Please be advised that we are undergoing site maintenance in some areas of the website. During this time, you may have trouble accessing data on our secure portals. We will be up and running as soon as the maintenance is complete, and we apologize for any inconvenience it may cause.
Harvard Pilgrim Purchases One of the Nation's Premier RIsk and Care Management Firms
Wellesley, MA - February 3, 2014 - Harvard Pilgrim Health Care announced that it has acquired Florida-based MedWatch, a company offering care management services to third party administrators and self-insured employers nationwide.
MedWatch is an accredited medical management firm covering over 94,000 members nationwide. Founded in 1988 by Lynn Jennings and Judy Garber, MedWatch works closely with its clients to deliver innovative and cuttingedge solutions for managing health care expenditures. MedWatch’s cost containment services range from wellness and early detection programs to case management of complex and chronic conditions.
The company’s case, disease and utilization management programs are all accredited by the Utilization Review Accreditation Commission (URAC). Additionally, MedWatch has developed comprehensive care management software over the past 25 years that allows clinicians to access consolidated patient records aggregated from all lab, pharmaceutical and claims data to activity, clinical and outcomes data.
Eric H. Schultz, president and CEO of Harvard Pilgrim Health Care said, “Our acquisition of MedWatch is an important next step in our commitment to helping employers in a larger geographic area offer high-quality, lowercost health care. MedWatch’s capability in risk and care management allows us to offer these services nationwide to employers with self-funded insurance plans.”
Sally-Ann Polson, President of MedWatch said, “We are thrilled to have the prestigious Harvard Pilgrim organization as our new owner. Harvard Pilgrim’s continual commitment to service and quality health care has driven them to be #1* in the services they provide. We look forward to working with them to resolve the health care issues that face the employers and patients we all serve.”
About Harvard Pilgrim Health Care
Harvard Pilgrim Health Care is a not-for-profit health services company serving more than one million members in New England. Founded in 1969, the health plan has built its reputation on pragmatic innovation with a goal of lowering costs, improving care and enhancing the overall member experience.
Harvard Pilgrim is known for its excellent clinical programs, customer service, health improvement strategies and innovative tools that offer consumers greater transparency and empower them to make better decisions about their health care.
Harvard Pilgrim consistently ranks among America’s highest-rated private health plans according to an annual ranking of the nation’s best health plans by the National Committee for Quality Assurance (NCQA)*.
About Health Plans, Inc.
Founded in 1981, Health Plans, Inc. (HPI) provides comprehensive third-party plan administration to employers, municipalities and Taft-Harley plans. In 2005, HPI was acquired by Harvard Pilgrim Health Care and now is the largest TPA in New England. HPI has become a leading TPA by offering customized, self-funded plans, combined with superior customer service, investment in the latest technology and reinsurance security. For more information, visit healthplansinc.com or call 800-532-7575.
* NCQA’s Private Health Insurance Plan Rankings, 2011-15, HMO/POS/PPO. NCQA’s Health Insurance Plan Rankings 2010-11 – Private. U.S.News/NCQA America’s Best Health Insurance Plans 2005-2009 (annual). America’s Best Health Insurance Plans is a trademark of U.S.News & World Report. NCQA The State of Health Care Quality 2004.
© 2023 Health Plans, Inc.
Health Plans, Inc. is a Harvard Pilgrim company