PARENT

Fallon Health

Footprint by state. Enrollment is CMS reported. Share and operations counts stay on the state page. A dollar amount is not on this page.

Share trend: 2017: 43,193; 2018: 107,055; 2019: 108,546; 2020: 116,706; 2021: 132,375; 2022: 132,351; 2023: 112,532; 2024: 95,271

State	Plans	Programs	Latest CMS enrollment	MCPAR operations
MA	Berkshire Fallon Health Collaborative, Fallon 365 Care, Fallon Community Health Plan, Fallon Health Summit ElderCare, Fallon Health Summit Eldercare, Fallon Health-Atrius Health Care Collaborative, Health Collaborative of the Berkshires in partnership with Fallon Health, Health Collaborative of the Berkshires in partnership with Fallon Health, NaviCare HMO, Navicare HMO, Reliant Medical Group in partnership with Fallon Health, Reliant Medical Group in partnership with Fallon Health, Wellforce in partnership with Fallon Health, Wellforce in partnership with Fallon Health	not reported	16,644 (2024); 31,491 (2024); 42,526 (2017); 1,230 (2019); 1,173 (2024); 35,757 (2024); 16,874 (2020); 19,616 (2022); 7,255 (2019); 10,041 (2024); 35,809 (2020); 40,248 (2022); 53,816 (2020); 60,632 (2022)	390 appeals resolved; 2 sanctions, 494 appeals resolved; not reported; 540 appeals resolved; 4 sanctions, 1,049 appeals resolved
NY	Fallon Health Weinberg, Fallon Health Weinberg, Fallon Health Weinberg	not reported	830 (2022); 726 (2018); 165 (2024)	not reported; 2 sanctions

Award history

MA BD-22-1039-EHS01-ASHWA-71410 (22EHSACORFR) (awarded): awardee Berkshire Fallon Health Collaborative
MA BD-22-1039-EHS01-ASHWA-71410 (22EHSACORFR) (awarded): awardee Fallon 365 Care
MA BD-22-1039-EHS01-ASHWA-71410 (22EHSACORFR) (awarded): awardee Fallon Health Atrius Health Care Collaborative

No retrieved early signal names this organization.

No retrieved contract amendment names this organization.

No retrieved Medicaid policy instrument names this organization.

No retrieved plan financial filing is linked to this organization. A missing filing is not a zero.