Lgh Annual2017 Web.Pdf

Total Page:16

File Type:pdf, Size:1020Kb

Lgh Annual2017 Web.Pdf COMMITTED TO EXCEEDING EXPECTATIONS ANNUAL REPORT 2017 Dear Friends, I am pleased to share the 2017 annual report for Circle Health and Lowell General Hospital. As I re ect back on 2017, I could not be more proud of the many ways our team has exceeded expectations and made a positive 2 A letter from the Chief impact on the health and well-being of those we serve – Executive Offi cer both within the walls of the hospital and beyond. From our renowned physicians and clinicians who continue to do ground- 3 Circle Health at a Glance breaking work locally in areas like cancer care, intensive care, pathology, and 4-5 Circle Health Leadership surgical services to our team’s community-focused outreach to address the 6-7 Addressing Serious most pressing public health issues like addiction, hunger, behavioral health Illness through and access to care, Circle Health is leading the way and making a powerful di erence in the lives of those who live, work and learn in our region. Conversations Our team’s commitment truly helps extend our reach beyond what many 8-9 Paramedics Bring may consider the traditional boundaries of healthcare. Whether it is our Quality Care paramedics providing life-saving care at more than 9,000 calls out in the into Community eld, our community outreach professionals connecting those struggling 10-13 Community Benefi t with addiction with much needed resources, Circle Health continues to improve the way healthcare is delivered in our region. 14-15 Police Partnership Provides Boost In 2017, our community came together in truly inspirational ways. Over for Tewksbury 5,000 people joined the ght to raise a historic $1 million for Lowell General Hospital’s TeamWalk for CancerCare – a cause dedicated to 16-17 Making and Impact making the battle easier for those of our friends and neighbors ghting Across Greater Lowell cancer. e Circle Health Ball for Community Health Initiatives 18-21 Our Community generated funding for grants that will make a direct impact on some of the of Physicians region’s pressing health issues. And together, our sta and the community at large raised more than $150,000 for the 2017 Sun Santa basket ra e, 22-23 Rick Hanson: A Legacy making the holidays brighter for countless families in our area. of Leadership As I look ahead, this commitment to exceeding expectations will only 24-27 Thank You to Lowell grow stronger. While Circle Health and Lowell General Hospital are not General Hospital’s immune to the many challenges and uncertainty facing the healthcare Generous Donors industry, we will remain focused on ensuring that we have a strong and 28-29 Signature Events sustainable hospital and health system that provides the highest quality care to those we serve. is is a responsibility that every member of 30 Lowell General the Circle Health team holds sacred, and we will continue to keep our Hospital Auxiliary promise to provide Complete connected care to our patients and their 31 2017 Lowell General families at the heart of everything we do. Hospital Highlights On behalf of the entire Circle Health team, thank you for your support and entrusting us with your healthcare needs. We look forward to each and every opportunity to exceed your expectations in the months and years ahead. Sincerely, Joseph A. White President and Chief Executive O cer 2 Circle Health at a Glance 14 4,350 715 Top Docs as chosen by Employees committed to Talented primary care Boston Magazine Complete connected care physicians and specialists 9,000 Paramedic calls answered 150,000 each year Patient contacts for emergency, inpatient, home care and health center services Patient Highlights FY17 FY16 FY17 FY16 Patient discharges 22,145 21,848 Laboratory procedures 1,914,585 1,904,823 Patients days of care provided 89,438 85,777 Surgical procedures 14,584 14,588 Average leanth of stay (in days) 4.05 3.93 Radiation therapy procedures 12,660 12,559 Births 2,269 2,329 Emergency services 98,546 99,676 Diagnosit imaging procedures 262,549 268,721 Outpatient clinic visits 81,939 79,213 3 2017 Circle Health Leadership Circle Health Board Board of Governors Raymond Anstiss, Jr. Clementine Alexis Mark Gilchrist, MD Kimberly Oberhauser Gary Campbell Arthur C. Anton, Jr. Eric P. Hanson Nels Palm John Carson, PhD Arthur C. Anton, Sr. Rick D. Hess Margaret Palm Jack Clancy Michael Athanasoulas, DDS James B. Hogan Susan Pasanen Mark S. Cochran Robert Audet Terry Howard, MD Ginger B. Pearson Shamim A. Dahod, MD Mary Bennett Alison E. Kalman John H. Pearson, Jr. Michael P. Dubuque David J. Berman, MD Wendy A. LaBate Lincoln N. Pinsky, MD G.K. Dwarakanath, MD Richard Birkhead, MD Arthur Lauretano, MD Kathleen M. Plath William Galvin, MD Richard E. Bolton, Jr. George B. Leahey John Power Rick W. Hanson Edith W. Burger Paula Leavitt Roopa Reddy, MD Bopha Malone John Carson, PhD Deborah Lemos Michael Reilly Daniel Mansur Brian Chapman Nathan MacDonald, MD Peter D. Roman, MD George Meltsakos, MD Lynn Le Marie Chaput Tarina Mansur James C. Shannon, III Tushar Patel John P. Chemaly William Martin, Jr. Scott A. Sigman, MD Luis M. Pedroso Jack Clancy Jean R. McCaffery Neelam Sihag, MD Naomi Prendergast Mark S. Cochran Shortie McKinney Brian J. Stafford Bruce T. Robinson David T. Daly Martin T. Meehan John C. Thibault David E. Wallace George L. Duncan Carrie Meikle Kendall M. Wallace Ryan C. Dunn James Milinazzo Drew Weber Karen Fortune, MD Jacqueline F. Moloney Stuart Weisfeldt, MD Michael W. Gallagher, Atty. Steven Normandin Abdul Ghaffer, MD Jack O’Connor Officers Senior Leaders Gary Campbell Joseph A. White Geraldine Vaughan Cecelia Lynch Chair Board of Trustees President and CEO, Circle Senior Vice President of Vice President of Patient Raymond Anstiss, Jr. Health and Lowell General Network Integration, Circle Care Services and Chief Nurse Vice Chair Hospital (April, 2017) Health; Executive Director, Executive, Lowell General Hospital Lowell General Physician Joseph A. White Amy Hoey Brian Sandager Hospital Organization President/CEO Executive Vice President Chief Information Officer, Daniel J. Mansur and Chief Operating Officer, Sabrina Granville Lowell General Hospital Clerk Circle Health and Lowell Senior Vice President and William Wyman William Wyman General Hospital Chief Human Resources Assistant Clerk Officer, Lowell General Hospital Vice President of Revenue Susan Green Services, Lowell General Hospital Paula Leavitt Executive Vice President Dudley Abbe President of Auxiliary Susan Levine and Chief Financial Officer, Vice President of Hospitality until May 7, 2018 Circle Health and Lowell and Support Services, Lowell Chief Executive Officer, Lowell Sue Dionne General Hospital General Hospital Community Health Center President of Auxiliary Rachel Chaddock effective May 7, 2018 Michelle Davis Executive Director, William Wyman Vice President of External Circle Home, Inc. Treasurer Affairs, Lowell General Hospital 4 Corporators Scott Abel, MD Kay M. Doyle, PhD Robert M. Lawlor Emily W. Rosenbaum Don Adie Jonathan Drake, MD Curtis J. LeMay Sean Rourke Donald C. Agostinelli, MD Peter Dulchinos William Lemos Catherine Ryder Murat Anamur, MD Carol S. Duncan Michael J. Lenzi Analise Saab Kenneth S. Ansin Rob Edelstein, MD Maureen Lerner Richard A. Sachs, MD Maureen Appel George C. Eliades, Jr. Raymond Lewis, Jr., MD Steven C. Saro Stella Athanasoulas Nonnie Estella, MD Edward M. Lipman, MD Nicholas C. Sarris Peter Aucella Robert Fardin Bernard F. Lynch Barbara Savitt Pearson Deborah A. Belanger Vincent R. Ferrara James Mabry Matt Savory, DO Karen Bolton Marshall L. Field Shelagh Mahoney Greg Schumaker, MD Michael Bralower, MD B. Jay Finnegan Donald C. Main Chris A. Scott Kevin P. Broderick, Atty. Chris H. Finneral A. Justin McCarthy Bryan M. Shanley Janet Bruno Mary Ellen Fitzpatrick Danielle M. McFadden Roy Shen, MD Paul M. Burke, Jr., MD Terry Flahive Jennifer McKay Marsh Robert A. Skirvin-Orr Alison M. Burns Alan D. Fletcher James W. McKenna Lura Smith Jeffrey M. Byrne, MD Robert T. Flynn Robert S. McKittrick Alan Solomont James J. Campbell Damian Folch, MD Joseph McNamee Linda Sopheap Sou Kevin T. Campbell Karen Frederick James M. Mertes John E. Stansfield Megan Z. Cardoso, MD Alden G. Gagnon, MD Doug Mesler, MD Chester J. Szablak Jose M. Carrion, MD Marc P. Gendreau Donna Messina Sophy Theam Linda Carson James E. Geraghty Donald H. Miller, MD Glenn Thoene James E. Carter Samuel D. Gerber, MD M. Denise Mills, MD Michael S. Tith Francisco J. Carvalho Maureen R. Gervais Derek Mitchell Kevin S. Tomany, MD Judith K. Carven Nasim Ghaffer, MD Wendy Mitchell, MD Lori A. Trahan James M. Cassin Carol Gilchrist Amsi Morales Deborah Trull Matthew Coggins Bernard E. Gilet Frances Morse, MD Bobby G. Tugbiyele Christopher H. Colecchi William J. Gilet, Jr. Daniel S. Nakamoto David Vaillancourt James Conway Robert P. Gregoire Irving J. Newman, MD Paul N. Votze Michael G. Conway Timothy Grover Deedee O’Brien Robert M. Wallace James J. Cook John J. Haley James O’Donnell Tracey Wallace Cody Susan Cooney James A. Hall James M. O’Hearn David Wegman Laura J. Costello Paul A. Hardy, Jr. Peter T. O’Hearn Susan West Levine M. Patricia Crane John P. Harrington Mark O’Neil Jessica Wieselquist, MD Michael Creasey Rev Dr. Cecilio Hernandez Sheila Och Leonard Wilson Aldo Crugnola, Sc. D. Allan I. Hoffman, MD Jeanne L. Osborn Frank A. Wilson William E. Cullen, Jr Henrick R. Johnson, Jr. Frank Osborn, MD Isa Woldeguiorguis Kerrie D’Entremont Lawrence P. Johnson, MD Michael Pappafagos, Ed. D. Elaine Zouzas Thibault Maryellen DeMarco Steven Joncas Han Y. Park, MD Arthur T. Demoulas Richard C. Jumpp Wayne Pasanen Gururaj Deshpande Roland R. Kelley Amy L. Pessia Thomas P. Dickerson Alan T. Kent, MD Effie Poulakos Dragon Mark E. Dionne Peter M.
Recommended publications
  • LOWELL GENERAL HOSPITAL Community-High Public Payer Hospital 2019 Hospital Profile Northeastern Massachusetts
    Lowell, MA LOWELL GENERAL HOSPITAL Community-High Public Payer Hospital 2019 Hospital Profile Northeastern Massachusetts Lowell General Hospital is a non-profit community-High Public Payer (HPP) hospital located in the Northeastern Massachusetts region. It is among the larger acute hospitals in Massachusetts. Lowell General Hospital is a member of Wellforce. Between FY15 and FY19, the volume of inpatient discharges at the hospital decreased by 7.1% compared to a median decrease of 2.7% at cohort hospitals. Outpatient visits decreased by 3.8% for the hospital between FY15 and FY19, compared to a median increase of 2.1% for its peer cohort. Lowell General reported a profit in each year of the five-year period. Its total margin was 3.0% as compared to the median total margin of 3.3% at peer cohort hospitals. Overview / Size Payer Mix Hospital System Affiliation: Wellforce Public Payer Mix: 65.7% (HPP* Hospital) Hospital System Surplus (Deficit) in FY19: $129,458,000 CY18 Commercial Statewide Relative Price: 0.83 Change in Ownership (FY15-19): Not Applicable Top 3 Commercial Payers: Blue Cross Blue Shield Total Staffed Beds: 353, among the larger acute hospitals Harvard Pilgrim % Occupancy: 63.6%, < cohort avg. (66%) Tufts HMO Special Public Funding: HCIIη, CHRTF° Trauma Center Designation: Adult: Level 3 Utilization Case Mix Index: 0.95, < cohort avg. (0.96); < statewide (1.16) Inpatient Discharges in FY19: 20,396 Glance Change FY18-FY19: -5.5% At a At Financial Emergency Department Visits in FY19: 97,257 Inpatient NPSR per CMAD: $10,591
    [Show full text]
  • 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 • Brigham and Women’s Faulkner Hospital • Fairview Hospital • Brigham and Women’s Hospital Beth Israel Lahey Health • Cooley Dickinson Health Care • Anna Jaques Hospital • Martha’s Vineyard Hospital • Beth Israel Deaconess Hospital – Milton • Massachusetts Eye and Ear Infirmary • Beth Israel Deaconess Hospital – Needham • Massachusetts General Hospital • Beth Israel Deaconess Hospital – Plymouth • Nantucket Cottage Hospital • Beth Israel Deaconess Medical Center • Newton-Wellesley Hospital • Beverly and Addison Gilbert Hospitals • North Shore Medical Center • Lahey Hospital & Medical Center Shriners Hospitals for Children-Boston • Mount Auburn Hospital • 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 • MetroWest Medical Center Cape Cod Healthcare • Saint Vincent Hospital • Cape Cod Hospital Trinity Health of New England • Falmouth Hospital • Mercy Medical Center Dana-Farber Cancer Institute UMass Memorial Health Care Emerson Hospital • UMass Memorial Health Alliance – Clinton Franciscan Children's Hospital
    [Show full text]
  • 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
    [Show full text]
  • A Full Circle Approach to Healthy Living Fight Diabetes with Exercise, Weight Management
    MAGAZINE Vol 1 – 2017 A Full Circle Approach to Healthy Living Fight Diabetes with Exercise, Weight Management Discover Minimally Invasive Surgery for Women Upcoming Winter Health and Wellness Programs 295 Varnum Avenue, Lowell, MA 01854 I 978-937-6000 TTY: 978-937-6889 I www.circle-health.org Dear Friends, As you brace for another winter, there is no better time to step back and consider a fresh start on your health and wellness routines. In these pages, we hope to get you off and running on a healthy lifestyle for 2017. Many of the programs we offer to the community are guided by the Greater Lowell Community Health Needs Assessment, which is conducted every three years by researchers and students from UMass Lowell on behalf of Lowell General Hospital and the Greater Lowell Health Alliance. The most recent report was completed in the fall of 2016, and it will serve as our roadmap to addressing the most pressing health needs in our community. The 2016 report identified several issues that can be helped by adopting a healthy lifestyle. Diabetes and diabetes related health concerns remain one of the top health issues in this region. Conditions such as high blood pressure, obesity, asthma and respiratory disease were also highlighted. In the following pages, you will learn more about how Circle Health helps individuals make positive lifestyle changes small and large. For people dealing with severe obesity, our Center for Weight Management and Bariatric Surgery is giving patients a new lease on life through a comprehensive approach to weight loss that includes options for bariatric surgery.
    [Show full text]
  • 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.
    [Show full text]
  • Massachusetts Contracted Hospitals Community Health Centers (Chcs)
    Massachusetts Contracted Hospitals Community Health Centers (CHCs) Addison Gilbert Hospital, Gloucester Massachusetts Eye and Ear Infirmary, Boston Boston Health Care for the Homeless Program, Boston Hilltown CHC, (2 locations) Worthington, Huntington Anna Jaques Hospital, Newburyport Massachusetts General Hospital, Boston Bowdoin Street CHC, Dorchester Holyoke Health Center, Holyoke Athol Memorial Hospital, Athol Melrose-Wakefield Hospital, Melrose Brockton Neighborhood Health Center, (2 locations) Island Health Care, Edgartown Baystate Medical Center, Springfield Mercy Medical Center, Springfield Brockton Lowell CHC, Lowell Baystate Noble Hospital, Westfield MetroWest Medical Center (Framingham Union Hospital), Brookside CHC, Jamaica Plain Lynn CHC, (2 locations) Lynn Baystate Wing Hospital (Wing Memorial Hospital), Palmer Framingham Cambridge Health Alliance Health Centers, Manet CHC, (5 locations) Quincy (3), Hull, Taunton (4 locations) Cambridge, Somerville, Malden, Revere Berkshire Medical Center, Pittsfield Metrowest Medical Center (Leonard Morse Hospital), Natick Mattapan CHC, Mattapan Caring Health Center, (3 locations) Springfield Beth Israel Deaconess Hospital - Milton (Milton Hospital), Milford Regional Medical Center, Milford MGH Charlestown Health Care Center, Charlestown Milton Morton Hospital, Taunton Charles River Community Health, (2 locations) Brighton, Waltham MGH Chelsea Health Care Center, Boston Beth Israel Deaconess Hospital - Needham, Needham Mount Auburn Hospital, Cambridge Chicopee Health Center, Chicopee MGH
    [Show full text]
  • Healthy Futures
    Working together for Healthy Futures A MAGAZINE FOR REFERRING PHYSICIANs FALL 2013 A new team for kids with GI and nutrition challenges 3 4 PLUS Developmental Screening 3 Pediatric Gastroenterology 4 Pediatric Psychiatry 6 6 The principal pediatric teaching hospital for Tufts University School of Medicine A LETTER FROM JOHN SCHREIBER, MD Dear Physicians, Typically I use this space in Healthy Futures to talk about why I think Floating Hospital for Children at Tufts Medical Center is an incredibly special place worthy of your referrals. But this time I’d like to allow some of our patients and their parents speak for themselves. Below are some comments from our families posted on Floating Hospital’s Facebook page. By the way, if you’d like to keep up with what’s happening at Floating Hospital, “liking” our Facebook page is a great way to connect. And you can always get in touch with me at jschreiber@ tuftsmedicalcenter.org or 617-636-8031. All the best, John Schreiber, MD, MPH Pediatrician-in-Chief, Chief Administrative Officer Floating Hospital for Children at Tufts Medical Center Chairman, Department of Pediatrics Tufts University School of Medicine My 6 month old is preparing for his second surgery at Floating Hospital. Both are minor surgeries, but I would absolutely recommend Floating for any procedure. We travel from Taunton to Floating for almost everything with our twins. Well worth the drive. Everyone has been wonderful & SO supportive!” Our 7 year old son has had 6 surgeries at the Floating I’m a new patient at Floating, but I just love them.
    [Show full text]
  • The Direct Care Network Move Forward with a Health Plan That Works for You
    The Direct Care network Move forward with a health plan that works for you. Save time and money with doctors and community-based hospitals you know and trust—close to home and work, through the state’s first limited network HMO plan. You also have guaranteed access to specialty services at select Boston teaching hospitals for a second opinion and treatment with Fallon’s Peace of Mind Program™. 15-715-296 Rev. 01 3/17 Direct Care participating hospitals Direct Care medical groups Addison Gilbert Hospital, Gloucester Acton Medical Associates Anna Jaques Hospital, Newburyport Allied Pediatrics of Greater Brockton, Inc.* Athol Memorial Hospital, Athol Brockton Area Primary Care, LLC* Beth Israel Deaconess Hospital, Milton Cape Ann Medical Center, LLC Beth Israel Deaconess Hospital, Plymouth Cape Ann Pediatrics Beverly Hospital, Beverly Central Massachusetts Independent Physician Association, LLC Brigham and Women’s Faulkner Hospital, Boston Charles River Medical Associates Charlton Memorial Hospital, Fall River Greater Lawrence Family Health Center Clinton Hospital, Clinton Harrington PHO Emerson Hospital, Concord Healthcare South, P.C.* Harrington HealthCare at Hubbard, Webster HealthFirst Family Care Center, Inc. (Fall River) Harrington Memorial Hospital, Southbridge Highland Healthcare Associates IPA HealthAlliance Hospital, Fitchburg Jordan Physician Associates HealthAlliance Hospital, Leominster Lahey Clinic Physicians Heywood Hospital, Gardner Lawrence General IPA Lahey Hospital & Medical Center, Burlington Lowell General PHO Lawrence General Hospital, Lawrence Lower Merrimack Valley PHO Lowell General Hospital, Main Campus, Lowell Mass Bay Medical Associates, LLC* Lowell General Hospital, Saints Campus, Lowell Merrimack Valley IPA* Marlborough Hospital, Marlborough MetroWest Accountable Healthcare Organization, LLC* Massachusetts Eye & Ear Infirmary, Boston Milton Primary Care, LLC* MetroWest Medical Center, Framingham Mount Auburn Cambridge IPA MetroWest Medical Center, Natick Newton-Wellesley Physician Hospital Organization, Inc.
    [Show full text]
  • Your Choice 3-Tier Option— a Tiered Provider Network Plan 2018 Hospital Tiering List
    Your Choice 3-Tier Option— A Tiered Provider Network Plan 2018 Hospital Tiering List Your Choice is a Tufts Health Plan tiered provider network comprised of primary care providers, specialists and hospitals. As part of our National Committee for Quality Assurance (NCQA) accreditation and our own quality standards, we are committed to contracting only with high-performing hospitals. Every doctor and every hospital in the Your Choice network has been carefully evaluated, and every provider and hospital in the Your Choice network meets our standard for quality of care. Because not all doctors and hospitals charge the same costs, we’ve factored in cost-efficiency in our evaluation, and we have separated Your Choice providers into three tiers. Provider groups and their primary hospital affiliation are in the same tier to reflect referral patterns that those physicians would make most often.* Below is a list of all the hospitals in Tufts Health Plan’s network and their tiers. In choosing a tier, members must consider how much they are willing to pay out-of-pocket for the doctor and/ or hospital they prefer. If members want the most cost-effective option, they should choose a doctor or hospital from Tier 1. If the doctor or hospital is in Tier 2 or Tier 3, they have the freedom to choose, but they will pay higher out-of-pocket costs. Members pay different levels of copayments, coinsurance, and/or deductibles depending on their plan design and the tier of the provider delivering a covered service or supply. Your plan may make changes to a provider’s tier annually.
    [Show full text]
  • Harvard Pilgrim Participating Hospitals ME As of July 1, 2018
    Harvard Pilgrim Participating Hospitals ME as of July 1, 2018 CONNECTICUT Saint Francis Hospital & Bridgeport Hospital Medical Center Bristol Hospital Sharon Hospital Charlotte Hungerford Hospital St. Vincent’s Medical Center Connecticut Children’s Stamford Hospital Medical Center Waterbury Hospital VT Danbury Hospital William Backus Hospital Day Kimball Hospital Windham Hospital NH Greenwich Hospital Yale New Haven Hospital Griffin Hospital MASSACHUSETTS Hartford Hospital Addison Gilbert Hospital Hospital of Central Connecticut Anna Jaques Hospital John Dempsey Hospital Athol Memorial Hospital Johnson Memorial Hospital Baystate Franklin Medical Center MA Lawrence + Memorial Hospital Baystate Medical Center Middlesex Hospital Baystate Noble Hospital MidState Medical Center Baystate Wing Hospital Milford Hospital Berkshire Medical Center New Milford Hospital RI Beth Israel Deaconess Hospital - CT Norwalk Hospital Milton Campus Prospect Manchester Hospital Beth Israel Deaconess Hospital - Prospect Rockville Hospital Needham Campus Continued on reverse > Harvard Pilgrim participating hospitals Beth Israel Deaconess Martha’s Vineyard Hospital RHODE ISLAND Southern New Hampshire Northern Maine Medical Center Hospital Plymouth Massachusetts Eye & Ear Infirmary Kent County Memorial Hospital Medical Center Parkview Memorial Hospital Beth Israel Deaconess Massachusetts General Hospital Memorial Hospital of Rhode Island Speare Memorial Hospital Penobscot Bay Medical Center Medical Center Mercy Medical Center Miriam Hospital Upper Connecticut Valley
    [Show full text]
  • Select Network Hospitals
    Select Network Hospitals MASSACHUSETTS 20. COOLEY DICKINSON HOSPITAL 41. MORTON HOSPITAL 1. ADDISON GILBERT HOSPITAL 21. FALMOUTH HOSPITAL 42. MOUNT AUBURN HOSPITAL 2. ANNA JAQUES HOSPITAL 22. GOOD SAMARITAN 43. NASHOBA VALLEY 3. ATHOL MEMORIAL HOSPITAL MEDICAL CENTER MEDICAL CENTER 4. BAYSTATE MEDICAL CENTER 23. HARRINGTON HEALTHCARE 44. NEW ENGLAND BAPTIST AT HUBBARD HOSPITAL 5. BAYSTATE FRANKLIN MEDICAL CENTER 24. HARRINGTON MEMORIAL HOSPITAL 45. NOBLE HOSPITAL 6. BAYSTATE MARY LANE HOSPITAL 25. HEALTHALLIANCE HOSPITAL 46. NORWOOD HOSPITAL 7. BETH ISRAEL DEACONESS 26. HEYWOOD HOSPITAL 47. QUINCY MEDICAL CENTER MEDICAL CENTER 27. HOLY FAMILY HOSPITAL 48. SAINT ANNE’S HOSPITAL 8. BETH ISRAEL DEACONESS 28. HOLYOKE MEDICAL CENTER 49. SAINT VINCENT HOSPITAL HOSPITAL - MILTON 29. JORDAN HOSPITAL 50. SOUTH SHORE HOSPITAL 9. BETH ISRAEL DEACONESS 30. LAHEY CLINIC 51. ST. ELIZABETH’S MEDICAL CENTER HOSPITAL – NEEDHAM 31. LAWRENCE GENERAL HOSPITAL 52. ST. LUKE’S HOSPITAL 10. BEVERLY HOSPITAL 32. LAWRENCE MEMORIAL 53. STURDY MEMORIAL HOSPITAL 11. BOSTON MEDICAL CENTER HOSPITAL, HALLMARK HEALTH 54. TOBEY HOSPITAL 12. BROCKTON HOSPITAL, 33. LOWELL GENERAL HOSPITAL 55. TUFTS MEDICAL CENTER SIGNATURE HEALTHCARE 34. LOWELL GENERAL HOSPITAL 56. TUFTS MEDICAL CENTER 13. CAMBRIDGE HEALTH ALLIANCE - SAINTS CAMPUS FLOATING HOSPITAL FOR CHILDREN CAMBRIDGE HOSPITAL 35. MARLBOROUGH HOSPITAL 57. TUFTS NEW ENGLAND 14. CAMBRIDGE HEALTH ALLIANCE - 36. MELROSE WAKEFIELD HOSPITAL, EYE CENTER SOMERVILLE HOSPITAL HALLMARK HEALTH 58. UMASS MEMORIAL 15. CAMBRIDGE HEALTH ALLIANCE - WHIDDEN 37. MERCY MEDICAL CENTER MEDICAL CENTER HOSPITAL 38. MERRIMACK VALLEY HOSPITAL 59. WINCHESTER HOSPITAL 16. CAPE COD HOSPITAL 39. METROWEST MEDICAL CENTER - 60. WING MEMORIAL HOSPITAL000 17. CARNEY HOSPITAL FRAMINGHAM UNION 18. CHARLTON MEMORIAL HOSPITAL 40.
    [Show full text]
  • Enrollment Guide Your Choices Starting JANUARY 2019
    MassHealth Enrollment Guide Your Choices Starting JANUARY 2019 LEARN about health plans COMPARE health plans ENROLL in a health plan COMMONWEALTH OF MASSACHUSETTS | Executive Office of Health and Human Services We are here to help We speak your language If you need an interpreter or translation help, please call the MassHealth Customer Service Center. Questions? www.mass.gov/masshealth MassHealth Customer Service Center (800) 841-2900 TTY: (800) 497-4648 for people who are deaf, hard of hearing, or speech disabled. Monday–Friday 8:00 a.m.–5:00 p.m. Hello and welcome MassHealth is the Medicaid program in Massachusetts. We now have more health plans to choose from so you can get the health care you need. Please read this guide to learn about the new plans so you can choose the one that’s best for you. This guide will help you... Learn Learn about the health plans available in your area and how to choose a provider. Compare Compare health plans in your area and choose the one that’s right for you. Enroll Enroll in a health plan or change to a different health plan. Let’s enroll in a health plan. i Is this guide for you? Certain members in the MassHealth program will need to enroll in a health plan. Use this guide if you ■ Are under 65 ■ Do not have other insurance (including Medicare) ■ Live in the community (for example, not in a nursing facility), and ■ Are in MassHealth Standard, CommonHealth, CarePlus, or Family Assistance. For information about MassHealth coverage, visit www.mass.gov/masshealth.
    [Show full text]