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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
- January 8, 2026 merger with Mass General Brigham expands distribution and referral access.
- Fallon launched southeastern Massachusetts PACE expansion on November 5, 2025, capturing aging-in-place demand.
- April 13, 2026 Community Impact Grants and September 16, 2025 NCQA win strengthen employer brand.
What critics are saying
- Mass General Brigham acquisition announced January 8, 2026, creates integration and regulatory approval uncertainty.
- Fallon depends heavily on Massachusetts public programs; Medicaid rate shocks hit margins immediately.
- Acquisition failure leaves Fallon undercapitalized against UnitedHealthcare, Tufts, and Point32Health in Massachusetts.
What makes Fallon Health unique
- Fallon Health has 4.5/5 NCQA Medicaid ratings every year, 2019 through 2025.
- It owns Summit ElderCare, and opened Dartmouth and Framingham PACE sites in 2025.
- Massachusetts-focused not-for-profit with Worcester roots and 148,000 members anchors local brand loyalty.
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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 34 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 34 Jobs on Simplify!
Find jobs on Simplify and start your career today