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Community

At Harvard Pilgrim, our communities are our commitment. Over the past 50 years, we’ve become experts at listening to the people of New England, learning from them, and finding meaningful ways to support them.

Growth

Over the past 50 years, we’ve evolved from a local HMO plan to covering more than 1 million members nationwide for the highest quality care. Today, we’re a leader in federal contracting, national and international networking, and population health initiatives across New England. See the milestones we’ve reached along the way.

Innovation

At Harvard Pilgrim, we’re constantly innovating to meet the needs of today’s members and stay ahead of tomorrow’s health care challenges. See how we’ve led the way in improving patient experience through research and quality assurance, and how our Foundation has helped to build a healthier future for the communities we serve.

Recognition

For 50 years, it’s been our mission to create a better health care experience for all. See the certifications and awards that recognize the difference our hard work has made by improving the quality of care, managing costs for both consumers and businesses, and maintaining a healthy, happy environment within our own workplace.

1969

Harvard Community Health Plan (HCHP) was founded

Harvard Community Health Plan was founded by Dr. Robert H. Ebert--Dean of Harvard Medical School-- and his colleagues as New England’s first not-for- profit pre-paid health plan.

1971

State & municipal workers joined the plan

Governor Sargent signed a bill allowing state and municipal employees to join HCHP. To this day, they remain our largest member set.

1971

First HCHP pharmacy opened

After two years’ effort, HCHP received a pharmacy license and opened their Kenmore location in June.

1972

America’s most complete health database

Through an automated medical records system, HCHP created a database that was more comprehensive than that of any other health care delivery program in the country.

1972

Pioneering the role of nurse practitioners

Nurse practitioners became key members of cooperative health care teams, anticipating the timeless need for competent providers who could help patients manage chronic and complex illnesses.

1975

Senior members raised the bar

Membership is made available to senior citizens and other Medicare enrollees through Plan 65. Enrollment hits 50,000.

1977

Certified as a federally qualified HMO

HCHP is certified as a federally qualified HMO and licensed by the Commonwealth of Massachusetts.

1980

Membership reached 100K

Enrollment surpassed the 100,000 member mark.

1980

Formalizing our Foundation

The HCHP Foundation was formed as part of our lasting commitment to teaching, research and community service.

1981

No member left behind

With the loss of federal funding, all services for Mission Hill members were transfered to the Kenmore Center. HCHP ran its own shuttle buses and increased Spanish translation services at the center.

1981

Founding of Pilgrim Health Care

Pilgrim Health Care and the Pilgrim Foundation were founded in Middleboro, MA, by Dr. Samuel Stewart and 220 physicians as an Independent Practice Association.

1983

Early focus on cost and quality

The Institute for Health Research was co-sponsored by HCHP and Harvard University to develop techniques to evaluate the quality and cost-effectiveness of health care.

1984

Taking our coverage to heart

HCHP was the first to cover heart transplants when a 47-year-old member received a new heart at Brigham & Women’s Hospital.

1986

Setting clinical quality standards

The Quality of Care Measurement department developed medical practice standards and clinical guidelines. HCHP soon became a recognized leader in clinical quality improvement.

1989

Living our fundamental purpose

Independently, HCHP staff created the Alliance for the Homeless to provide free health care at Boston area shelters.

1992

Pairing coverage with research and teaching

The Department of Ambulatory Care and Prevention was formed as a teaching and research program and the first medical school department in the U.S. to be jointly sponsored by and housed within a health plan.

1993

Recognized for driving better care

HCHP became one of the first health plans in the country to be fully accredited by the National Committee for Quality Assurance (NCQA).

1993

Leading the way in the fight against AIDS

The HCHP Foundation awarded grants to affiliated clinicians for 25 projects, including a major grant from NIH for AIDS research.

1995

Merging of HCHP and Pilgrim Health Care

HCHP and Pilgrim Health Care, the two largest not-for-profit HMO competitors in the region, merged to form Harvard Pilgrim Health Care (Harvard Pilgrim), with 986,000 members.

1996

More than 1M members

Membership exceeded 1 million.

1998

Harvard Vanguard became independent

Harvard Pilgrim’s principal delivery system became an independent entity named Harvard Vanguard Medical Associates, which now cares for members from many health plans.

2000

Personalizing online support

Launched a member portal on HarvardPilgrim.org, which continues to offer personalized health care support.

2000

Temporary Receivership

The Commonwealth of Massachusetts orders Temporary Receivership for Harvard Pilgrim due to financial losses of $227 million in 1999.

2002

BBJ Best Places to Work Award

Recognized as one of the Best Places to Work in Massachusetts by the Boston Business Journal.

2002

Recognizing excellence in care

Introduced the annual Physician Group Honor Roll, recognizing providers who achieve outstanding results in disease prevention and the treatment of acute and chronic illness.

2003

First integrated HRA in MA

Introduced the first integrated HRA in Massachusetts.

2003

First integrated FSA + debit card in MA

Introduced the first integrated Health FSA with a debit card in Massachusetts.

2003

First to offer online renewals

First to market with an online renewal tool that simplifies insurance brokers’ renewal process.

2005

Acquired Health Plans, Inc.

Acquired Health Plans, Inc., a regional third-party administrator based in Westborough, Massachusetts.

2007

Health care leaders take to the Web

LetsTalkHealthCare.org launched as an interactive site, a blog, and a resource center with educational information on industry news and controlling health care costs.

2007

Recognized for care management outcomes

First health plan in the nation certified in Critical Outcomes Report Analysis for disease management and wellness.

2008

Acknowledged for cost management

One of eight plans in the country recognized with special certification for validity in savings measurement by the Disease Management Purchasing Consortium International, Inc.

2008

Bringing insurance to all of Maine

Official carrier for Maine’s Dirigo program, providing individual and small group coverage on a semi-subsidized basis.

2009

Top-ranked in New England

J.D. Power and Associates recognized Harvard Pilgrim as the top-ranked health plan in New England for customer satisfaction.

2009

Quality Grants Program turns 10

The tenth year of the Quality Grants Program, with more than $12 million distributed to fund more than 155 projects since its inception.

2010

Boston Globe Top 10 Places to Work

Recognized as one of the Top Ten Places to Work in Massachusetts by the Boston Globe.

2011

First in NH to offer smart choice rewards

One of the first insurers in New Hampshire to offer the SaveOn program, which rewards members for choosing lower-cost providers for outpatient medical procedures and diagnostic tests.

2011

First consumer-driven plan in ME

First insurer in Maine to market higher deductible HMO plans.

2013

10 years as the #1 private plan

First to see a tenth consecutive year as the #1 private health plan in America, according to an annual ranking of the nation’s best health plans by NCQA.

2013

Launched StrideSM, a Medicare Advantage Plan

Launched StrideSM (HMO) Medicare Advantage Plan in Massachusetts, New Hampshire and Maine.

2013

Offering a national solution

Partnered with UnitedHealth Group to offer Access AmericaSM, a multi-site, multi-state coverage solution featuring a consistent, seamless member experience.

2013

Innovative health system partnership

ElevateHealth launched in New Hampshire as a high-performance network offering created through a risk-sharing partnership with Harvard Pilgrim, Dartmouth-Hitchcock and Elliot Health System.

2014

Acquired MedWatch

Acquired MedWatch, which offers care management services to third-party administrators and self-insured employers nationwide.

2014

Putting down roots in CT

Began offering coverage in the Connecticut market and opened an office in downtown Hartford.

2014

A leader in preventing opioid overdoses

Became an industry leader in eliminating copays for life-saving drug Naloxone for opioid overdose.

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2015

Tackling specialty drug costs

First regional health plan in New England to negotiate a value-based contract with the maker of the Hepatitus C treatment, Harvoni.

2015

An innovative model of care for NH

Partnered with Dartmouth-Hitchcock, Elliot Health System and Frisbie Memorial Hospital, to form Benevera Health, a population health company focused on improving care coordination and patient outcomes, and reducing health care costs.

2015

Making fresh food available to all

The Harvard Pilgrim Health Care Foundation launched the Healthy Food Fund, a multi-year initiative supporting programs that help get fresh, healthy food to low- and moderate-income families.

2015

Supporting all paths to better well-being

Added acupuncture benefits in most fully insured plans.

2015

Creating a world of health

Partnered with International Medical Group to provide temporary medical coverage to international travelers visiting friends and family in the U.S.

2016

Added telemedicine to our plans

Introduced telemedicine to help improve member experience through a convenient method of care delivery outside of more costly locations such as the ER.

2016

Continuously improving care for our members

Created the Center for Innovation, which focuses on identifying, evaluating and implementing new and emerging solutions that improve the quality of health care.

2017

3rd year as Best Health Insurance Provider

Recognized for the 3rd consecutive year as New Hampshire’s “Best Health Insurance Provider” by the New Hampshire Business Review (NHBR).

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2018

Offering more than medical insurance

Launched partnership with Guardian Life Insurance to offer ancillary lines of insurance.

2018

First to contract with new gene therapy

Harvard Pilgrim Health Care is the first health plan in the nation to directly negotiate an outcomes-based contract with Spark Therapeutics for its new gene therapy that can treat an inherited form of blindness.

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2018

Best Medicare Advantage plan in NH

2018 Medicare Advantage plans were named the best in New Hampshire by U.S. News and World Report using plan-ratings data from the Centers for Medicare & Medicaid Services (CMS).

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2019

Recognized for equality in the workplace

Named a Best Place to Work by the Human Rights Campaign, receiving a 100% rating on the HRC’s 2017 Corporate Equality Index for the 7th year in a row.

2019

17th year in BBJ’s Best Places to Work

17th consecutive year of being recognized as one of the Best Places to Work in Massachusetts by the Boston Business Journal.

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