Company profile: Fallon Health
1.1 - Company Overview
Company description
- Provider of health insurance and coordinated care, offering Medicare Advantage plans; Medicare Advantage Special Needs Plans (SNP)/Senior Care Options (SCO); MassHealth Accountable Care Organization (ACO) partnership plans; the Program of All-Inclusive Care for the Elderly (PACE); and plans available through the Massachusetts Health Connector for individuals and families.
Products and services
- Medicare Advantage: Delivers Medicare benefits with additional services and coverage options to enrolled members, structured as a Medicare-based plan
- Program of All-Inclusive Care for the Elderly (PACE): Integrates medical and social services to support aging in place, delivering a comprehensive care program for older adults within an integrated-care framework
- MassHealth Accountable Care Organization (ACO) Partnership Plans: Collaborates with hospitals and providers to deliver coordinated care for MassHealth members, aligning services through partnership-based, coordinated-care plans
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Fallon Health
La Familia Insurance
HQ: United States
Website
- Description: Provider of auto, home, business and commercial insurance, commercial auto insurance, workers' compensation, and motorcycle insurance, distributing insurance and related services through retail storefronts.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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Fidea
HQ: Belgium
Website
- Description: Provider of independent insurance solutions for retail clients, the self-employed and corporates. Offers a differentiated distribution approach, selling contracts through independent insurance brokers and, under a bank-insurance collaboration, via the Crelan and Delta Lloyd Bank distribution.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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CNA
HQ: United States
Website
- Description: Provider of commercial property and casualty insurance, operating through CNA Specialty and CNA Commercial. Offerings include CNA Connect (businessowners policy) for small businesses, cyber insurance with services to identify, mitigate and respond to cyber risks, workers' compensation, commercial auto, general liability and property insurance. Also manages non-core Life & Group and Corporate & Other segments.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full CNA company profile →
SummaCare
HQ: United States
Website
- Description: Provider of medical insurance for employers, individuals and families, offering Medicare Advantage plans with added benefits and lower out-of-pocket costs (including dental, vision and hearing aids), employer group plans, individual and family plans via marketplace or direct, COBRA continuation coverage, standalone VSP vision coverage, and case management programs with registered nurse case managers for disease self-management.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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- Acquisitions: ●●
View full SummaCare company profile →
UTG
HQ: United States
Website
- Description: Provider of insurance solutions, offering risk management, claims, and life insurance services.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full UTG company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Fallon Health
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Buyer group 2: ████████ ████████
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Fallon Health
2.2 - Growth funds investing in similar companies to Fallon Health
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4 - Top valuation comps for Fallon Health
4.2 - Public trading comparable groups for Fallon Health
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