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48 Worcester Business Journal | Book of Lists 2023 | 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, 2022 Health insurer Total Mass. membership Q4 2022/ Q4 2021 Share of Mass. market Q4 2022 For profit or nonprofit? Head of company/ year licensed or founded 1 Blue Cross and Blue Shield of Massachusetts Inc. (1) 101 Huntington Ave., Suite 1300, Boston 02199 800-262-2583 • bluecrossma.org 510,844 534,366 23.84% nonprofit Sarah Iselin (2) president & CEO 1992 2 Tufts Health Public Plans Inc. (3) 1 Wellness Way, Canton 02021 617-972-9400 • tuftshealthplan.com 487,183 488,823 22.74% nonprofit Cain Hayes president & CEO, Point32Health 1997 3 WellSense Health Plan (4) 529 Main St., Suite 500, Charlestown 02129 800-792-4355 • wellsense.org 349,371 343,664 16.31% nonprofit Heather Thiltgen president 1997 4 Tufts Associated HMO Inc. (5) 1 Wellness Way, Canton 02021 617-972-9400 • tuftshealthplan.com 243,130 243,742 11.35% nonprofit Cain Hayes president & CEO, Point32Health 1979 5 Fallon Health Inc. (6) 10 Chestnut St., Worcester 01608 508-799-2100 • fchp.org 153,957 169,642 7.19% nonprofit Richard P. Burke president & CEO 1977 6 Harvard Pilgrim Health Care Inc. (7) 1 Wellness Way, Canton 02021 617-509-1000 • harvardpilgrim.org 127,532 144,568 5.95% nonprofit Cain Hayes president & CEO, Point32Health 1977 7 Health New England 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4000 • healthnewengland.org 124,310 123,675 5.80% nonprofit Richard Swift president & CEO 1985 8 Mass General Brigham Health Plan (8) 399 Revolution Drive, Somerville 02145 866-414-5533 • massgeneralbrighamhealthplan.org 120,740 119,945 5.64% nonprofit Steven Tringale CEO 1986 9 UnitedHealthcare 9900 Bren Road East, Minnetonka, MN 55343 (9) 888-735-5842 • uhc.com 12,470 N/A 0.58% for profit Brian Thompson CEO 1984 10 Commonwealth Care Alliance Massachusetts 100 North Parkway, Worcester 01605 (10) 866-610-2273 • commonwealthcarealliance.org 2,148 N/A 0.10% nonprofit Christopher D. Palmieri president & CEO 2003 11 Aetna Health Inc. (11) 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • aetna.com 1,620 1,571 0.08% for profit Daniel Finke (12) president 1987 12 Central Mass. Health LLC dba Mass Advantage 67 Millbrook St., Suite 423, Worcester 01606 844-918-0114 • massadvantage.com 807 N/A 0.04% nonprofit Heather A. Trafton president, Mass Advantage 2021 13 Senior Whole Health by Molina Healthcare 1075 Main St., Suite 400, Waltham 02451 888-794-7268 • molinahealthcare.com 256 N/A 0.01% for profit Joseph M. Zubretsky CEO 1980 14 Connecticare of Massachusetts Inc., an EmblemHealth Co. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • connecticare.com 130 140 0.01% for profit Mark Meador (13) president 1995 Sources: Mass. Division of Insurance and insurer websites and press releases Note: Boston-based eternalHealth Inc. had seven HMO members as of Q4 2022. (1) Including HMO Blue (2) Succeeded Andrew Dreyfus as of Jan. 1, 2023 (3) Part of Point32Health, which also includes Harvard Pilgrim Health Care (4) 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. (5) Doing business as Tufts Associated Health Plan and Tufts Health Plan.; part of Point32Health, which also includes Harvard Pilgrim Health Care (6) Effective April 2021, no longer providing commercial health insurance coverage, instead focusing on government programs including Medicare and Medicaid (7) Part of Point32Health, which also includes Tufts Health Plan (8) Effective Jan. 1, 2023 AllWays Health Partners rebranded as Mass General Brigham Health Plan. (9) Headquarters address (10) Regional office address; corporate office in Boston (11) Acquired by Woonsocket, R.I.-based CVS Health, effective November 2018 (12) As of Sept. 1, 2023 will be succeeded by Brian Kane (13) Succeeded interim president Roberta Wachtelhausen in June 2023 -Compiled by: Heide Martin, hmartin@nebusinessmedia.com Richard Burke, the president and CEO of Fallon Health, is retiring from his role at the end of the year. The board of directors has begun a search for his successor, according to a Feb. 21 press release from Fallon. The search is being led by Fallon Health board member Deborah Enos, former president and CEO of Neighbor- hood Health Plan, now known as Allways Health Partners. Burke has been employed by Fallon Health, a Worcester-based health insurance and healthcare service provider, for 25 years, and has served in his current position for eight. He will stay on until a replacement is named. While serving in his role, Burke solidified Fallon's relationship with government entities and under his oversight Fallon reached high rates of member enrollment in Medicaid programs. Additionally, Fallon initiated plans for expan- sion beyond New England under Burke's leadership, according to the press release. Previously, Burke was president of Senior Care Services and Government Programs at Fallon, where he served aging and at-risk popu- lations. He was inducted into the WBJ Hall of Fame in 2022. "Although I'm looking forward to retirement, I will miss the truly important work that we do in our community and the people who do it. Fallon Health is different from other health plans. We take care of our members and the communities where they live, and that makes coming to work every day extremely gratifying," Burke said in the press release. "The progress we've made as a team to create a solid foundation for long-term stability will serve our members and the community well, now and into the future." Burke received his undergrad- uate degree from Assumption University in Worcester and holds a master's degree in political science from Boston College and an MBA from Cornell University in New York. Fallon Health CEO and president to retire Richard Burke