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Unraveling Evaluation and Management Coding - …
Healthcare Market Assessment: Northern Berkshire County, MassachusettsTranslating Strategy into Facility SolutionsSeptember 17, 2014Engagement OverviewAs a result of the closure of North Adams Regional Hospital (NARH) in March 2014, the Massachusetts Department of Public Health, Office of Rural Health engaged Stroudwater Associates (Stroudwater) to provide an independent and objective third party assessment of the healthcare market in the North Adams region. The purpose of the engagement is to evaluate the viability of healthcare services considering existing and future healthcare market conditions. Stroudwater’s assessment does not include an analysis of factors or decision-making leading to the closure of NARH.ENGAGEMENT OVERVIEWApproach included qualitative and quantitative analysisSeveral community meetings, group and individual interviews took place throughout the Summer of 2014.Data and studies completed for North Adams Regional Hospital (NARH), or about the North County service are were reviewed, including:2012 and 2013 Community Health Needs Assessments2011 Critical Access Hospital analysis Northern Berkshire Health Professional Shortage ApplicationsNARH volume trends prior to closureHistorical and projected utilization for inpatient and outpatient services generated from the North County service area was analyzed. State and national trends in care delivery were considered.APPROACHIndustry OverviewUnsustainable Growth of Healthcare CostsProjected 2022 US healthcare expenditures reach $5 trillionHealthcare costs have increased over time to more than 17% of GDPSince 1999, health insurance premiums and workers’ contributions to premiums have dramatically outpaced inflation and wage growthThe percentage of workers enrolled in high deductible health plans have increased from 10% in 2006 to 38% in 2013, with even greater increases among small employers (3-199 workers)These factors combine to exert downward pressure on utilization of healthcare services, particula
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