Massachusetts Hospital Group Alters Medicare Advantage Plans

Massachusetts’ largest hospital group is discontinuing its “network” primary care Medicare Advantage Plan, impacting nearly 20,000 patients. This decision came just before Medicare’s annual enrollment period, and officials noted that they had been informing affected patients gradually about their options.

The organization, Mass General Brigham (MGB), reassured that it will still accept a variety of other Medicare plans. Patients in need of specialists or hospital care remain unaffected by this change.

A spokesperson for MGB emphasized the hospital’s commitment as a non-profit, integrated healthcare system, stating, “We are dedicated to quality patient care and community support.” They highlighted that this commitment leads to regular assessments of the Medicare Advantage Plan, ensuring that the plans align with what supports value, health, and satisfaction for patients.

The hospital also acknowledged the potential disruption these changes may bring. Care teams are prepared to assist patients with ongoing care and transition options.

Moreover, Harbor Medical Associates, a physician group serving the South Shore and North Shore, will also stop accepting the Blue Cross Blue Shield Medicare HMO Blue Exchange Plan. This decision specifically affects around 3,200 patients.

Officials reiterated that modifications are essential to match patient needs appropriately and avoid overwhelming providers. They stressed that maintaining excellence in care is a priority. According to the statement, “These efforts are crucial, as collaborating with plans that conflict with patient goals is not conducive to what we strive for at Mass General Brigham.”

Additional details on these changes can be found on the hospital system’s website.