Potential Massive Healthcare Merger in MA, May Have Big Implications in RI
Sunday, May 06, 2018
GoLocalProv Business Team
Robert Whitcomb Appears on GoLocal LIVE on Friday to Discuss the Partners and Harvard Pilgrim Deal
The impact on Rhode Island could be profound — Partners is now negotiating to buy Rhode Island’s second-largest hospital group — the financially fledgling Care New England.
Care New England operates Women & Infants, Kent, and Butler Hospitals. Care New England closed Memorial Hospital on January 1. Now, CharterCare has announced an effort to re-open Memorial.
The size of the deal in Massachusetts in daunting
The numbers are daunting — Partners has a budget in excess of 13.5 billion, which is 50 percent larger than the state of Rhode Island’s budget. The hospital giant employs more than 70,000.
Harvard Pilgrim has more than 1.2 million members.
The implications in Rhode Island could be profound.
If Partners and Harvard Pilgrim merge and the combined entity was to close the acquisition for Care New England, it could trigger transformative impacts on the entire healthcare structure in Rhode Island — everyone from Blue Cross Blue Shield of Rhode Island to Neighborhood Health Plan to Lifespan would be financially threatened.
The other potential implication is Partners abandons its effort to acquire Care New England — they have been in negotiations for more than a year.
As the CVS and Aetna merger shook-up up the national healthcare industry, the Partners and Harvard Pilgrim could have an even greater impact and sparking a series of mergers and acquisitions between hospitals and insurers.
“Partners HealthCare is constantly exploring new partnerships and relationships with other providers and insurers with the goal of improving the delivery of healthcare to patients both locally and around the world,” Partners spokesman Rich Copp told the Boston Globe. “Harvard Pilgrim is certainly among those organizations.”
Providence does not usually do well in mergers
Remember Providence Gas, Fleet Bank, and Narragansett Electric?
Big employers, deep community involvement, and significant charitable donors — all were consumed and in each case, the number of employees left in Rhode Island by the succeeding company is a fraction of the once independent venture.
To the victor goes the spoils.
As if the Boston economy isn't good enough, and the Providence economy couldn't be more stagnant
The cityscape of Boston is littered with cranes. Boston Business Journal maps the construction projects utilizing cranes in Boston (see image) and the number of projects is staggering.
In Providence, there few construction projects and not a crane to be seen. The last thing Providence needs is for another one of its largest employers to be merged into a Boston mega-organization. The likelihood is that jobs will be lost or consolidated to Boston - basic functions like purchasing, accounting, etc. will be lost.
Harvard beats Brown in Ivy League match-up
Harvard Medical School is ranked as the #1 research-based institution in America by U.S. News and World Report.
Partners Healthcare’s academic partner is Harvard.
In contrast, Care New England’s academic affiliation is with the Warren Alpert Medical School of Brown University. Brown’s best ranking is 21st for primary care - and is ranked for research way back at #31.
One of the biggest losers in the merger could be Brown's medical school.
Care New England is RI’s 2nd largest employer, so what will It be in 2 Years?
According to the RI Department of Labor and Training, Care New England is Rhode Island’s second largest employer.
Lifespan is the largest: 12,050
Care New England: 8,500
Cities like "Meds and Eds" (the medical and educational business segments), but Providence and all of Rhode Island is likely to lose high paid, highly educated jobs as a result of this deal.
Care New England Continues to Struggle
Despite hopes that closing Memorial Hospital would solve the financially beleaguered Care New England's economic woes, new financial documents unveil that CNE continues to struggle.
Additionally, the pursuer - Partners HealthCare - is also making cuts. The Boston Globe unveiled the Partners is cutting about 100 of the company’s tech workers that their jobs were being outsourced to India to cut costs.
“Many of the employees have worked for Partners for several years, or even decades, and are struggling with the company’s decision. Almost all are coders — people who scour patients’ medical records to pinpoint billable services — and earn upward of $40 an hour. Coders in India earn a fraction of that amount, making overseas coding an attractive way for hospitals to cut costs,” wrote the Boston Globe.
Can the unions battle?
Within hours of GoLocal breaking the news of the merger, the United Nurses and Allied Professionals (UNAP) President Linda McDonald, RN, released the following statement today:
"This proposed merger has the ability to impact thousands of jobs and the quality of care in Rhode Island and should be thoroughly scrutinized. Like most Rhode Islanders, we only recently learned of this proposal but expect Care New England and Partners HealthCare to be transparent in their process and begin a conversation with our union about the effect any deal would have on our members and our patients.
Memorial Hospital provides critical care to scores of Blackstone Valley residents every year and preserving its status as a fully-functioning community hospital will be among our top priorities as this process continues to unfold.
The onus is now on Care New England, Partners HealthCare and Prime Healthcare Services to make the details of this proposal public and to do it quickly so that workers, patients and state regulators may begin asking the appropriate questions."
The nurses represents nearly 1,400 registered nurses, CNAs, ER techs, surgical techs, orderlies, endo techs, environmental employees and ancillary staff at Kent and Memorial hospitals. But, will they have any impact on the decisions?
Speaking of Lifespan - will they be forced to merge with a Boston partner?
Lifespan is having its financial challenges too. While Care New England lost $53 million last year, Lifespan's losses were $40 million. The Lifespan losses were smaller proportionately to the healthcare group's overall budget and it does not have the cash crunch that Care New England was battling.
In February, Lifespan announced it had has entered into another Boston Hospital agreement. This agreement with Dana-Farber Cancer Institute is a long term agreement with the goal of advancing cancer treatment and research. Lifespan previously entered into an agreement with New England Medical Center and that deal led to years of protracted litigation to unwind. Lifespan also ran into a legal battle with Tufts Medical Center.
Will Partners' potential arrival in the market force Lifespan to affiliate?