Springfield | Massachusetts | 2014 | Market Overview (Event Driven)

Analyst: Louis Manning

Springfield is dominated by Baystate Health and seeks to grow its hold on the market with the acquisition of its fifth hospital, Wing Memorial. Meanwhile, Boston-based Massachusetts General is entering the market with the acquisition of Cooley Dickinson Hospital. Market hospitals and their respective physician groups have increased efforts to coordinate care through the development of accountable care organizations and patient-centered medical homes. Blue Cross Blue Shield of Massachusetts is leading commercial ACO developments in Springfield through multiple Alternative Quality Contracts. The state is experiencing a slow rollout of Health Connector, their online health insurance marketplace. This has created a stagnant insurance market, and few small businesses have referred their employees to the marketplace.

Questions Answered In This Report:
Massachusetts has had regulations in line with the Affordable Care Act since 2006, placing the state ahead of the curve for healthcare innovation and coordination. The three largest health systems in the market serve patients though their respective physician hospital organizations.  How does clinical integration in Springfield impact the development of advanced payment models? Which managed care companies are currently participating in alternative payment models, and which companies are likely to develop them in the future?

A large number of Springfield physicians are employed by hospitals or operate in a physician hospital organization. This creates a close relationship between physicians and hospitals. How much influence do area physicians have in contract negotiations and care coordination models? Which physican groups are the lead drivers of care coordination models? What do the market's hospital acquisitions mean for local physicians?

The market has seen a surge in coordinated care through accountable care organizations and patient-centered medical homes. What does the increase in care coordination contracts mean for generic and branded drug sales? Smaller hospitals and their physician hospital organizations are joining larger health systems; how much impact will this have on reps' access to physicians?

Market Includes: Franklin, Hampden, Hampshire 

Primary Research: Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives

Companies Mentioned:
Managed Care Companies:
Blue Cross Blue Shield of Massachutsetts
Boston Medical Center
Tufts Health
Baystate Health
WellPoint
Cigna

Hospitals/Others:
Baystate Medical Center (including Baystate Children's Hospital)
Mercy Medical Center
Holyoke Medical Center
Cooley Dickinson Hospital
Noble Hospital
Baystate Franklin Medical Center
Wing Memorial Hospital
Baystate Mary Lane Hospital

Industry-Related Topics:
Accountable Care Organizations
Patient-centered medical homes
Bundled payments
Consumer-driven health plans
Transparency
Electronic Medical Records

 

Decision Resources Group brands include: