Claire Dawson
Mount Auburn Hospital is a hospital located in Cambridge, Massachusetts. It is associated with the Mount Auburn Cambridge Independent Practice Association (MACIPA), which includes over 500 physicians with privileges at the hospital. In 2014, MACIPA joined the Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO) and Medicare PPO Blue (PPO) provider networks. This means that Blue Cross Blue Shield of Massachusetts members can now access the services of MACIPA physicians and Mount Auburn Hospital.
| Characteristics | Values |
|---|---|
| Mount Auburn Hospital's Insurance Acceptor | Blue Cross Blue Shield |
| Mount Auburn Cambridge Independent Practice Association | Associated with renowned physicians |
| Blue Cross Blue Shield of Massachusetts | HMO and PPO Plan with a Medicare contract |
| Mount Auburn Hospital's Patient Relations | Provides information on how to provide care feedback and find answers to questions |
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What You'll Learn
Mount Auburn Cambridge Independent Practice Association joins Blue Cross Blue Shield of Massachusetts
On March 24, 2014, the Mount Auburn Cambridge Independent Practice Association (MACIPA) announced that it had joined the Blue Cross Blue Shield of Massachusetts (BCBSMA) Medicare HMO Blue (HMO) and Medicare PPO Blue (PPO) provider networks. As of March 1, 2014, BCBSMA Medicare Advantage members could access more than 500 physicians associated with MACIPA.
MACIPA is a physician membership organization established in 1985. Its mission is to lead its member physicians by educating and supporting them, representing their interests, and delivering the highest quality care at an appropriate cost. Over 500 physicians who have privileges at Mount Auburn Hospital or the Cambridge Health Alliance are members of MACIPA. Most of these physicians are in small private practices, while some are in practices owned by Mount Auburn Hospital or Cambridge Health Alliance. They are located in offices across Cambridge, Belmont, Watertown, Waltham, Somerville, Lexington, Medford, and Arlington, Massachusetts.
MACIPA was one of the first physician groups to join BCBSMA's Alternative Quality Contract (AQC) in 2009. The AQC is designed to improve the quality of care that BCBSMA HMO members receive and reduce current annual medical cost trends by half. It achieves this by paying doctors and hospitals based on the quality and outcome of the care they provide to patients.
According to Ken Arruda, Executive Director of Medicare Markets for BCBSMA, "Mount Auburn Cambridge Independent Practice Association is associated with some of the most renowned physicians in the world, and we are truly thrilled about this new partnership. Our Medicare members in the Cambridge area now have more physician choice with this award-winning doctors group, already known by our commercial customers for delivering high-quality and affordable health care."
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Mount Auburn Hospital patient relations
Mount Auburn Hospital is committed to providing compassionate and inclusive care to all patients and their loved ones. The hospital offers a range of services, including regular check-ups, physicals, immunizations, screenings, and treatment for life-threatening conditions. They also have an extensive network of specialists in areas such as cancer care, cardiology, gastroenterology, maternity, neurology, and orthopedics.
The hospital's healthcare providers adhere to standardized guidelines, measures, and procedures to ensure patient safety and reduce the risk of infections and errors. Mount Auburn Hospital also has a Patient Relations team dedicated to addressing patient inquiries and concerns. Patients can contact this team through email or phone to discuss any questions or worries they may have about their upcoming appointments.
Mount Auburn Hospital also provides a secure and confidential patient portal called MyChart, which allows patients to manage their healthcare needs and access their medical information. To create a MyChart account, patients must first ensure that their email address is on file with the hospital or one of the associated doctor's offices.
In terms of insurance, Mount Auburn Cambridge Independent Practice Association (MACIPA) has joined the Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO) and Medicare PPO Blue (PPO) provider networks. This means that BCBSMA Medicare Advantage members can access care from over 500 physicians associated with MACIPA, including many physicians affiliated with Mount Auburn Hospital and Cambridge Health Alliance.
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Blue Cross Blue Shield of Massachusetts Medicare HMO and PPO plans
Blue Cross Blue Shield of Massachusetts offers both Medicare HMO and PPO plans. HMO (Health Maintenance Organization) plans typically have lower out-of-pocket costs but require members to choose care within the plan's network. PPO (Preferred Provider Organization) plans may have higher premiums and copays but offer greater flexibility to see a wider range of healthcare providers outside of the plan's network.
If you opt for an HMO plan, you will likely have lower out-of-pocket costs, low or no deductibles, and low or no copays. However, you will need to choose doctors and hospitals within the plan's network. If you prefer to have the option of choosing different medical providers, even if they are not in the plan's network, then a PPO plan may be more suitable.
When deciding between an HMO and a PPO plan, it is important to consider factors such as how often you see a doctor or specialist, whether you take prescription medication, your willingness to switch doctors for lower costs, and how often you travel. Additionally, you should compare the costs of different plans, including monthly premiums, deductibles, and copays.
Blue Cross Blue Shield of Massachusetts has one of the largest provider networks in the state and offers a range of Medicare Advantage plans with medical, dental, and prescription drug benefits. They also provide a 24/7 Nurse Line, allowing members to seek advice on their symptoms and whether they require immediate care.
In terms of Mount Auburn Hospital, the Mount Auburn Cambridge Independent Practice Association (MACIPA) joined the Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO) and Medicare PPO Blue (PPO) provider networks in 2014. MACIPA includes many physicians associated with Mount Auburn Hospital and the Cambridge Health Alliance. As a result, BCBSMA Medicare Advantage members can access the services of more than 500 physicians associated with MACIPA.
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Mount Auburn Hospital and MACIPA's Alternative Quality Contract
Mount Auburn Hospital is a teaching hospital of Harvard Medical School, founded in 1886 as the first hospital in Cambridge, Massachusetts. It is dedicated to delivering healthcare services in a personable, convenient, and compassionate manner. The hospital is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations and is a member of the American Hospital Association, the Council on Teaching Hospitals, and the Association of American Medical Colleges. Mount Auburn Hospital has received numerous awards in recognition of its high standard of quality care.
The Mount Auburn Cambridge Independent Practice Association (MACIPA) is a physician membership organization, established in 1985, with almost 500 primary care physicians and specialists who have privileges at Mount Auburn Hospital as members. MACIPA's accomplishments in controlling healthcare costs and improving quality are well-known. In 2009, MACIPA became the first group in Massachusetts to sign the innovative "Alternative Quality Contract" with Blue Cross Blue Shield of Massachusetts. This contract incorporates declining annual increases in global payment, adjusted for patient health status, to encourage quality improvement and cost reduction.
The Alternative Quality Contract with Blue Cross Blue Shield of Massachusetts is a joint relationship between Mount Auburn Hospital and MACIPA. This contract aligns with MACIPA's mission to provide the highest quality care to its patients. MACIPA's quality improvement department supports physician practices in caring for their sickest patients and ensuring that more patients receive preventive care, tests, and appointments to maintain their health. The contract's global payment covers all services received by a patient, including primary, specialty, and hospital care. As a result, doctors and hospitals have the potential to receive performance incentives when helping patients avoid unnecessary hospitalizations, leading to better care and reduced overall costs.
The collaboration between Mount Auburn Hospital, MACIPA, and Blue Cross Blue Shield of Massachusetts has been praised by state officials and healthcare authorities for its innovative approach to improving healthcare standards and fostering a collaborative spirit. This initiative is expected to drive forward healthcare technologies and enhance the quality of care, benefiting patients, providers, and payers.
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MACIPA's physician membership
On March 1, 2014, the Mount Auburn Cambridge Independent Practice Association (MACIPA) joined the Blue Cross Blue Shield of Massachusetts (BCBSMA) Medicare HMO Blue (HMO) and Medicare PPO Blue (PPO) provider networks. MACIPA is a physician membership organization, established in 1985, with more than 500 physicians who have privileges at Mount Auburn Hospital or the Cambridge Health Alliance as members.
MACIPA's mission is to lead its member physicians by educating and supporting them, representing their interests so that they deliver the highest quality care at an appropriate cost in a manner that maximizes physician and patient satisfaction. MACIPA is associated with some of the most renowned physicians in the world, according to Ken Arruda, Executive Director of Medicare Markets for BCBSMA.
MACIPA members receive several benefits, including free online access to original research, review articles, personal narratives, and more, all focused on internal medicine and its subspecialties. They also have free access to DynaMedex®, an online clinical decision-support tool that combines the clinical expertise and curated disease content of DynaMed® with the comprehensive drug information and artificial intelligence search capabilities of Micromedex®. In addition, members can save 15% or more on high-quality, exclusively priced life and disability insurance policies.
MACIPA members can also explore real-time physician compensation data, get help negotiating their contracts, and access physician-specific tools, tips, reports, best practices, and more to manage their finances. They have access to cutting-edge educational resources, world-class medical journals, and the opportunity to earn MOC points.
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Frequently asked questions
Yes, Blue Cross Blue Shield of Massachusetts has accepted Mount Auburn Hospital since 2014.
The partnership between Blue Cross and Mount Auburn Hospital has allowed for significant gains in integrating care, functioning as a true health care system.
If you have a concern related to your Blue Cross insurance at Mount Auburn Hospital, you should first speak to a member of the care team. You can also contact the Patient Relations Department by calling 617-499-5100 or sending an email.
