Mass HIway Rates

The Mass HIway’s pricing philosophy continues to ensure all providers have affordable access to the exchange of health information through the Mass HIway. Mass HIway services are flexible to the services Participants access and to the ways in which these services are deployed. Mass HIway pricing is designed around this flexibility.

Participants may connect to the Mass HIway directly through their electronic health record if available, or through a Local Access Network Device (LAND) appliance or via Webmail. These methods are discussed in more detail in the Participation Agreement, included as Appendix A.

Participants may access the Mass HIway through a single node (connection) or through multiple nodes.

Prices have two components:

·        One time set up fee

·        Annual services delivery fee

The annual HIE services delivery fee is based on the Participant's connection type(s) and number of connections.

HIE services fees are fixed regardless of message volume, message size, number of users or number of underlying organizations. For example, a legal entity with multiple sub-organizations (e.g. Integrated Delivery Network) may purchase a single node and take responsibility for all onward message handling. Webmail fees are fixed per mailbox and subject to storage and message size restrictions.

Prices DO NOT include cost of modifying the electronic health record or other IT system to meet Mass HIway integration requirements. Participants are responsible for modifying their EHR or IT systems as needed.

Fees are tiered into categories based on Participant organization size and type as noted below.

Mass HIway encourages Technical Integrators to assist Participants to connect to the Mass HIway. In general, the Technical Integrator will not be charged a fee. However, a Technical Integrator may pay fees on behalf of the Participants it connects to the Mass HIway. If the Technical Integrator pays the fee on behalf of the Participant, it will be considered a "Tier 1- Multi Entity HIE" type. This rate allows a Technical Integrator to connect as many Participants as they like. If Participant wishes to act as a Technical Integrator on behalf of trading partners or other related entities, and the Participant plans to pay on behalf of the additional parties, the Participant would be charged the "Multi Entity HIE" fee and will not be charged separately as a Participant.

Mass HIway does not charge for Health Information Service Providers (HISP) connections nor does it charge organizations to connect to the Mass HIway via a HISP.

A Participant may purchase an extra LAND for its test environment. Test LAND annual fee is $8,000 for a large LAND or $1,000 for a small LAND.

Rates 

Updated as of October 25, 2016

 

 

TierCategoryDescriptionOne-time set-up fee
(per node)
Direct Messaging Service
Annual Services Fee
 
(per node)
Annual Services Fee + LAND
(per node)
Annual Services Fee Webmail
(per mailbox)
Tier 11aLarge hospitals/Health Systems$2,500 $15,000 $27,500 $60
1bHealth plans
1cMulti-entity HIE
1dCommercial imaging centers & labs
       
Tier 22aSmall hospitals$1,000 $10,000 $15,000 $60
2bLarge ambulatory practices (50+ licensed providers)
2cLarge LTCs (500+ licensed beds)
2dAmbulatory Surgery Centers
2eAmbulance and Emergency Response
2fBusiness associate affiliates
 2gLocal government/Public Health    
       
Tier 33aSmall LTC (< 500 licensed beds)$500 $2,500 $4,500 $60
3bLarge behavioral health (10+ licensed providers)
3dLarge FQHCs (10+ licensed providers)
3eMedium ambulatory practices (10-49 licensed providers)
       
Tier 44aSmall behavioral health (< 10 licensed providers)$25 $175 $250 $60
4bHome health, LTSS
4cSmall FQHCs (< 10 licensed providers)
4dSmall ambulatory practices (3-9)
       
Tier 55aVery Small ambulatory practices (1-2)$25 $60 $60 $60

 

Pricing Categories Definitions

Tier

Category Definition

Tier 1

Large hospitals/Health Systems: Large hospitals include teaching hospitals and/or large health care delivery systems. Includes: Baystate, Beth Israel Deaconess, Boston Medical Center, Cambridge Health Alliance, Childrens’ Hospital of Boston, Dana-Farber Cancer Institute, Lahey Clinic, MEEI, Mount Auburn Hospital, Partners, Saint Vincent Hospital, Steward, Tufts Medical Center, UMass Memorial. Small hospitals include all others. The list of Large hospitals will be reviewed and may be updated annually.

Health Plans: Health insurance carriers.

Multi Entity HIE: Health Information Exchange (HIE) networks that include more than one authorized legal entity (e.g., NEHEN, SafeHealth, Wellport).

Commercial Imaging and Lab Centers: Standalone imaging and lab centers as defined by Massachusetts state licensing and not included in larger health systems.

Tier 2

Small Hospitals: Hospital or Healthcare systems not included in list of Large hospitals/Health Systems above.

Large Ambulatory practices (50+): Practices with 50 or more licensed providers (MD/DO/NP/PA) in a single legal entity regardless of number of sites, and not otherwise included in larger systems (i.e. not employed or owned by a hospital or health system). Category does not include federally qualified health centers (FQHCs) or FQHC look-alikes.

Large Long Term Care entities: Nursing homes or nursing home systems with 500+ licensed beds (e.g., Kindred, Genesis, Golden Living Center, Wingate, Life Care Centers, Epoch Senior Healthcare, Radius Healthcare, Beaumont).

Ambulatory surgical centers: As defined by Massachusetts state licensing.

Ambulance and Emergency Response: Standalone emergency medical service providers as defined by Massachusetts state licensing and not included in larger systems.

Business Associate Affiliates: Business associates of participant covered entities.

Tier 3

Small Long Term Care entities: Nursing homes or nursing home systems with <500 licensed beds.

Large Behavioral health (10+): Standalone mental health or counseling clinics with 10+ licensed providers and not included in larger systems.

Large Federally Qualified Health Centers (10+): FQHC and FQHC look- alikes with 10+ licensed providers. Does not include hospital-owned community based health clinics.

Medium Ambulatory practices (10-49): Practices with 10-49 licensed providers (MD/DO/NP/PA) in a single legal entity regardless of number of sites, and not otherwise included in larger systems (i.e. not employed or owned by a hospital or health system). Category does not include federally qualified health centers (FQHCs) or FQHC look-alikes.

Tier 4

Small Behavioral health (1-9): Standalone mental health or counseling clinics with < 10 licensed providers and not included in larger systems.

Home Health: Home Health providers that are Non-Medicare/Medicaid certified agencies. Standalone as defined by Massachusetts state licensing and not included in larger systems.

Long Term Services and Supports (LTSS): Medical supports only.

Small Federally Qualified Health Centers (1-9): FQHC and FQHC look- alikes with < 10 licensed providers. Does not include hospital-owned community based health clinics.

Small Ambulatory practices (3-9): Practices with 3-9 licensed providers (MD/DO/NP/PA) in a single legal entity regardless of number of sites, and not otherwise included in larger systems (i.e. not employed or owned by a hospital or health system). Category does not include federally qualified health centers (FQHCs) or FQHC look-alikes.

Tier 5

Very Small Ambulatory practices (1-2): Practices with 1-2 licensed providers (MD/DO/NP/PA) in a single legal entity regardless of number of sites, and not otherwise included in larger systems (i.e. not employed or owned by a hospital or health system). Category does not include federally qualified health centers (FQHCs) or FQHC look-alikes.

Fees and Invoicing

Fees are assessed annually for a federal fiscal year (October 1-September 30)
HIE services fees for Direct Messaging begin when a Participant's connection to the Mass HIway production environment is verified.
HIE services fees are pro-rated to the first of the calendar month following the beginning of the applicable service as defined above. Any refunds will follow the same pro-rated dates.
Fee waivers may be applied for use of the Mass HIway solely for public health reporting.
Annual fees for service in effect as of October 1st each year will be calculated after October 1st, then processed for invoicing. Fees for service initiated or changed during the year will be calculated and invoiced quarterly.
Payment is due within 30 days of invoice.