Fallon Health expands services in western Mass. with Baycare Health Partners

Partnership provides an expanded network of physicians and hospitals for Fallon NaviCare® members

Worcester, Mass., July 29, 2015 - Fallon Health, a nationally recognized, not-for-profit health care services organization, announced today that it is strengthening its commitment to the people it serves in western Massachusetts. Members of its NaviCare program—a Medicare Advantage Special Needs Plan and Senior Care Options program—now have access to Baycare Health Partners, a physician-hospital organization serving five Baystate Health hospitals and more than 200 medical practices in the Pioneer Valley.

Fallon members enrolled in the plan’s NaviCare program are able to access Baycare’s participating facilities and physicians including Baystate Medical Center, Baystate Mary Lane Hospital, Baystate Franklin Medical Center, Baystate Noble Hospital and Baystate Wing Hospital.

“Fallon has a high regard for Baycare Health Partners’ commitment to improving the quality, safety, efficiency and sustainability of health care in the community. We’re pleased to partner with them to increase accessibility to high-quality health care for one of the most vulnerable populations we serve—frail elders with complex care needs,” said Patrick Hughes, President and CEO of Fallon Health.

NaviCare is a unique product for adults age 65 and over. It combines in one package all Medicare and Medicaid benefits, plus additional benefits and services designed to promote independence and quality of life. NaviCare is available to those ages 65 and over who are enrolled in MassHealth Standard. For those who qualify, NaviCare is available at a $0 premium with $0 copayments. Members receive high-quality care through the program’s ability to combine health and social services. All health care is coordinated by a team of doctors, specialists, nurses and social workers who develop a plan of care specific to each member.

“For more than 25 years, Fallon has remained committed to helping older adults with complex care needs to live as independently as possible in the communities in which they are comfortable,” said Richard Burke, President of Senior Care Services and Government Programs, “Each time we expand our NaviCare network, we’re able to provide more options that can have a positive impact on the health and well-being of older adults and their families.”

In addition to NaviCare, Fallon offers other products and programs for Medicare beneficiaries in western Massachusetts and throughout the state, including a variety of plan choices for its Medicare Advantage product, called Fallon Senior Plan™. Fallon also offers a Program of All-inclusive Care for the Elderly, called Summit ElderCare®. Now in its 20th year, Fallon’s Summit ElderCare program is the seventh largest in the nation. With six locations in Charlton, Leominster, Worcester and Springfield, Summit ElderCare is an insurance, medical care and social support system all in one convenient package that includes home care, personal care and even prescription drugs, when approved.

In 2014 – 2015, Fallon was ranked as the number two Medicaid plan in America and the 22nd highest-ranked Medicare health plan in the country (out of 408 plans) by the National Committee for Quality Assurance.

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Carrie Wattu

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.