Mapping The Ever-Shifting Mass. Hospital Landscape

Thanks to health policy guru John McDonough for highlighting the Blue Cross Blue Shield of Massachusetts’ new Health Care Delivery System Map which offers a snapshot of the state’s medical industrial complex as it becomes increasingly concentrated. There’s great data here, and it’s fairly easy to sort, from hospital revenue, ownership and geography to the latest info on mergers, acquisitions and new partnerships.

This online, interactive site won’t tell you where to get the best colonoscopy or most specialized cancer care, for instance, but it does offer insight into the scope and breadth of the marketplace. It essentially provides a baseline view of the state-of-the-industry for all the Mass. hospitals and hospital systems, medical groups, doctor networks and community health centers.

(Blue Cross Blue Shield Foundation of Massachusetts)

(Blue Cross Blue Shield Foundation of Massachusetts)

As McDonough writes:

For example, if you want to begin to understand why Partners Healthcare is so dominant in the state’s healthcare market, don’t go to this page, Hospital Systems by Size, on which Partners is #2 after Steward Health Care System. Go this this page: Physician Networks and Major Medical Groups, where the size of Partners’ physician network (called Partners Community Healthcare Inc., PCHI, or “peachy”) is larger than #2 (Steward) or #3 (Atrius), combined.

Or look at hospitals by Net Patient Service Revenue, and see that Partners total NPSR in 2010 ($4.2 billion) was the same as #s 2 (UMass Memorial), 3 (Steward), and 4 (Beth Israel Deaconess) combined.

Don’t forget this helpful page of Recent Changes in the Massachusetts health care market.

Readers, please roam around the site and let us know what’s interesting or useful to you.

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  • Low Cost, High Quality Care

    The numbers above understate Partners market dominance for the following reasons:

    1) They are state wide numbers, when the market in Eastern Massachusetts has different dynamics from Central and Western Mass.

    2) Partners Mkt share doesn’t include groups with which it has close alliances. For instance, Dana Farber has a close “CLINICAL” alignment with Partners and specifically Brigham and Womens.

    3) Partners community has concentrations of doctors at certain hospitals which it thereby dominates. Hallmark, Emerson, and Milford are all examples of this.

    4) Partners has requested that it be allowed to include in its network: South Shore, Hallmark and Cooley Dickson (which is outside the Eastern Mass market and not included in the figures below)

    5)Cape Code Healthcare announced last fall a strengthening of its relationship with Brigham and Womens and Cape Cod Healthcare doctors group is controlled by Steward, which we will see below, matters.

    6) Paul has said many times that Steward’s tertiary care network is now Parters. So Steward now functions as another portion of the Partners community network.

    If you look at Net Patient Service Revenue (for 2011) for Eastern Mass, which is defined as those hospitals East of Worcester, not in the UMass system and leave out Childrens which is a specialty hospital, Partners dominance is much greater.

    It is approximately 43% in Eastern Mass for Partners hospitals plus Dana Farber, Mass Eye, South Shore, Milford, Emerson and Hallmark

    If Steward and Cape Cod healthcare are included it is approximately 55%.

    This is truly monopoly level power.