Tufts Health Plan

Tufts Health Plan[1]
Industry Medical industry
Founded 1979
Headquarters 705 Mt Auburn St
Watertown, Massachusetts
Area served
 Massachusetts, New Hampshire, Rhode Island
Key people
 Thomas A. Croswell (CEO)
Products Health insurance
Number of employees
 2,400
Website tuftshealthplan.com

Tufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown.[1]

As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. The health plan offers products for employers as well as individuals enrolled in Medicare, Medicaid and the Health Insurance Exchange.

History

In 2008, former Tufts Health Plan CEO James Roosevelt Jr. created the Tufts Health Plan Foundation so the health plan’s assets could be used to help address long-standing health care issues in the local community. The foundation funds approximately $4 million annually in investments and grants to local non-profits.[2]

Tufts Health Plan met financial expectations for 2015, when membership grew by about 20,000 members, for a total of more than 1,035,000, according to CFO Umesh Kurpad.[3] The health insurer became one of the four organizations in the country to achieve a 5-star rating by the National Committee for Quality Assurance.[4]

In 2015, Tufts Health Plan entered into several partnerships and acquisitions, including:

  • The acquisition of Integra Partners, a medical equipment and prosthetics management company backed by Peterson Partners[5]
  • A collaboration with Iora Health, based in Boston, to open two primary care practices exclusive to Tufts Health Plan Medicare members[6]
  • The launch of Lifespan Premier Choice, a tiered provider network targeted at employers to control healthcare costs,[7] in collaboration with Lifespan, the largest provider in Rhode Island
  • The creation of a joint venture with Granite Health, a network of five health systems, which created Tufts Health Freedom Plan of New Hampshire[8]

Awards and Accolades

  • HMO/POS plan is rated 5 out of 5 by the National Committee for Quality Assurance (NCQA)[2]
  • The Medicare Plan earned a 5-Star Rating from Centers for Medicare and Medicaid Services in 2016
  • Earned the Wellness and Health Promotion Accreditation from the NCQA
  • Boston Globe Top Places to Work, 2011–present[9]
  • Boston Business Journal's Healthiest Employers finalist, 2011–present[10]
  • American Heart Association GOLD Fit-Friendly Worksite, 2009–present
  • American Diabetes Association Health Champion
  • Earned ENERGY STAR status from the U.S. Environmental Protection Agency for superior energy performance
  • ISO 27001 certified by the International Organization for Standardization for its Information Security Management
  • MassCommute Excellence in Commuter Options (ECO) Award - Pinnacle employer

References

  1. 1 2 "Company Profile: Standardizing Quality Health Care | Tufts Health Plan". tuftshealthplan.com. Retrieved 2016-07-19.
  2. 1 2 "Tufts Health Plan Fact Sheet". March 2016. Retrieved June 6, 2016.
  3. ↑ "Four Massachusetts health insurers post operating losses - The Boston Globe". Retrieved 2016-07-19.
  4. ↑ "NCQA > HPR 2014-2015". healthplanrankings.ncqa.org. Retrieved 2016-07-19.
  5. ↑ "Peterson Partners » Tufts Health Plan Acquires Peterson Partners-Backed Integra Partners". www.petersonpartners.com. Retrieved 2016-07-19.
  6. ↑ "Tufts Health Plan and Iora Health team up on new model of primary care - The Boston Globe". Retrieved 2016-07-19.
  7. ↑ "Lifespan, Tufts bringing tiered health network to New England". Retrieved 2016-07-19.
  8. ↑ Health, Brian Wells, President, Tufts Health Freedom Plan, Rachel Rowe is the President and CEO, Granite. "Tufts Health Freedom Plan, Granite Health leaders: Why we teamed up for Tufts Health Freedom Plan in New Hampshire". www.beckershospitalreview.com. Retrieved 2016-07-19.
  9. ↑ "Boston Globe Top Workplaces 2015 - Tufts Health Plan". Retrieved 2016-07-19.
  10. ↑ "Boston Business Journal names Healthiest Employers for 2016 - Boston Business Journal". Retrieved 2016-07-19.
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