Harvard Pilgrim Health Care and Tufts Health Plan announced their intent to combine their non-profit organizations. The new organization, yet to be named, will become one of the region’s largest non-profit health services organizations, providing health coverage in all segments of the market regardless of a person’s age, income, life circumstances, or health status. The agreement, which was unanimously approved by both boards, is subject to multiple local and federal regulatory approvals during which time the organizations remain independent companies; the financial terms were not disclosed.
Both organizations share the same vision that a combined organization will be even more effective, better able to keep high-quality health care accessible and affordable, while at the same time investing in programs and initiatives that enhance quality. The board of directors will comprise equal representation from both organizations and will be chaired by Joyce Murphy, who currently serves as chair of the board for Harvard Pilgrim Health Care. Tom Croswell, president and chief executive officer (CEO) of Tufts Health Plan, will serve as CEO of the new organization. Michael Carson, who serves as president and CEO of Harvard Pilgrim Health Care, will serve as president and oversee the organization’s diverse business lines and subsidiaries.
The new organization will harness the combined strengths of the respective organizations and bring value to the community by improving affordability through scale and administrative cost efficiencies, providing high value, and more affordable health plans to consumers. Additionally, the partnership will increase access through geographic reach and product diversity by enhancing population health capabilities, enabling care for underserved communities, and offering a broader set of insurance choices across age and income groups. The new organization will also seek to improve quality of health through enhanced capabilities for population health and clinical engagement, and streamline customer experience through investment in innovative tools and capabilities.
The new organization will serve close to 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island, offering employer-sponsored plans; Medicare and Medicaid plans; Qualified Health Plans; and plans for those who are dually eligible for Medicare and Medicaid.
Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. Staying true to the mission of improving the health and wellness of diverse communities, Tufts Health Plan touches the lives of more than 1.16 million members in Massachusetts, Rhode Island, Connecticut, and New Hampshire through employer-sponsored plans; Medicare; Medicaid; and Marketplace plans, offering health insurance coverage across the life span regardless of age or circumstance.
Harvard Pilgrim Health Care and its family of companies provide health benefit plans, programs, and services to more than 3 million members and customers, including its subsidiaries that serve national self-insured and population health customers, in New England and beyond. The leading non-profit health services company was founded by clinical professionals 50 years ago. In partnership with an expansive network of professionals and hospitals, Harvard Pilgrim Health Care is improving health outcomes and lowering costs through clinical quality and innovative care management.
This was reported by Harvard Pilgrim Health Care on August 14, 2019.
Contact information: Tufts Health Plan, 705 Mount Auburn Street, Watertown, Massachusetts 02472; 617-972-9400; Website: http://tuftshealthplan.com
Contact information: Harvard Pilgrim Health Care, 93 Worcester Street, Wellesley, Massachusetts 02481; 888-888-4742; Website: www.harvardpilgrim.org