958 CMR, § 5.02

Current through Register 1536, December 6, 2024
Section 5.02 - Definitions

Acute Hospital. The teaching hospital of the University of Massachusetts Medical School and any hospital licensed under M.G.L. c. 111, § 51 and which contains a majority of medical-surgical, pediatric, obstetric and maternity beds as defined by the department of public health.

Applicant. An acute hospital submitting an application for funding in response to a Commission-issued RFP.

Center. The Center for Health Information and Analysis or CHIA.

Chair. The Chairperson of the Health Policy Commission.

Commission. The Health Policy Commission.

Commissioner. A member of the governing board of the Health Policy Commission pursuant to M.G.L. c. 6D, § 2(b).

Executive Director. The Executive Director of the Health Policy Commission.

For Profit Hospital or For Profit Hospital System. A hospital or hospital system that is not exempt from Federal income tax or is not incorporated under M.G.L. c. 180, § 3.

Fund. The Distressed Hospital Trust Fund established in M.G.L. c. 29, § 2GGGG.

Grant Program or Grant. The Grant program authorized under M.G.L. c. 29, § 2GGGG.

Non-profit. An organization exempt from Federal income tax; and/or an organization incorporated under M.G.L. c. 180, § 3.

Qualified Acute Hospital. A hospital eligible to receive a grant from the Fund. A qualified acute hospital shall not include:

(a) a hospital that is a teaching hospital;

(b) a hospital whose relative prices are determined by the Commission to be above the statewide median relative price; or

(c) a for-profit hospital or a hospital that is part of a for-profit system.

Relative Prices. The contractually negotiated amounts paid to providers by each private and public carrier for health care services, including non-claims related payments and expressed in the aggregate relative to the payer's network-wide average amount paid to providers, as calculated by the Center under M.G.L. c. 12C, § 10 and 958 CMR 5.00.

Request for Proposals or RFP. The Request for Proposals or RFP issued by the Commission pursuant to 958 CMR 5.04.

Statewide Median Relative Price. The benchmark established by the Center by comparing relative price levels across payers' networks for all acute hospitals. The statewide median relative price is used by the Commission to determine eligibility for the Fund.

Teaching Hospital. An acute hospital that has at least 25 full-time equivalent interns or residents per 100 inpatient beds, as determined by the center.

958 CMR, § 5.02