Worcester Business Journal

Book of Lists 2018

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38 Worcester Business Journal | Book of Lists 2018 | wbjournal.com Top health insurers Ranked by total Massachusetts members as of June 30, 2017 Name Total Mass. membership Q2 2017 total Mass. membership Q2 2016 Share of Mass. market Q2 2017 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 619,839 612,321 26.14% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 399 Revolution Drive, Somerville 02145 866-414-5533 • www.nhp.org 376,724 447,891 15.89% Nonprofit David Segal president & CEO 1986 3 Tufts Health Public Plans Inc. 705 Mount Auburn St., Watertown 02472 888-257-1985 • www.tuftshealthplan.com 361,314 (a) 312,129 (a) 15.24% Nonprofit Christopher "Kit" Gorton president, Public Plans 1997 4 Tufts Associated HMO Inc. (b) 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 275,400 279,653 11.61% Nonprofit Thomas A. Croswell president & CEO, Tufts Health Plan 1979 5 Boston Medical Center Health Plan Inc. 529 Main St., Suite 500, Charlestown 02129 800-792-4355 • www.bmchp.org 244,432 (a) 225,332 (a) 10.31% Nonprofit Susan Coakley president 1997 6 Harvard Pilgrim Health Care Inc. 93 Worcester St., Wellesley 02481 617-509-1000 • www.harvardpilgrim.org 181,929 228,439 7.67% Nonprofit Eric H. Schultz president & CEO 1977 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.org 147,156 161,203 6.21% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 109,997 (a) 128,029 4.64% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 855-678-6975 • www.celticarehealth.com 42,579 (a) 37,113 (a) 1.80% For-profit Jennifer Weigand (c) interim CEO 2009 10 Minuteman Health Inc. (d) P.O. Box 120025, Boston 02111 855-644-1776 • www.minutemanhealth.org 9,054 7,002 0.38% Nonprofit N/A (d) 2013 11 Aetna Health Inc. (e) 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,578 2,818 0.11% 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 464 818 0.02% For-profit Eric Galvin (f) president & COO 1995 Source: Massachusetts Division of Insurance. Note: Includes both HMO and PPO members. (a) Figure for HMO members; no PPO plan offered in Mass. (b) Doing business as Tufts Associated Health Plan and Tufts Health Plan (c) Jay Gonzalez, former president and CEO, resigned Dec. 2016. (d) As of Aug. 3, 2017, under control of the Mass. Commissioner of Insurance in order to execute run off and closure of the business. Individual insurance policies remained in effect through Dec. 31, 2017; plan members were directed to select new insurance during open enrollment for coverage beginning Jan. 1, 2018. (e) Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011. On Dec. 3, 2017, entered into a $69-billion agreement to be acquired by Woonsocket, R.I.-based CVS, pending regulatory approval. (f) Succeeded Michael Wise, former president, as of Feb. 2017. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com It isn't just the real estate in Massachusetts that's among the costliest in the country. It's also expensive to stay healthy here. Per-capita health spending in Massachusetts was $10,559 in 2014, second highest in the coun - try behind only Alaska, according to a Massachusetts Health Policy Commission report issued in March. That's a jump of $1,142, or 12 percent, in just five years. That average is also $2,514, or 31 percent, higher than the national average. The Health Policy Commission and the Center for Health Information and Analysis analyze such spending annually in order to compare health spending to the state's economic growth. The goal is to keep annual spending growth below 3.6 percent, something Massachusetts has accomplished in just two of the past four years. The highest spikes in recent years have been at the pharmacy, which accounts for nearly 14 per - cent of health spending, while inpatient costs have risen less than the average in the past two years. There is some good news, however. Year-to-year spending increases in Massachusetts have been below the national average in each of the past four years. That could be because Massachusetts was more expen - sive to begin with or because the state has done a better job of keeping costs as low as possible. For more positive news, Massachusetts has often been among the leaders in having resi - dents signed up for health insur- ance. Just 6 percent of Massachusetts residents don't have health insurance, according to the Kaiser Family Foundation's 2016 data. That's among the low - est in the country, tied with seven others and behind seven addition- al states at 5 percent. - Grant Welker Mass. Health costs rising Nashoba Valley Medical Center staff F O C U S H E A L T H C A R E

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