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Tuesday, Aug 21 2018

Full Issue

2 Mass. Hospitals Decry State Analysis Of The Costs Of Their Planned Merger

Beth Israel Deaconess Medical Center and Lahey Health say that the state Health Policy Commission's estimate that the merger would raise costs by $251 million a year is "grossly overstated." In other industry news, Grady Hospital in Atlanta reports success in its efforts to integrate mental health services with physical health; an Oregon hospital reports a data breach; and North Carolina's Mission Health offers more details about foundation funding plans if acquired by HCA.

Beth Israel Deaconess Medical Center and Lahey Health are firing back against criticism of their proposed merger, calling a watchdog agency鈥檚 prediction that the deal would increase health care costs 鈥渕isleading and inflammatory." In a filing released Monday, hospital leaders responded to a critical analysis last month from the state Health Policy Commission, which said uniting the hospital systems could raise costs by as much as $251 million a year for hospital and physician services. The cost estimates assume that a merger would allow the hospitals to sharply raise the prices they charge for medical services. (Dayal McCluskey, 8/20)

For more than a year now, Grady has blended mental health services into regular patient visits in the Atlanta system鈥檚 primary care clinics. Screening for mental health problems is now part of a patient鈥檚 regular Grady primary care visit. Since 2017, about 80,000 patients have been screened for depression through the Grady 鈥渋ntegrated behavioral health鈥 program. About 3,000, like Dennard, have been referred to behavioral health care after visiting one of Grady鈥檚 eight primary care clinics. In addition to therapists, Grady has psychiatrists and a clinical pharmacist to help these patients, along with access to tele-psychiatry. (Miller, 8/20)

About 38,000 Legacy Health聽patients' personal, medical聽or billing information might have been accessed聽in a May email breach, the health system said Monday. The Portland-based nonprofit health system said someone accessed multiple employees' email accounts, some of which contained patient information. The breach was not discovered until June 21 and not publicly disclosed until Monday, as the health [system] moved to establish a hotline and contact affected patients. (Njus, 8/20)

Mission Health, the not-for-profit health system that HCA Healthcare is looking to buy, announced Monday it will place $90 million into six hospital-level foundations in hopes they'll use the money to improve health in their communities. If the deal with HCA closes, Asheville, N.C.-based Mission will give $15 million to each of its five existing hospital foundations plus one that will be created for its Angel Medical Center, which doesn't currently have a foundation. The money would come in three annual payments of $5 million. ... Part of why Mission wants to ensure the strength of the local foundations is so they can help carry out the goals of Dogwood Health Trust, the not-for-profit foundation that would be created from the proceeds from the sale of Mission to HCA, which some have predicted will exceed $1 billion. Dogwood also won't legally be able to give money directly to the hospitals. (Bannow, 8/20)

Earlier KHN coverage of the Mission sale:聽Can A Community Hospital Stay True To Its Mission After Sale To Large Corporation? (Findlay, 7/23)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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