MHA Classes of Trade

Long-Term Care Facilities and Providers Includes Nursing Homes; Hospices providing palliative care—either inpatient or in the home; Skilled Nursing Facilities providing 24 hour medical and nursing care services; Subacute Facilities providing skilled nursing care for three or more hours to patients requiring ventilator, enteral, parenteral, respiratory or intravenous therapy; Assisted Living Residences designed to meet the needs of patients requiring assistance with daily living; Correctional Facilities providing care for the prison population.

Home Health Care/Home Infusion: Home Health Care assumes the provision of home services such as nursing, therapy and health-related or social services. Home Infusion includes infusion therapy and other pharmaceutical services provided in the home by a Home Health Provider.

Specialty Pharmacy: Pharmacies that dispense high cost self-administered, infused and oral medications to patients undergoing intensive therapies for chronic and complex illnesses and maintain dedicated trained personnel to provide personal patient compliance and symptom monitoring. Pharmacies must comply with requirements for specialized delivery and administration of related drugs, service a wide geographic area and be licensed in all states it services. Pharmacy to provide payers, manufacturers and physicians with compliance, cost and service.

Mail Order: A closed door facility that provides delivery of chronic medication prescriptions via mail Service and does not include retail sales.

Hospitals: Includes General Acute Care Hospital; Special Acute Care Hospital providing diagnostic and treatment services for patients who have specialized medical needs; Rehabilitation and Chronic Disease Hospitals providing diagnostic and treatment services to handicapped or disabled individuals; Psychiatric Hospitals; Hospital Owned Facilities including a freestanding or attached facility owned, managed or leased by a hospital including surgery and cancer centers as well as others types of ambulatory care centers.

Ambulatory Care Centers: Including Outpatient Centers providing laboratory or diagnostic testing and prescription dispensing services; Surgery Centers performing surgical services for patients not requiring a hospital stay; Oncology Center; Dialysis Center; Immediate Care Center providing treatment for situations not requiring the facilities of a trauma center; Ambulatory Care Center or non-acute sites providing primary or specialty care; Post-Surgical Recovery Centers providing short or long-term recovery services for surgical patients; MRI/Radiology Centers including free standing clinics or centers of Radiology specialty that provide magnetic resonance imaging, ultrasound or other forms of x-ray examination.

Physician Clinics and Offices: Includes physicians who provide patient care and services in an office setting.

Clinics: Including special medical or surgical clinics serving a target population including family and general physician practices.

Managed Care Plan (HMO/Closed): Includes staff model or an organized prepaid health care system delivering health services through a salaried physician group employed by the HMO unit; Group Model or an organized prepaid health system contracting with an independent group practice to provide health services.

Retail Facilities: Providing prescription and over the counter drugs as well as other health related items to patients discharged from the hospital or to the general public.

Free-Standing Laboratories: Includes a private or publicly owned laboratory providing services to referring clients that may include physicians, long term care facilities, hospitals and other forms of alternate care as well as entities owned by other facilities e.g. acute or alternate sources that operate as separate entities at separate locations.

Puerto Rico: MHA provides five member hospitals in Puerto Rico with pharmaceutical and medical surgical contracts.