AllWays Health Partners

What AllWays Health Partners does

Mass General Brigham Health Plan (legally Mass General Brigham Health Plan, Inc., operating under the AllWays Health Partners legacy identity) is a Massachusetts-based regional health insurance company and subsidiary of the Mass General Brigham health system. It offers a portfolio of fully-insured health plan products spanning employer groups of all sizes (1–4, 5–50, and 51+ employees), individual and family coverage, and government program lines including Medicare Advantage, One Care, and Senior Care Options (SCO). Members are served primarily within Massachusetts, with no operations outside the state indicated.

The plan's product architecture integrates medical, pharmacy, and behavioral health benefits under a unified offering, supported by a Mass General Brigham-branded Accountable Care Organization (ACO) that aligns provider and payer incentives for coordinated care delivery. Digital infrastructure consists of dedicated portals for members, employers, brokers, and providers, with EpicCareLink (Healthy Planet Link) integration providing electronic health record connectivity across the Mass General Brigham provider network. A Wellness Hub, accessible through the member portal via a health-profile survey, delivers personalized tools and guidance for healthy-habit formation. The Medicare Advantage book is operated under a dedicated sub-brand, Mass General Brigham Advantage, with separate enrollment pathways for One Care and SCO.

The business model is a subscription / recurring-revenue model based on collected insurance premiums across commercial employer groups, individual members, and government programs. Distribution is hybrid: direct-to-consumer via web portals and a Medicare Advantage-specific site, supplemented by broker channel partners facilitating employer-group sales, and direct sales motion to enterprise employers and providers. The company operates with 251–500 employees and is privately held, with no public ticker, no venture or private equity funding rounds disclosed, and full ownership within the Mass General Brigham system through two corporate entities: Mass General Brigham Health Plan, Inc. and Mass General Brigham Health Insurance Company.

Name

AllWays Health Partners

Legal name

Mass General Brigham Health Plan, Inc.

Website

https://allwayshealthpartners.org

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

251–500 employees

Short description

Mass General Brigham Health Plan is a Massachusetts-based regional health insurer offering medical, pharmacy, and behavioral health plans to employer groups, individuals and families, and Medicare/Medicaid beneficiaries, operating as a subsidiary of the Mass General Brigham health system.

Ownership category

akta.pro rank

Product category

Managed Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Fully Insured Group Health Plans (Employer-Sponsored) (FSAIAFAA)

akta.pro secondary industry

Medicare Advantage (MA) Plans (FSAIAGAA)

Keywords

• Health insurance plans
• Medicare Advantage plans
• Employer group coverage
• Managed care services
• Pharmacy benefits

Headquarters

HQ city

Somerville

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Health Insurance Premiums: As a health insurance plan, AllWays Health Partners generates revenue primarily through collected insurance premiums from employer groups, individual members, and government programs including Medicare Advantage and Medicaid managed care (One Care, SCO).

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

AllWays Health Partners (doing business as Mass General Brigham Health Plan) is a Massachusetts-based health insurance company offering a portfolio of fully insured and government health plans for employer groups (1-4, 5-50, and 51+ employees), individuals and families, Medicare Advantage beneficiaries, dual-eligible One Care members, and Senior Care Options (SCO) participants. Plans integrate with the Mass General Brigham provider network and are supported by digital member, employer, broker, and provider portals along with pharmacy benefits and care management programs.

Product overview

Mass General Brigham Health Plan operates as a unified health insurance platform offering a comprehensive portfolio of products and services. The core offering is the Mass General Brigham Health Plan, which provides coverage for individuals, families, and employers across all business sizes (1-4, 5-50, and 51+ employees). The Medicare Advantage sub-brand, Mass General Brigham Advantage, encompasses specialized plans including One Care and Senior Care Options (SCO). The product ecosystem includes integrated self-service tools (Member Portal, Wellness Hub), pharmacy benefits management, and an accountable care organization (ACO) model for coordinated care delivery. Members access services through various portals (Member, Employer, Broker, Provider) and the Healthy Planet Link for EHR connectivity.

Differentiator

Problem solved

Functional benefit

Brands

• Mass General Brigham Advantage: Medicare Advantage plan offering

Products and services

• Small Business Health Plan (1-4 employees) Group health insurance coverage designed for very small businesses with 1-4 employees, providing access to the Mass General Brigham provider network.
• Small Group Health Plan (5-50 employees) Group health insurance plans for small employer groups with 5-50 employees, providing comprehensive medical coverage and competitive benefits for growing small businesses.
• Large Group Health Plan (51+ employees) Comprehensive health insurance plans for larger employer groups with 51+ employees, offering full benefits packages for large organizations.
• Family and Individual Health Plans Health insurance coverage designed for individuals and families outside employer-sponsored coverage, providing access to the Mass General Brigham provider network.
• Mass General Brigham Advantage (Medicare Advantage) Medicare Advantage plan combining hospital, medical, and prescription drug benefits with the integrated Mass General Brigham care network for Medicare-eligible seniors in Massachusetts.
• One Care Coordinated care program combining Medicare and Medicaid benefits for individuals eligible for both government programs.
• Senior Care Options (SCO) Senior Care Options program providing coordinated care for seniors who qualify for both Medicare and MassHealth (Medicaid), delivered through the Mass General Brigham network.
• Pharmacy Benefits Prescription drug coverage included with health plans, allowing members to verify whether their prescriptions are covered through an online drug lookup tool.
• Mass General Brigham ACO Accountable Care Organization model that aligns the health plan with the Mass General Brigham provider network for coordinated, value-based care delivery.

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core and minor.

• EpicCareLink (Epic Systems)coreTechnology or IntegrationIntegration with EpicCareLink (Healthy Planet Link) provides electronic health record connectivity for providers, enabling seamless access to patient records within the Epic ecosystem. This integration supports coordinated care delivery and data sharing across the Mass General Brigham provider network.
• Clay Center for Young Healthy Minds at Mass General HospitalminorStrategic or Co-development PartnerCollaboration on an educational eBook about teenage mental health, developed and distributed as a marketing content piece. The partnership leverages the Clay Center's clinical expertise in youth mental health to produce educational resources for plan members and the broader community.

Recent moves5 records

Expansion highlights4 records

Regional players

• Health New England: Western-Massachusetts-based nonprofit health plan serving commercial, Medicare, and Medicaid populations. Comparable regional payer with overlapping Massachusetts footprint and similar nonprofit structure.
• Fallon Health: Massachusetts-based nonprofit health plan serving commercial, Medicare Advantage, and MassHealth (Medicaid) members — comparable regional nonprofit payer competing in the same state across overlapping product lines.

Broad incumbents

• Elevance Health (Anthem Blue Cross Blue Shield): Large national Blues-affiliated insurer competing in commercial and Medicare segments across many states; comparable in scale, product breadth, and Blues network positioning even where Massachusetts-specific overlap is more limited.
• Humana: Major national Medicare Advantage and dual-eligible (DSNP) carrier, with growing commercial footprint. Most directly comparable to AllWays/MGB Health Plan's Medicare Advantage and One Care/SCO lines.
• Cigna Group: National health insurer with significant commercial and Medicare Advantage presence in Massachusetts; competes for employer group and individual business against AllWays/MGB Health Plan.
• UnitedHealthcare (UnitedHealth Group): Largest U.S. health insurer offering commercial, Medicare Advantage, and dual-eligible products nationally, including Massachusetts. Sets pricing and competitive intensity across all product lines where AllWays/MGB Health Plan competes.
• Aetna (CVS Health): National commercial and Medicare carrier operating in Massachusetts, with CVS Health retail and Caremark PBM integration creating vertical scale advantages analogous to — but much larger than — AllWays' provider integration.

Emerging players

• Kaiser Permanente: Vertically integrated payer-provider model operating in select states; conceptually the closest structural analog to AllWays/MGB Health Plan's provider-aligned approach, although Kaiser does not operate in Massachusetts today.

Direct peers

• Point32Health (Tufts Health Plan / Harvard Pilgrim Health Care): Massachusetts-based nonprofit health plan formed from the Tufts Health Plan and Harvard Pilgrim Health Care merger — directly competing across commercial, Medicare, and Medicaid products with similar nonprofit, provider-affiliated DNA.
• Blue Cross Blue Shield of Massachusetts: Dominant Massachusetts commercial and Medicare health plan offering employer group, individual, and MA products in the same geography. The most direct head-to-head competitor given overlapping product lines and broker distribution.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UChkuvuY5gEoHRMhA3maf2cA
• Facebookfacebook.com/MGBHealthPlan
• LinkedInlinkedin.com/company/mgbhealthplan
• Instagraminstagram.com/mgbhealthplan
• Xx.com/allways_health

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about AllWays Health Partners