Steward Health Care’s Health Plan Receives State Clearance

The Massachusetts Division of Insurance has approved Boston-based Steward Health Care System’s health insurance plan that would limit coverage for many healthcare needs to Steward-based hospitals and physicians, according to a Patriot Ledger report.

Advertisement

The health plan, Steward Community Choice, was first announced in September. For-profit Steward will team up with not-for-profit Tufts Health Plan, the third largest health insurer in Massachusetts, to administer the plan, according to the report.

Premiums for SCC, which will go into effect in 2012, will be 15 to 30 percent below typical premiums for a Tufts HMO plan. Although most plan members will have to go to Steward hospitals and physicians, complicated adult cases could get referred to other area hospitals, such as Massachusetts General Hospital or Brigham & Women’s Hospital, part of Partners HealthCare.

Health coverage for pediatric services will also be available for Partners and Steward physicians, while Massachusetts General will provide complex pediatric care, according to the report.

Related Articles on Steward Health Care:

Steward Grabs 90 More Physicians, This Time From Partners HealthCare in Boston

Mass. Community Hospitals Want AG to Review Steward’s Physician Contracts

Steward Wants to Sell Off 11 Medical Offices on Hospital Campuses

At Becker's 4th Annual CEO + CFO Roundtable, taking place November 2–5 in Chicago, more than 1,500 hospital and health system executives tackle decisions that determine whether organizations thrive or merely survive: protecting margins under cost pressure, choosing where to grow, renegotiating payer relationships, stabilizing the workforce and proving real ROI on technology. This is where leaders work through them together, face-to-face. Apply for complimentary registration now.

Register to Attend Webinar

How University Health turns ED signals into hospital-wide flow

Thursday, August 13
1:00 PM - 2:00 PM CDT

Presenters: Bill Phillips, University HealthAshley Schutz, MHA, MLS (ASCP), University HealthBill Griffith

Advertisement

Next Up in Leadership & Management

Advertisement

Comments are closed.