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32 Worcester Business Journal • Book of Lists 2016 www.wbjournal.com People. Places. Product. Photographic images for advertising, public relations, graphic and corporate communications groups . See the difference. 165 Holly Lane • Holliston, MA 01746 Phone/Fax: 508.429.3188 • www.ronbouleyphoto.com R O N B O U L E Y P H O T O G R A P H Y Top health insurers in Massachusetts Ranked by total Massachusetts members as of Dec. 31, 2015 Name Total Mass. membership Q4 2015 total Mass. membership Q4 2014 Share of Mass. market, Q4 2015 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 613,295 620,705 25.21% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 419,657 1 340,264 17.25% Nonprofit David Segal president & CEO 1986 3 Tufts Associated HMO Inc. 2 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 288,675 307,633 11.87% Nonprofit Thomas Croswell 3 president & CEO 1979 4 Tufts Health Public Plans Inc. 4 101 Station Landing, 4th Floor, Medford 02155 888-257-1985 • www.network-health.org 284,179 1 243,522 11.68% Nonprofit Christopher "Kit" Gorton president 1997 5 Harvard Pilgrim Health Care Inc. 427 Main St., Suite 200, Worcester 01608 508-755-2715 • www.harvardpilgrim.org 239,790 237,667 9.86% Nonprofit Eric H. Schultz president & CEO 1977 6 Boston Medical Center Health Plan Inc. 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 220,767 1 256,604 9.08% Nonprofit Susan Coakley president 1997 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.com 175,242 150,785 7.20% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 5 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 135,821 142,501 5.58% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 866-895-1786 • www.celticarehealthplan.com 45,492 1 37,797 1.87% For-profit Jay Gonzalez president & CEO 2009 10 Minuteman Health Inc. 6 179 Lincoln St., Boston 02111 855-644-1776 • www.minutemanhealth.org 5,631 1,655 0.23% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. 7 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,974 1,260 0.12% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 1,117 1,497 0.05% For-profit Michael Wise president 1995 Source: Massachusetts Division of Insurance. Note: Includes both HMO and PPO members. 1 Figures for HMO members; no PPO plan offered in Massachusetts 2 Doing business as Tufts Associated Health Plan and Tufts Health Plan 3 Succeeded James Roosevelt Jr., January 2016 4 Formerly known as Network Health LLC 5 On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health. 6 Began offering membership in plans Jan. 1, 2014 7 Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 - Compiled by: Stephanie R. Meagher, smeagher@nebusinessmedia.com In March, the Blue Cross Blue Shield of Massachusetts Foundation released its 2015 Massachusetts Health Reform Survey. While nearly 96 percent of Massachusetts adults of working age have health insur- ance, nearly half of them are having trouble accessing care in a timely manner. Here are some of the sur- vey's findings: • 57.3 percent of Massachusetts adults reported they had employer- sponsored insurance coverage in the fall of 2015, compared to 63.5 per- cent in 2013. • Health coverage not sponsored by employers rose, from 31.7 percent in 2013 to 38.3 percent in 2015. • 73 percent of Massachusetts adults have dental insurance. • 37.2 percent of full-year insured adults reported they did not get the care they needed in the past 12 months. That rate was higher for low-income adults. • 18.3 percent of full-year insured adults reported problems paying their medical bills in the past year, down from 19.6 percent in fall 2013. -Laura Finaldi Blue Cross study finds more adults without employer health coverage Jane Barnes, senior marketing specialist at Harvard Pilgrim, and Jim Donahue, CEO and president of Old Sturbridge Village, where the insurer donated $22,500 to fund a wagon for people with disabilities. Top health insurers in Massachusetts Ranked by total Massachusetts members as of Dec. 31, 2015 Name Total Mass. membership Q4 2015 total Mass. membership Q4 2014 Share of Mass. market, Q4 2015 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 613,295 620,705 25.21% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 419,657 1 340,264 17.25% Nonprofit David Segal president & CEO 1986 3 Tufts Associated HMO Inc. 2 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 288,675 307,633 11.87% Nonprofit Thomas Croswell 3 president & CEO 1979 4 Tufts Health Public Plans Inc. 4 101 Station Landing, 4th Floor, Medford 02155 888-257-1985 • www.network-health.org 284,179 1 243,522 11.68% Nonprofit Christopher "Kit" Gorton president 1997 5 Harvard Pilgrim Health Care Inc. 427 Main St., Suite 200, Worcester 01608 508-755-2715 • www.harvardpilgrim.org 239,790 237,667 9.86% Nonprofit Eric H. Schultz president & CEO 1977 6 Boston Medical Center Health Plan Inc. 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 220,767 1 256,604 9.08% Nonprofit Susan Coakley president 1997 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.com 175,242 150,785 7.20% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 5 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 135,821 142,501 5.58% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 866-895-1786 • www.celticarehealthplan.com 45,492 1 37,797 1.87% For-profit Jay Gonzalez president & CEO 2009 10 Minuteman Health Inc. 6 179 Lincoln St., Boston 02111 855-644-1776 • www.minutemanhealth.org 5,631 1,655 0.23% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. 7 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,974 1,260 0.12% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 1,117 1,497 0.05% For-profit Michael Wise president 1995 Source: Massachusetts Division of Insurance. Note: Includes both HMO and PPO members. 1 Figures for HMO members; no PPO plan offered in Massachusetts 2 Doing business as Tufts Associated Health Plan and Tufts Health Plan 3 Succeeded James Roosevelt Jr., January 2016 4 Formerly known as Network Health LLC 5 On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health. 6 Began offering membership in plans Jan. 1, 2014 7 Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 - Compiled by: Stephanie R. Meagher, smeagher@nebusinessmedia.com Top health insurers in Massachusetts Ranked by total Massachusetts members as of Dec. 31, 2015 Name Total Mass. membership Q4 2015 total Mass. membership Q4 2014 Share of Mass. market, Q4 2015 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 613,295 620,705 25.21% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 419,657 1 340,264 17.25% Nonprofit David Segal president & CEO 1986 3 Tufts Associated HMO Inc. 2 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 288,675 307,633 11.87% Nonprofit Thomas Croswell 3 president & CEO 1979 4 Tufts Health Public Plans Inc. 4 101 Station Landing, 4th Floor, Medford 02155 888-257-1985 • www.network-health.org 284,179 1 243,522 11.68% Nonprofit Christopher "Kit" Gorton president 1997 5 Harvard Pilgrim Health Care Inc. 427 Main St., Suite 200, Worcester 01608 508-755-2715 • www.harvardpilgrim.org 239,790 237,667 9.86% Nonprofit Eric H. Schultz president & CEO 1977 6 Boston Medical Center Health Plan Inc. 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 220,767 1 256,604 9.08% Nonprofit Susan Coakley president 1997 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.com 175,242 150,785 7.20% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 5 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 135,821 142,501 5.58% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 866-895-1786 • www.celticarehealthplan.com 45,492 1 37,797 1.87% For-profit Jay Gonzalez president & CEO 2009 10 Minuteman Health Inc. 6 179 Lincoln St., Boston 02111 855-644-1776 • www.minutemanhealth.org 5,631 1,655 0.23% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. 7 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,974 1,260 0.12% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 1,117 1,497 0.05% For-profit Michael Wise president 1995 Source: Massachusetts Division of Insurance. Note: Includes both HMO and PPO members. 1 Figures for HMO members; no PPO plan offered in Massachusetts 2 Doing business as Tufts Associated Health Plan and Tufts Health Plan 3 Succeeded James Roosevelt Jr., January 2016 4 Formerly known as Network Health LLC 5 On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health. 6 Began offering membership in plans Jan. 1, 2014 7 Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 - Compiled by: Stephanie R. Meagher, smeagher@nebusinessmedia.com