2011 Hospital List - Blue Cross Blue Shield of Massachusetts

Blue Options v.3/Blue Precision ® v.3Hospital TieringPresented below are the Blue Options v.3/Blue Precision v.3 tiering levels for hospitalsin Massachusetts, effective January 1, 2011.Listed in the same row as each hospital’s name is the overall benefit tier for that facility and the basis for theplacement in the tier in terms of meeting quality and cost benchmarks. For more detail on how a hospitalperformed on our cost and quality benchmarks, visit www.bluecrossma.com/findadoctor.• Enhanced Benefits Tier—Includes Massachusetts hospitals that met our quality benchmark and ourbenchmark for lowest cost.• Standard Benefits Tier—Includes Massachusetts hospitals that met our quality benchmark and our benchmarkfor moderate cost. Also includes providers without sufficient data for measurement on one or both benchmarks.In limited circumstances, the Standard Benefits Tier includes certain providers whose scores would put them inthe Basic Benefits Tier to provide geographic access for members.• Basic Benefits Tier—Includes Massachusetts hospitals that scored below our quality benchmark and/or ourbenchmark for moderate cost.Hospital Name City State Benefits Tier Quality CostAddison Gilbert Hospital Gloucester MA Standard 4Anna Jaques Hospital Newburyport MA Enhanced 4 4Athol Memorial Hospital Athol MA Standard NA 4Baystate Franklin Medical Center Greenfield MA Standard 4Baystate Mary Lane Hospital Ware MA Enhanced 4 4Baystate Medical Center Springfield MA Basic 4Berkshire Medical Center Pittsfield MA Basic 4Beth Israel Deaconess Hospital—Needham Campus Needham MA Enhanced 4 4Beth Israel Deaconess Medical Center Boston MA Enhanced 4 4Beverly Hospital Beverly MA Standard 4Boston Medical Center Boston MA Enhanced 4 4Brigham & Women’s Hospital Boston MA Basic 4QualityCost4Met quality benchmark4Met benchmark for lowest costDid not meet quality benchmarkMet moderate cost benchmarkNAInsufficient information on quality(providers not measured)NADid not meet moderate cost benchmarkInsufficient information on cost(providers not measured)Note: PCPs were measured based on their HMO patients as part of their provider group, and hospitals were measured based on their individualfacility performance. Provider groups can be composed of an individual provider or a number of providers who practice together. Tier placementis based on cost and quality benchmarks where measurable data is available. Providers without sufficient data for either cost or quality are placedin the Standard Benefits Tier. Providers that do not meet benchmarks for one or both of the domains, and hospitals that use nonstandardreimbursement, are placed in the Basic Benefits Tier.Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association

Hospital Name City State Benefits Tier Quality CostCambridge Public Health Commission—Cambridge CampusCambridge Public Health Commission—Somerville CampusCambridge Public Health Commission—Whidden CampusCambridge MA Enhanced 4 4Somerville MA Enhanced 4 4Everett MA Enhanced 4 4Cape Cod Hospital Hyannis MA Basic 4Caritas Carney Hospital Dorchester MA Enhanced 4 4Caritas Good Samaritan Medical Center Brockton MA Standard 4Caritas Holy Family Hospital Methuen MA Enhanced 4 4Caritas Norwood Hospital Norwood MA Enhanced 4 4Caritas St. Anne’s Hospital Fall River MA Basic 4Caritas St. Elizabeth’s Medical Center Brighton MA Enhanced 4 4Children’s Hospital Medical Center Boston MA Basic NAClinton Hospital Clinton MA Standard NA 4Cooley Dickinson Hospital Northampton MA Basic 4Dana-Farber Cancer Institute Boston MA Basic NAEmerson Hospital Concord MA Enhanced 4 4Fairview HospitalGreatBarringtonMA Basic 4Falmouth Hospital Falmouth MA Standard 4Faulkner Hospital Jamaica Plain MA Enhanced 4 4Harrington Memorial Hospital Southbridge MA Basic 4HealthAlliance Hospitals—Burbank Campus Fitchburg MA Enhanced 4 4HealthAlliance Hospitals—Leominster Campus Leominster MA Enhanced 4 4Heywood Hospital Gardner MA Enhanced 4 4Holyoke Medical Center Holyoke MA Enhanced 4 4Jordan Hospital Plymouth MA Standard 4Lahey Clinic Burlington MA Enhanced 4 4QualityCost4Met quality benchmark4Met benchmark for lowest costDid not meet quality benchmarkMet moderate cost benchmarkNAInsufficient information on quality(providers not measured)NADid not meet moderate cost benchmarkInsufficient information on cost(providers not measured)Note: PCPs were measured based on their HMO patients as part of their provider group, and hospitals were measured based on their individualfacility performance. Provider groups can be composed of an individual provider or a number of providers who practice together. Tier placementis based on cost and quality benchmarks where measurable data is available. Providers without sufficient data for either cost or quality are placedin the Standard Benefits Tier. Providers that do not meet benchmarks for one or both of the domains, and hospitals that use nonstandardreimbursement, are placed in the Basic Benefits Tier.

Hospital Name City State Benefits Tier Quality CostLawrence General Hospital Lawrence MA Enhanced 4 4Lawrence Memorial Hospital Medford MA Enhanced 4 4Lowell General Hospital Lowell MA Enhanced 4 4Marlborough Hospital Marlborough MA Enhanced 4 4Martha’s Vineyard Hospital Oak Bluffs MA Standard NAMassachusetts Eye and Ear Infirmary Boston MA Standard NA 4Massachusetts General Hospital Boston MA Basic 4Melrose-Wakefield Hospital Melrose MA Enhanced 4 4Mercy Medical Center Springfield MA Enhanced 4 4Merrimack Valley Hospital Haverhill MA Enhanced 4 4MetroWest Medical Center—Framingham Union Framingham MA Enhanced 4 4MetroWest Medical Center—Leonard Morse Natick MA Enhanced 4 4Milford Regional Medical Center Milford MA Standard 4Milton Hospital Milton MA Enhanced 4 4Morton Hospital and Medical Center Taunton MA Enhanced 4 4Mount Auburn Hospital Cambridge MA Enhanced 4 4Nantucket Cottage Hospital Nantucket MA Standard NANashoba Valley Medical Center Ayer MA Enhanced 4 4New England Baptist Hospital Boston MA Standard NANewton-Wellesley Hospital Newton MA Enhanced 4 4Noble Hospital Westfield MA Enhanced 4 4North Adams Regional Hospital North Adams MA Enhanced 4 4North Shore Medical Center—Salem Campus Salem MA Basic 4North Shore Medical Center—Union Campus Lynn MA Basic 4Quincy Medical Center Quincy MA Enhanced 4 4Saint Vincent Hospital Worcester MA Enhanced 4 4Saints Medical Center Lowell MA Enhanced 4 4QualityCost4Met quality benchmarkDid not meet quality benchmark4 Met benchmark for lowest costMet moderate cost benchmarkNAInsufficient information on quality(providers not measured)NADid not meet moderate cost benchmarkInsufficient information on cost(providers not measured)Note: PCPs were measured based on their HMO patients as part of their provider group, and hospitals were measured based on their individualfacility performance. Provider groups can be composed of an individual provider or a number of providers who practice together. Tier placementis based on cost and quality benchmarks where measurable data is available. Providers without sufficient data for either cost or quality are placedin the Standard Benefits Tier. Providers that do not meet benchmarks for one or both of the domains, and hospitals that use nonstandardreimbursement, are placed in the Basic Benefits Tier.

Hospital Name City State Benefits Tier Quality CostSignature Healthcare Brockton Hospital Brockton MA Enhanced 4 4South Shore HospitalSouthcoast Hospitals Group—Charlton Memorial HospitalSouthWeymouthMA Basic 4Fall River MA Standard 4Southcoast Hospitals Group—St. Luke’s Hospital New Bedford MA Standard 4Southcoast Hospitals Group—Tobey Hospital Wareham MA Standard 4Sturdy Memorial Hospital Attleboro MA Basic 4Tufts Medical Center Boston MA Enhanced 4 4UMass Memorial Medical Center—Memorial Campus Worcester MA Basic 4UMass Memorial Medical Center—University Campus Worcester MA Basic 4Winchester Hospital Winchester MA Enhanced 4 4Wing Memorial Hospital Palmer MA Enhanced 4 4QualityCost4Met quality benchmarkDid not meet quality benchmark4 Met benchmark for lowest costMet moderate cost benchmarkNAInsufficient information on quality(providers not measured)NADid not meet moderate cost benchmarkInsufficient information on cost(providers not measured)Note: PCPs were measured based on their HMO patients as part of their provider group, and hospitals were measured based on their individualfacility performance. Provider groups can be composed of an individual provider or a number of providers who practice together. Tier placementis based on cost and quality benchmarks where measurable data is available. Providers without sufficient data for either cost or quality are placedin the Standard Benefits Tier. Providers that do not meet benchmarks for one or both of the domains, and hospitals that use nonstandardreimbursement, are placed in the Basic Benefits Tier.® Registered Marks of the Blue Cross and Blue Shield Association. © 2010 Blue Cross and Blue Shield of Massachusetts, Inc.,and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.#99893M 55-0018 (9/10) 5M