September 30, 2016 5:09 PM ET

Healthcare Providers and Services

Company Overview of Fallon Community Health Plan, Inc.

Company Overview

Fallon Community Health Plan, Inc., a health plan provider network, offers health insurance plans and healthcare services in Massachusetts. The company’s insurance and self-insurance product portfolio includes various group and non-group health plan options, such as HMO, POS, and PPO, as well as Medicaid and Medicare advantage plans that feature flexible benefit designs. It also provides plans through the Commonwealth Choice and Commonwealth Care programs; and offers NaviCare HMO, a senior care options product for people aged 65 and over who are enrolled in MassHealth Standard. In addition, the company’s provider networks offer coordinated care and give its members access to physicians and h...

10 Chestnut Street

Worcester, MA 01608

United States

Founded in 1977

Phone:

508-799-2100

Fax:

508-797-9621

Key Executives for Fallon Community Health Plan, Inc.

Chief Executive Officer and President
Chief Financial Officer and Executive Vice President
Age: 45
Chief Operating Officer and Senior Vice President
Chief Communications Officer and Senior Vice President
Chief Sales Officer and Senior Vice President
Compensation as of Fiscal Year 2016.

Fallon Community Health Plan, Inc. Key Developments

Fallon Health Appoints Eric C. Hall as Senior Vice President of Provider Management, Strategy and Engagement

Fallon Health announced the appointment of Eric C. Hall as senior vice president of provider management, strategy and engagement. Hall has more than 28 years of experience in the managed care industry. Most recently, he served as Fallon’s vice president of Network Development and Management and played a major role in significantly growing commercial and government product networks, while also strengthening its relationships with the provider community. Prior to joining Fallon, Hall was an underwriting manager then director of contracting at Tufts Health Plan. He also held positions at Mercer Consulting and Allmerica Financial.

Fallon Health Announces Earnings for the Second Quarter Ended June 30, 2016

Fallon Health announced earnings for the second quarter ended June 30, 2016. For the quarter, the company reported net income of $0.1 million on revenue of $302 million on a GAAP basis. Net income includes investment and other income of $2.6 million and operating loss of $2.5 million. For the same quarter last year, the company posted a net loss of $2.5 million on revenue of $321 million. The net loss included investment income of $2.5 million and an operating loss of $5.0 million.

Fallon Health Reports Earnings Results for the First Quarter Ended March 31, 2016

Fallon Health reported earnings results for the first quarter ended March 31, 2016. For the quarter, the company reported a net loss of $5.6 million on revenue of $298 million on a GAAP basis for the first quarter that ended March 31, 2016. Net loss includes investment and other income of $0.8 million and operating loss of $6.4 million. For the same quarter last year, Fallon posted a net loss of $4.2 million on revenue of $317 million. The net loss included investment income of $2.4 million and an operating loss of $6.6 million. Membership was 212,535 as of March 31, 2016, compared with 226,527 ending March 31, 2015.

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