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The Commonwealth of Massachusetts

Executive Office of Health and Human Services

One Ashburton Place, Room 1109

Boston, MA 02108




CHARLES D. BAKER

Governor
KARYN E. POLITO

Lieutenant Governor

MARYLOU SUDDERS

Secretary


Tel: (617) 573-1600



Fax: (627) 573-1891
www.mass.gov/eohhs

Administrative Bulletin 15-09
114.1 CMR 41.00: Rates of Payment for Services Provided to

Industrial Accident Patients by Hospitals
Effective July 1, 2015
Publication of Payment on Account Factors (PAFs) for Hospital Services
The Executive Office of Health and Human Services, pursuant to 114.1 CMR 41.05(3), is issuing this bulletin to publish the Payment on Account Factors (PAFs) for acute and non-acute hospital services rendered to industrial accident patients effective July 1, 2015. The application of the PAF to all billed charges payable pursuant to 114.1 CMR 41.00 results in the payment of the average percentage of charges paid by the private sector to each hospital for its services and shall be deemed to meet the test of reasonable cost of medical services prescribed by M.G.L. c. 152, The Workers’ Compensation Act. No lesser amount shall be paid unless agreed to by the provider, insurer, and employer. The PAFs for acute and non-acute hospitals for services rendered on or after July 1, 2015 are as follows.


Acute Hospital

2015 PAF

Anna Jaques Hospital

52.15%

Athol Memorial Hospital

29.44%

Baystate Franklin Medical Center

49.51%

Baystate Mary Lane Hospital

46.32%

Baystate Medical Center

56.13%

Berkshire Medical Center

66.66%

Beth Israel Deaconess Hospital - Needham

48.39%

Beth Israel Deaconess Medical Center

56.63%

Boston Medical Center

46.98%

Brigham and Women's

41.62%

Cambridge Health Alliance

51.69%

Cape Cod Hospital

64.89%

Clinton Hospital

25.98%

Cooley Dickinson Hospital

58.03%

Dana Farber Cancer Center

39.79%

Emerson Hospital

46.36%

Fairview Hospital

70.72%

Falmouth Hospital

67.89%

Faulkner Hospital

39.33%

Hallmark Health Systems

51.15%

Harrington Memorial Hospital

43.86%

HealthAlliance Hospitals, Inc.

40.84%

Heywood Hospital

42.43%

Holyoke Hospital

43.93%

Jordan Hospital

48.25%

Kindred Hospital Boston

Median*

Kindred Hospital North Shore

Median*

Lahey Clinic Hospital

58.23%

Lawrence General Hospital

45.26%

Lowell General Hospital

43.93%

Marlborough Hospital

30.67%

Martha's Vineyard Hospital

60.66%

Mass. Eye & Ear Infirmary

41.11%

Mass. General Hospital

43.77%

Mercy Hospital

44.93%

Merrimack Valley Hospital

53.25%

MetroWest Medical Center

49.07%

Milford-Whittinsville Regional Hospital

49.63%

Milton Hospital

37.96%

Morton Hospital

59.44%

Mount Auburn Hospital

53.14%

Nantucket Cottage Hospital

86.42%

Nashoba Valley Medical Center

38.61%

New England Baptist Hospital

66.14%

Newton-Wellesley Hospital

38.18%

Noble Hospital

36.26%

North Adams Regional Hospital

Median*

North Shore Medical Center

41.93%

Northeast Hospital Corp. (Beverly and Addison Gilbert)

59.58%

Quincy Hospital

54.14%

Saint Vincent Hospital

57.58%

Signature Healthcare Brockton Hospital

46.58%

South Shore Hospital

63.05%

Southcoast Health Systems

54.30%

Steward Carney Hospital, Inc.

62.49%

Steward Good Samaritan Medical Center

60.47%

Steward Holy Family Hospital

52.86%

Steward Norwood Hospital

53.44%

Steward Saint Anne's Hospital

47.10%

Steward St. Elizabeth's Medical Center

59.38%

Sturdy Memorial Hospital

74.44%

Tufts Medical Center

49.14%

UMMC

43.04%

Winchester Hospital & Family Medical Center

59.37%

Wing Memorial Hospital

32.33%

*Acute Hospital Median PAF for Out-of-State and New Hospitals

49.32%



Non-Acute Hospital

2015 PAF

Fairlawn

56.82%

HealthSouth Braintree Rehab Hospital

46.42%

HealthSouth New England Rehab Hospital

37.77%

HealthSouth Rehab of Western Mass

Median**

Kindred Braintree Hospital

Median**

Kindred Park View Hospital

Median**

N.E. Sinai

34.34%

Radius Specialty Hospital - Boston

Median

Rehab Hospital of the Cape and Islands

57.99%

Shaughnessy-Kaplan

49.06%

Spaulding Rehab

44.36%

Whittier Rehab

34.54%

Whittier-Westborough

32.91%

Youville

52.61%

**Non-Acute Hospital Median PAF for Out-of-State and New Hospitals

45.39%




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