of our participating hospitals when you need to for all other care. Emergency care hospitals are open 24 hours a day, seven days a week. ATHOL Massachusetts General CONCORD Athol Memorial Hospital Hospital Emerson Hospital 2033 Main St. 55 Fruit St. 133 Old Road to Nine Acre Athol, MA 01331 Boston, MA 02114 Corner (978) 249-3511 (617) 726-2000 Concord, MA 01742 ATTLEBOROUGH New England Medical Center (978) 369-1400 Sturdy Memorial Hospital 750 Washington St. EVERETT 211 Park St. Boston, MA 02111 Whidden Memorial Hospital Attleboro, MA 02703 (617) 636-5000 103 Garland St. (508) 236-8111 St. Elizabeth’s Medical Center Everett, MA 02149 AYER 736 Cambridge St. (617) 389-6270 Deaconess-Nashoba Hospital Boston, MA 02135 FALL RIVER 200 Groton Ave. (617) 789-3000 Charlton Memorial Hospital Ayer, MA 01432 BROCKTON 363 Highland Ave. (978) 772-0200 Brockton Hospital Fall River, MA 02720 BEVERLY 680 Centre St. (508) 679-3131 Beverly Hospital Brockton, MA 02302 St. Anne’s Hospital 85 Herrick St. (508) 941-7000 795 Middle St. Beverly, MA 01915 Caritas Good Samaritan Fall River, MA 02721 (978) 922-3000 Hospital (508) 674-5741 BOSTON 235 North Pearl St. FALMOUTH Beth Israel-Deaconess Brockton, MA 02301 Falmouth Hospital Medical Center (508) 427-3000 100 Ter Heun Dr. 330 Brookline Ave. BURLINGTON Falmouth, MA 02540 Boston, MA 02215 Lahey Clinic (508) 548-5300 (617) 667-7000 41 Mall Rd. -
Tufts Navigator Handbook
Introduction Welcome to Navigator by Tufts Health Plan™ (“Navigator”). We are pleased you have chosen this Point of Service (POS) Health Plan. We look forward to working with you to help you meet your health care needs. This Member Handbook describes the Navigator Health Care Plan. Please note that italicized words in this document have special meanings. These meanings are given in Part 8 – Terms and Definitions (see Page 92). Navigator is a self-funded Plan, which means that the Group Insurance Commission (the “GIC” or “Commission”) is responsible for the cost of the Covered Services you receive. The GIC has contracted with Tufts Health Plan to offer you access to a network of health care professionals known as Tufts Health Plan (“Tufts HP”) Providers. Tufts Health Plan also performs certain services, such as claims processing, but it does not insure Plan benefits or determine your eligibility for benefits under the Navigator Plan. This Member Handbook will help you find answers to your questions about your benefits. Navigator Members have benefits for Covered Services according to the terms of this Member Handbook. Tufts HP administers your medical and behavioral health/substance use disorder benefits. Medical and Behavioral Health Plan - Tufts Health Plan administers Navigator, which provides the medical and behavioral health/substance use disorder benefits described in this Member Handbook. Details on your coverage and costs for medical services are described in Part 1 – Benefit Overview (see Page 14) and Part 2 – Plan and Benefit Information (see Page 30). Navigator Members are encouraged to receive medical and behavioral health/substance use disorder services from the Tufts Health Plan network of health care Providers. -
Manager and Executive Compensation in Hospitals and Health Systems Survey Report
2019 Manager and Executive Compensation in Hospitals and Health Systems Survey Report Survey data effective January 1, 2019 © 2019 SullivanCotter, Inc. All rights reserved. 200 W. Madison Street, Suite 2450 Chicago, IL 60606-3416 2019 MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS SURVEY REPORT Survey data effective January 1, 2019 LICENSE AGREEMENT LICENSE AGREEMENT By accessing or downloading the Survey Report files online or by opening the packaging for this Survey Report, you agree to the terms of this License Agreement (this “Agreement”). If you do not agree to these terms and have not yet accessed or downloaded the Survey Report files or opened the packaging for this Survey Report, you may cancel your online purchase or download at this time or you may return this Survey Report to SullivanCotter, Inc. for a full refund within thirty (30) days of receipt, but you may not access or download the Survey Report files or open the packaging for, or otherwise use, this Survey Report. Accessing or downloading the Survey Report files or opening the packaging, or otherwise using, this Survey Report binds you to this Agreement. This Agreement is entered into by and between SullivanCotter, Inc. ("SullivanCotter") and the purchaser or participant of this Survey Report (the “Licensee”). In consideration of the mutual covenants in this Agreement, SullivanCotter and the Licensee agree as follows: Grant of License. This Survey Report contains the aggregation of compensation data and other data provided to SullivanCotter by its survey participants, statistics, tables, reports, research, aggregations, calculations, data analysis, formulas, summaries, content, text and other information and materials provided to the Licensee by SullivanCotter through any other means, whether digital or hard copy, related thereto (the “Aggregated Data”). -
758 Hospitals Penalized for Patient Safety in 2016
758 Hospitals Penalized For Patient Safety In 2016 Medicare is lowering its 2016 payments by 1 percent for 758 hospitals with high rates of potentially avoidable infections and complications such as blood clots, bed sores and falls. This is the second year of the Hospital-Acquired Conditions Reduction Program, which was mandated by the federal health law to reduce patient injuries. Below are the hospitals being penalized. Source: Kaiser Health News analysis of data from the U.S. Centers for Medicare & Medicaid Services Also Penalized in Hospital City State 2015 ALASKA REGIONAL HOSPITAL ANCHORAGE AK Y MT EDGECUMBE HOSPITAL SITKA AK CENTRAL PENINSULA GENERAL HOSPITAL SOLDOTNA AK BROOKWOOD MEDICAL CENTER BIRMINGHAM AL Y L V STABLER MEMORIAL HOSPITAL GREENVILLE AL SPRINGHILL MEMORIAL HOSPITAL MOBILE AL Y SHOALS HOSPITAL MUSCLE SHOALS AL RUSSELLVILLE HOSPITAL RUSSELLVILLE AL Y D C H REGIONAL MEDICAL CENTER TUSCALOOSA AL Y NORTHWEST MEDICAL CENTER WINFIELD AL WHITE RIVER MEDICAL CENTER BATESVILLE AR Y CHAMBERS MEMORIAL HOSPITAL DANVILLE AR Y PHYSICIANS' SPECIALTY HOSPITAL FAYETTEVILLE AR Y WASHINGTON REGIONAL MEDICAL CENTER FAYETTEVILLE AR WADLEY REGIONAL MEDICAL CENTER AT HOPE HOPE AR NATIONAL PARK MEDICAL CENTER HOT SPRINGS AR NORTH METRO MEDICAL CENTER JACKSONVILLE AR ST BERNARDS MEDICAL CENTER JONESBORO AR Y BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY MALVERN AR ARIZONA ORTHOPEDIC AND SURGICAL SPECIALITY HOSP CHANDLER AZ Y FLAGSTAFF MEDICAL CENTER FLAGSTAFF AZ FLORENCE HOSPITAL AT ANTHEM, LLC FLORENCE AZ Y BANNER THUNDERBIRD MEDICAL