John A. Fallon, M.D., M.B.A., F.A.C.P.
Senior Vice President,
Chief Physician Executive,
Blue Cross Blue Shield of Massachusetts

John is responsible for ensuring the highest standards of medical care for our members. He is also accountable for helping expand health care strategies involving quality, effectiveness, efficiency and their relationships to new payment methodologies. He oversees the company’s medical policies, acts as the main liaison with the plan’s provider network, reviews upcoming legislation for medical impact, manages the company’s medical directors, acts as primary spokesperson for medical inquires and main medical contact with the Blue Cross Blue Shield Association and its 39 plans.

John practiced Internal Medicine for over 20 years. Additionally, he was previously CEO for the entire clinical enterprise at the State University of New York’s Downstate Medical Center. His professional experience also includes the Partners Healthcare System, where he was Chairman of the physician network. He was also the founder and CEO of North Shore Health System, a large physician-hospital organization in Massachusetts.

He serves on many boards; locally, among them are the Neighborhood Health Plan and the New England Healthcare Institute, nationally the NCQA Medical Standards, and Temple University School of Medicine Board of Advisors.

John is Board Certified in Internal Medicine and is a Fellow of the American College of Physicians. He received his M.D. from Tufts University School of Medicine in Boston, his Master’s degree in Business Administration from the University of South Florida, a Bachelor’s degree from the College of the Holy Cross.