Tufts Health Plan was a Massachusetts-based non-profit health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown, Massachusetts. It completed a merger with

Harvard Pilgrim Health Care Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States. On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced p ...

on January 1, 2021, making the yet-to-be-named company the second-largest health insurer in Massachusetts. The merger had been announced on August 14, 2019; the combined company will serve 2.4 million members in Massachusetts,

Maine Maine () is a state in the New England and Northeastern regions of the United States. It borders New Hampshire to the west, the Gulf of Maine to the southeast, and the Canadian provinces of New Brunswick and Quebec to the northeast and ...

Connecticut Connecticut () is the southernmost state in the New England region of the Northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, New York to the west, and Long Island Sound to the south. Its capita ...

New Hampshire New Hampshire is a state in the New England region of the northeastern United States. It is bordered by Massachusetts to the south, Vermont to the west, Maine and the Gulf of Maine to the east, and the Canadian province of Quebec to the nor ...

, and

Rhode Island Rhode Island (, like ''road'') is a state in the New England region of the Northeastern United States. It is the smallest U.S. state by area and the seventh-least populous, with slightly fewer than 1.1 million residents as of 2020, but it ...

. Tufts Health Plan was founded in 1979 by Morton Madoff., M.D., dean of

Tufts University School of Medicine The Tufts University School of Medicine is the medical school of Tufts University, a private research university in Massachusetts. It was established in 1893 and is located on the university's health sciences campus in downtown Boston. The '' ...

. As of May 2019, the organization had over 1 million members. The Tufts Health Plan network includes 110 hospitals and 51,000+ health care providers. The health plan offers products for employers, individuals enrolled in Medicare,

Medicaid Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and per ...

the Massachusetts Health Insurance Exchange, and individuals who are dually eligible for Medicare and Medicaid. Tufts Health Plan is the only insurer in Massachusetts to cover everyone, regardless of age or income.

History

Morton Madoff, M.D., of Tufts University Medical School, founded Tufts Associated Health Maintenance Organization, Inc. in 1979. The organization started offering plans in 1981, ending its first year with 3,000 members. In 1994, Tufts Health Plan entered the Medicare market with Secure Horizons and utilized value-based contracts to achieve better health outcomes for members and better control costs. In 1995, Tufts Health Plan launched its first PPO (preferred provider organization) plans. In 1996 Tufts Health Plan was ranked as a top HMO provider in the United States by

Newsweek ''Newsweek'' is an American weekly online news magazine co-owned 50 percent each by Dev Pragad, its president and CEO, and Johnathan Davis, who has no operational role at ''Newsweek''. Founded as a weekly print magazine in 1933, it was widely ...

. In 2008, Tufts Health Plan created the Tufts Health Plan Foundation so the health plan's assets could help address long-standing health care issues in the local community. The foundation funds approximately $5 million annually in investments and grants to local non-profits. In 2009, Tufts Health Plan entered the Rhode Island market, offering employer-sponsored plans. In 2011, Tufts Health Plan acquired Network Health, a Medicaid plan. In 2015, Tufts Health Plan acquired Integra Partners, a medical equipment and prosthetics management company backed by Peterson Partners. Also in 2015, Tufts Health Plan entered into a joint venture with Granite Health, a network of five health systems, creating Tufts Health Freedom Plan of New Hampshire. In 2016, the company transformed core business operations to HealthEdge. In 2017, Tufts Health Plan signed contracts to form

(MassHealth)

Accountable Care Organization An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitione ...

(ACO) partnerships with four provider organizations: Atrius Health, Beth Israel Deaconess Care Organization, Cambridge Health Alliance, and Boston Children's Accountable Care Organization. Also in 2017, Tufts Health Plan entered the Rhode Island Medicaid market. In February 2018, Tufts Health Plan entered into a joint venture with Hartford HealthCare, creating CarePartners of Connecticut, which offers Medicare Advantage plans to eligible beneficiaries. On January 26, 2021, Tufts Health Plan announced the completion of their merger with

. In July 2021, Tufts Health Plan awarded the Metropolitan Boston Housing Partnership with a grant of $170,000.

References

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External links

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Health insurance in the United States 1979 establishments in the United States Insurance companies of the United States Financial services companies established in 1979 Health care companies established in 1979 Health care companies of the United States