About Fallon Health
At Fallon Health, we care deeply about the communities we serve. For nearly 50 years, we’ve partnered with them to ensure they get the care and services they need and deserve. We take the time to understand their unique and diverse needs and work to identify and address barriers to affordability, access, and equity.
Ensuring high quality and excellence is the basis of everything we do, supported by our mission—improving health and inspiring hope.
As a not-for-profit health care services organization that is both an insurer and provider of care, we collaborate closely with providers, community leaders, government organizations, and others to provide and enhance coordinated care, coverage, and services.
With Fallon Health, members and participants can count on care and coverage that goes further. Everything we do is centered on the people we serve, because the people we serve are our neighbors, friends, and family. Our care and service teams are local. When you call us, you’ll speak with someone who knows—and serves—this community.
Our history
The organization’s founders aimed to bring all components of the health care system together. In 1977, Fallon Community Health Plan was launched to deliver high-quality, community-based care at an affordable cost. We were pioneers, being the first health plan in Massachusetts to cover Medicaid recipients (1979), the first in the nation to offer a Medicare Advantage Plan (1980), and the only health plan in Massachusetts to operate a Program of All-Inclusive Care for the Elderly, also known as PACE (1995). Interested in more of our history and achievements? See our timeline.
Our focus today
Throughout our history, we’ve gained insight into the needs of our members, participants, and our communities. In 2021, we strengthened our focus on serving those who need us most. During one of the most challenging periods in health care—the COVID-19 pandemic—we shifted away from most of our commercial products to focus on government-sponsored health insurance programs including Medicaid and Medicare.
We offer:
- Medicare Advantage plans
- Medicare Advantage Special Needs Plan (SNP)/Senior Care Options Program (SCO)
- MassHealth Accountable Care Organization (ACO) Partnership Plans
- Program of All-Inclusive Care for the Elderly (PACE)
- Individual health plans available on the Massachusetts Health Connector
Our vision for the future
Fallon Health continues to follow a strategic path unique among independent health plans in our home base of Massachusetts. Our vision is to become the region’s leading provider of government-sponsored health care and coverage programs. This vision builds on our history and mission, leveraging our brand, expertise, and experience to provide integrated, coordinated care, coverage, and services to the communities we serve.