Fallon Health earns a 4.5-star NCQA rating 

Worcester, Mass., September 18, 2023— Fallon Health has again been named among the best-rated Medicaid plans in the country, according to the nation’s authority on health plan quality.   

The National Committee for Quality Assurance (NCQA) awarded Fallon Community Health Plan Medicaid HMO 4.5 out of 5 stars1, ranking the not-for-profit health care services organization among the top 13 Medicaid plans in the country for clinical quality and member experience. No Medicaid plans received a rating of 5 stars for 2023.  

“The designation speaks to the quality of the products and services we offer and the work we do to best serve our members. Maintaining a strong NCQA performance is a priority, and we are grateful to hear that we are meeting the needs of those we serve,” said Richard Burke, President and CEO of Fallon Health. 

Fallon Health is unique among health plans in focusing on providing care to members of government sponsored health insurance programs. In 2023, Fallon Health offers three Medicaid plans through its participation in the MassHealth Accountable Care Organization (ACO) program, accounting for approximately 65% of Fallon Health’s total membership. These include Berkshire Fallon Health Collaborative, Fallon 365 Care and Fallon Health-Atrius Health Care Collaborative. 

NCQA ratings provide consumers with a more accurate picture of how health insurance plans perform in the key quality areas of consumer satisfaction, prevention, and treatment. NCQA’s Health Insurance Plan Ratings are available on NCQA’s website: reportcards.ncqa.org/health-plans 

(1) NCQA's Medicaid Health Plan Ratings 2023 


Melissa Randall
Director, Corporate Communications
Fallon Health

About Fallon Health
Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the nation’s top health plans for member experience and service and clinical quality. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

About NCQA 
The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website (https://www.ncqa.org/) contains information to help consumers, employers and others make informed health care choices.