by Elizabeth Arnold and Dorothy Zirkle Distribution of Hospital Payments by Relative Price Quartile Lower Relative Price Higher Relative Price of Total Payments 2 3 Distribution of Physician Group Payments by Relative Price Quartile ID: 420831
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Slide1
Relative Price Discussion byElizabeth Arnold and Dorothy ZirkleSlide2
Distribution of Hospital Payments by Relative Price Quartile(Lower Relative Price)(Higher Relative Price)
% of Total Payments
2Slide3
3Distribution of Physician Group Payments by Relative Price Quartile
(lower relative price)
(higher relative price)
% of Total PaymentsSlide4
4Higher Price Hospitals
These hospitals tended to be:
Affiliated with larger healthcare systems
Academic medical centers
Teaching hospitals
Specialty hospitals
Geographically isolated hospitals
High Relative Price Hospitals
Consistently High
Relative Price Hospital
System
Characteristics
Brigham and Women's
Hospital
PHS
A
Falmouth Hospital
CCHS
G
Mass. General Hospital PHS AUMass Memorial Medical CenterUMHS ABoston Children’s Hospital--- SBrigham and Women’s Faulkner Hospital PHS TBerkshire Medical CenterBKHS GDana Farber Cancer Inst.--- SMartha's Vineyard Hospital PHS GSlide5
5Higher Price Physician Groups
High Relative Price
Physician Groups
These physician groups tended to:
Be affiliated with a larger health system
Have a high proportion of network payments
Consistently High Relative Price Physician Group
Percent of Payers’ Total Payments
Partners Community HealthCare, Inc. (PHO)
29%
Atrius
Health
11%
Partners
Community HealthCare,
Inc.
Academic Medical Center Providers
8%
Pediatric Physicians' Organization at Children's (PPOC).
7%
Partners Community HealthCare, Inc. Affiliated Providers7%Mount Auburn Cambridge IPA2%Partners Community HealthCare, Inc. Integrated Providers2%Slide6
6Lower Price Hospitals
These hospitals tended to be:
Community, disproportionate share hospitals (DSH)
Community hospitals that were not affiliated with a larger healthcare system
Low Relative Price
Hospitals
Consistently Low Relative Price Hospital
System
Characteristics
Anna Jacques Hospital
---
---
Athol Memorial Hospital
---
G
Lowell General Hospital
---
---
Beth Israel Deaconess Hospital - Milton
CG
---Steward Quincy Medical CenterSHSDSaints Medical Center------Cambridge Health Alliance---TSlide7
7Lower Price Physician Groups
Low Relative Price
Physician Groups
These physician groups tended to:
Receive a smaller share of network payments among physician groups
Consistently Low Relative Price Physician Group
Percent of Payers’ Total Payments
Berkshire Medical Center
1%
Signature Healthcare Brockton Hospital Physician Hospital Organization, Inc.
1%
Sturdy Hospital Physicians (Physician Group)
1
%
Southcoast
Physicians Network
Inc
<1%
Lawrence General IPA (d/b/a Choice Plus Network)
<1%Slide8
Visit CHIA’s WebsiteLink to: Health Care Provider Price Variation in the Massachusetts Commercial Market: Results from 2011Link to: CHIA’s Website
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