Harvard Pilgrim

Latest Headlines

Latest Headlines

Massachusetts insurers need to beef up price transparency efforts

The three biggest insurers in Massachusetts--Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim and Tufts Health Plan--should all improve their price transparency efforts required under state law, according to an evaluation from advocacy group Health Care for All.

Wellness program success: Help consumers, don't penalize them [Special Report]

Wellness programs that penalize participants do little to promote a health lifestyle. Now that the programs are no longer a 'nice to have,' payers and employers need to strengthen their initiatives to make sure they focus on people's health. In this special report,  FierceHealthPayer  spoke with executives at Harvard Pilgrim Health Care and Humana to discuss how their wellness programs are transforming both the industry and their members' lives.

How a payer-provider joint venture is lowering costs

ElevateHealth, a nonprofit partnership established last year by Harvard Pilgrim Health Care and two leading health systems in New Hampshire, is proving that payers and providers can collaborate and integrate care to save costs, reported New Hampshire Business Review.

Tufts, Harvard Pilgrim lead NCQA rankings

Tufts Health Plan, Harvard Pilgrim and Kaiser Foundation Health Plan of the Northwest are the highest ranked private insurers in the country, according to new ratings from the National Committee for Quality Assurance (NCQA).

Pricey compounded drugs come under scrutiny

What does a $1,600 custom-made diaper rash treatment, $8,500 scar-reduction cream and a $2,300 pain-relieving salve all have in common? Their price tag, and more often than not, healthcare insurers are left to pick up the expensive bill for compounded medicines,  reports the  New York Times.

Provider prices drive up healthcare costs

Massachusetts has had the highest per capita health spending for more than a decade, and a new comprehensive report shows provider pricing has driven this disproportionate increase in costs.

Former Harvard Pilgrim CEO describes 2 keys to success

Charlie Baker, former CEO of Harvard Pilgrim and candidate for Massachusetts governor, described the two most valuable lessons he learned when he headed the insurance company--creating a culture of accountability and establishing a culture of service.

Payers partner with pharma to lower costs, improve outcomes

Insurers and pharmaceutical companies increasingly are joining forces to lower costs and improve outcomes while also leveraging each other's knowledge to achieve greater value.

Harvard Pilgrim launches shared-risk, narrow network plan

Harvard Pilgrim is partnering with two of New Hampshire's largest hospital systems in a shared-risk collaboration that will offer a narrow network plan boasting coordinated care, the organizations announced Monday.

Harvard Pilgrim sued for not covering compounded drugs

Massachusetts's second-largest insurer Harvard Pilgrim is facing a lawsuit from three pharmacies over its decision to stop covering compounded drugs that allegedly violates state law and contractual obligations.