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Overview
Fallon Health is a not-for-profit health care organization that provides coordinated, integrated care for older adults and people with complex health needs. It offers Medicare Advantage, SCO, MassHealth ACO Partnership Plans, and Programs of All-Inclusive Care for the Elderly (PACE) in Massachusetts and New York, including Summit ElderCare and Fallon Health Weinberg–PACE. Its PACE programs deliver all-inclusive medical and social services as an alternative to nursing homes, funded through a mix of Medicare, Medicaid, and private coverage. The company differentiates itself by a not-for-profit mission, strong community engagement, and a focus on vulnerable populations, with top ratings for member experience and clinical quality; its goal is to improve health and quality of life while promoting equitable care.
About Fallon Health
Industries
Financial Services
Healthcare
Company Size
501-1,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Worcester, Massachusetts
Founded
1977
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Simplify's Take
What believers are saying
- Mass General Brigham’s acquisition brings capital, scale, and stronger bargaining power across Massachusetts.
- Fallon launched a new provider portal in October 2025 and expanded Summit ElderCare.
- Fallon won Press Ganey recognition in March 2026 and secured Worcester Red Sox through 2028.
What critics are saying
- Mass General Brigham’s January 2026 takeover still needs state approvals and integration work.
- Fallon lost $15.25 million in 2023 and $13.4 million in 2024, then cut jobs.
- The December 2025 Innovaccer lawsuit and vendor shifts to CareCentrix, IHCS, and Zelis disrupt operations.
What makes Fallon Health unique
- Fallon Health runs Massachusetts-focused nonprofit Medicare, Medicaid, and PACE products from Worcester.
- Summit ElderCare opened Dartmouth in November 2025, the first Southeastern Massachusetts PACE.
- Its embedded navigator model and provider partnerships tie care management directly to local networks.
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Benefits
Health Insurance
Paid Time Off
Paid Holidays
Vision Insurance
Life Insurance
Flexible Work Hours
Company News
Fallon Health, a nationally recognized not-for-profit health care services organization, today announced that Katie Acker, MPH, has been named to the newly created role of Health Equity Program Manager.
Worcester insurer Fallon Health has named Matthew Herndon to the newly created position of senior vice president and chief state programs officer.
It is with great pride that Fallon Community Health Plan, Inc. partner with the City of Worcester to provide five years of fitness at the Senior Center.”
Fallon Health is Hiring for 37 Jobs on Simplify!
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About Fallon Health
Industries
Financial Services
Healthcare
Company Size
501-1,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Worcester, Massachusetts
Founded
1977
Fallon Health is Hiring for 37 Jobs on Simplify!
Find jobs on Simplify and start your career today