Myth vs. Fact

Fact:

  • Mass General Brigham is bringing care closer to our current patients by opening health care sites in their community
  • 227,000 existing Mass General Brigham patients live in the communities of proposed health care sites
  • There is plenty of demand from our existing patient population to justify the need for providing these services locally that they currently receive at one of our sites in Boston

Fact:

  • False. Mass General Brigham is committed to serving our current patients in their community that will increase access and decrease cost while providing the same high quality care for routine medical matters in health care facilities and digital services. Our physicians work with our patients to determine the best care for them.

Fact:

  • Currently, 227,000 Mass General Brigham patients receive their services at our Boston hospitals
  • These health care sites lowers cost because they are not hospitals
  • Mass General Brigham actual costs at these facilities are less because we do not have substantial fixed costs such 24/7 emergency rooms, ICUs, trauma centers, etc associated with hospitals.
  • Medicare, Medicaid, and commercial insurance companies will pay Mass General Brigham less for these services because they are not provided in a hospital setting
  • Increasingly care is provided outside a hospital in health care centers, telemedicine and home across the country with great results

Fact:

  • 227,000 Mass General Brigham existing patients live in the communities of the proposed health care facilities
  • 57% of Mass General Brigham’s patient revenue is public payer payments
  • 15% of Mass General Brigham’s existing patients live in the communities of the proposed health care facilities
  • Our health care centers, like all Mass General Brigham facilities, will be open and accessible to all populations, including the underserved, poor, and medically indigent and will not discriminate based on a patient’s race, gender, sexual orientation, ability to pay, or socio-economic status
  • We accept all patients, regardless of ability to pay, including MassHealth. In fact, we participate in the MassHealth Primary Care ACO in addition to the traditional, standard Medicaid program

Fact:

  • The demand for behavioral and mental health services is now greater than ever
  • The health care sites will offer outpatient behavioral and mental health services not inpatient beds at our sites
  • Mass General Brigham behavioral and mental health providers at our health care sites will work with all local mental health providers to help place patients in the most appropriate setting for ongoing behavioral and mental health care needs

Fact:

  • We are designing buildings in a consistent manner because it is cost effective
  • Using a “template” for all our sites will save four million dollars in construction costs per site
  • In Woburn we are requesting 2 MRIs and 2 CTs. However, in Westborough we are only requesting 1 MRI and 1 CT
  • Four OR rooms is optimal staffing to treat patients effectively and efficiently

Fact:

  • It is true that residents say access to medical services is an asset. However, 22% of survey respondents said that access to health care and social services was one of the most important issues to address in their community
  • Nearly one-third of survey respondents identified financial insecurity and transportation as issues to address.
  • In focus groups, residents discussed the how these issues are interrelated. For example, low-income residents found it more difficult to access health care and social services in the region because they had challenges with public transportation, or they could not take off time from work to obtain the services they needed.
  • Of those who have experienced challenges accessing health care and social services, nearly 54% of survey respondents indicated there were long wait times for appointments and 32% said they had trouble getting an evening or weekend appointment.

Once the Determination of Needs are approved, our Community Advisory Board (CAB) will create three subcommittees. Each subcommittee will have representation from the local areas. These local subcommittees will identify the needs of the community and make recommendations to the CAB to allocate the approximately seven million dollars to the local communities.