Fallon Health
Who they are
Fallon Health is a health insurance payer operating in Massachusetts. For an ASC, what matters isn't the logo — it's how Fallon Health pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
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What DataLily Insights shows
Whether you're an ASC benchmarking a contract or a provider team looking Fallon Health up, DataLily Insights maps how it reimburses across procedures and markets — and where your own rates sit against the peer benchmark. Ask Rose and the answer comes back charted, in plain language, ending in a recommendation.
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A 15-minute walkthrough of Fallon Health the way it pays.
What Insights reveals
What DataLily Insights reveals about Fallon Health
Every benchmark runs across more than 100 billion data points spanning over 10 million providers, so you see Fallon Health the way the market actually pays.
How Fallon Health pays
See how Fallon Health reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases — not a raw rate sheet, a read on where it sits.
Geographic footprint
See where Fallon Health concentrates — its presence spans Massachusetts — and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Fallon Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Fallon Health's volume, so you know where a rate change moves the needle.
Footprint
Where Fallon Health
The states where this plan operates. Benchmark its rates in any market it touches.
- Massachusetts
Ask Rose
Questions to ask Rose about Fallon Health
Rose answers in plain language, charts the result, and ends with a recommendation. Bring one of these to a demo.
Answered
Common questions about Fallon Health
Straight answers on how Fallon Health pays and where DataLily Insights fits.
What kind of payer is Fallon Health?
Where does Fallon Health operate?
How does Fallon Health compare with other payers for ASC procedures?
Is Fallon Health paying my ASC below market?
Related payers
Blue Cross Blue Shield of Massachusetts
Massachusetts, New Hampshire
TRICARE East
Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia
Senior Whole Health
Idaho, Massachusetts, Nevada, New York
Blue Cross Blue Shield of Michigan
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, District of Columbia
Medicaid Massachusetts
Massachusetts
Tufts Health Plan
Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
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