Fallon Health

Fallon Health of Worcester will cut 45 jobs as the health insurance provider shuts down its Fallon Total Care program this September.

A health insurers' group believes Massachusetts can save tens of millions of dollars a year if poorer senior citizens who would otherwise wind up in nursing homes were enrolled in a senior care plan rather than remain in a Medicare or Medicaid program.

Fallon Health and other smaller Massachusetts-based health insurers have been raising objections and concerns about a provision in the federal Affordable Care Act (ACA) that imposes multi-million-dollar risk assessments on them to be paid to bigger providers.

The head of the state agency that helps enroll uninsured residents with health care coverage said he can't make changes to the state's risk adjustment program, a feature of the Affordable Care Act designed to spread the risk of insuring the sickest patients through the state's health insurance exchange.

Worcester-based Fallon Health and two other insurance plans have asked the state’s Health Connector Insurance Authority to...

Citing problems with economic sustainability, Fallon Health of Worcester has announced it will end its insurance program that serves members eligible for both Medicaid and Medicare insurance, known as Fallon Total Care, effective Sept. 30.

This year, all four big health insurance companies covering Central Massachusetts referred to the landmark federal health care reform law, the Affordable Care Act, in explaining why they lost money in the first quarter.

Compliance with new provisions of the Affordable Care Act were cited as factors in the first-quarter losses reported by four major Massachusetts health insurers Friday.

<I>(Updated Feb. 24 at 2 p.m.)</I> Fallon Health of Worcester has expanded the long-term-care program in Western New York it offers in conjunction with a residential community there.

As the Jan. 23 deadline to enroll in health insurance plans through the Massachusetts Health Connector nears, the state and local insurers are boosting efforts to reach people in need of coverage.