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Springfield, MA Market Overview

HealthLeaders Interstudy, May 2011, Pages: 49


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The Springfield healthcare market is innovative and consolidating rather rapidly. While healthcare providers are watching developments in the state legislature closely to see what happens with the governor’s payment reform initiative, providers in western Massachusetts are moving ahead with establishing patient-centered medical homes, wellness programs and expansion plans despite the uncertainty. For pharmaceutical companies, the outcome of payment reform is critically important because global payment will raise the importance of disease management, where compliance with prescription drug regimens will be closely monitored. At the same time, bundled payment will force providers to squeeze every excess penny of out of the system, which may affect sales of branded drugs. Whatever the outcome, we expect drug companies will find a space within accountable care organizations to advise and advocate for the efficacy and value of their products.

Questions answered in this report:

Springfield area hospitals are still expanding despite the economic recession. Which health system expects to complete a $246 million expansion by 2012? Which three hospitals received a combination of grants and Medicaid reimbursement increases in 2010 to help their bottom lines? Which hospital is considered a high-cost facility in the Springfield market?

The physicians sector in the Springfield region is highly consolidated. Which specialties face a shortage of physicians? Which physician practices in the market are participating in a state-led medical home initiative?

The Springfield health plan market is controlled by regional nonprofit managed care organizations, including Health New England, which is majority owned by Baystate Health, the region’s largest health system. Which MCO is looking to expand its use of global payment contracts with providers? Which MCOs in the market tier their provider networks? Which MCOs lead the market in terms of total enrollment?

Market includes: Market Overview for Hampden, Hampshire and Franklin. counties in Massachusetts

Keywords: Accountable care organizations, ambulatory/specialty hospitals,CHIP, economy, electronic medical records, medical homes, narrow networks, reimbursement, uninsured, wellness programs



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