Worcester Business Journal

WBJ Book of Lists 2022

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78 Worcester Business Journal | Book of Lists 2022 | wbjournal.com F O C U S H E A L T H C A R E Top health insurers Ranked by total Massachusetts members as of Dec. 31, 2021 Health insurer Total Mass. membership Q4 2021/ Q4 2020 Share of Mass. market Q4 2021 For profit or nonprofit? Head of company Year licensed 1 Blue Cross and Blue Shield of Massachusetts Inc. (including HMO Blue) 101 Huntington Ave., Suite 1300, Boston 02199 800-262-2583 • www.bluecrossma.com 534,366 550,379 24.62% Nonprofit Andrew Dreyfus president & CEO 1992 2 Tufts Health Public Plans Inc. (1) 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 488,823 494,139 22.52% Nonprofit Cain Hayes president & CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1997 3 WellSense Health Plan (2) 529 Main St., Suite 500, Charlestown 02129 800-792-4355 • www.wellsense.org 343,664 334,536 15.84% Nonprofit Heather Thiltgen president 1997 4 Tufts Associated HMO Inc. (3) 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 243,742 254,010 11.23% Nonprofit Cain Hayes president & CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1979 5 Fallon Health Inc. (4) 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 169,642 176,127 7.82% Nonprofit Richard P. Burke president & CEO 1977 6 Harvard Pilgrim Health Care Inc. (1) 1 Wellness Way, Canton 02021 617-509-1000 • www.harvardpilgrim.org 144,568 146,137 6.66% Nonprofit Cain Hayes president & CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1977 7 Health New England 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4000 • www.healthnewengland.org 123,675 111,751 5.70% Nonprofit Richard Swift president & CEO 1985 8 AllWays Health Partners 399 Revolution Drive, Somerville 02145 866-414-5533 • www.allwayshealthpartners.org 119,945 121,164 5.53% Nonprofit Steven Tringale CEO 1986 9 Aetna Health Inc. (5) 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 1,571 1,220 0.07% For profit Karen S. Lynch president & CEO, CVS Health 1987 10 Connecticare of Massachusetts Inc. (6) 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 140 168 0.01% For profit Karen Ignagni CEO, EmblemHealth companies 1995 Sources: Mass. Division of Insurance and insurer websites and press releases (1) Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021. (2) Data for Boston Medical Center Health Plan Inc. In May 2022, the combined organization of BMC HealthNet Plan in Massachusetts and WellSense Health Plan in New Hampshire rebranded to WellSense Health Plan across both states. (3) Doing business as Tufts Associated Health Plan and Tufts Health Plan. Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021. (4) Effective April 2021, no longer providing commercial health insurance coverage, instead focusing on government programs including Medicare and Medicaid (5) Has not offered nor renewed small-group health plans to Mass. customers since 2011; acquired by Woonsocket, R.I.-based CVS Health, effective November 2018 (6) An EmblemHealth company -Compiled by: Heide Martin, hmartin@nebusinessmedia.com

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