Charles D. Baker is President and CEO of Harvard Pilgrim Health Care, Inc., one of New England’s leading non-profit health plans. Founded in 1969, Harvard Pilgrim and its affiliates are licensed to provide comprehensive health insurance solutions in Massachusetts, Maine and New Hampshire. Its provider network has more than 22,000 physicians and 125 hospitals in MA, ME, NH and Rhode Island. HPHC and its affiliates offer health and benefit plan solutions to over 900,000 members in New England.
Throughout its history, HPHC has consistently been ranked as one of the nation’s best plans for clinical effectiveness and member satisfaction. Most recently, it was honored by the National Committee for Quality Assurance (NCQA) as the #1 health plan in the country for clinical effectiveness and member satisfaction. It is the only health plan that has ever finished first on both of these key NCQA measures, and it is the only health plan to finish in the Top Ten nationally on these measures more than once.
HPHC is also a market leader in the development and use of secure, online tools to reduce administrative costs and improve the accuracy and speed of health care transactions. Its chief tool, HPHConnect, is serving thousands of employers, providers and members, offering 24/7 administrative support for a wide variety of transactions. HPHConnect currently supports over 1 million transactions a month for HPHC providers, employers and members.
Baker was brought in as CEO in mid-1999 to turn around the organization’s financial performance. HPHC lost $227 million in 1999, but lost just $10 million in 2000. It posted net gains in excess of $40 million in 2001, 2002 and 2003, and earned $38 MM in 2004. It has generated positive financial returns for 20 quarters in a row, and is rated Ba2 with a “stable” outlook by Moody’s Investors Service.
Before becoming Harvard Pilgrim’s CEO in May 1999, Baker was President and CEO of Harvard Vanguard Medical Associates, a non-profit, multi-specialty group practice whose more than 800 physicians and other clinicians provide care to nearly 300,000 residents of Eastern Massachusetts.
Prior to joining Harvard Vanguard, Baker spent eight years in Massachusetts state government, where he served as Secretary of Administration and Finance and Secretary of Health and Human Services during the Weld and Cellucci Administrations. In these posts, Baker planned and implemented major changes in public policy that reaped hundreds of millions in taxpayer savings while expanding health care coverage and services.
Baker currently serves on the boards of The Kenneth B. Schwartz Center, the Greater Boston Chamber of Commerce, and America’s Health Insurance Plans. He chairs the Board of the Massachusetts Association of Health Plans, is a member of the Board of Trustees of the Rose Kennedy Greenway Conservancy, and serves on the Board of Trustees of the IXIS Advisor Funds and Loomis Sayles Funds. He is also an elected member of the Board of Selectmen in Swampscott, MA.
Baker received a Master's Degree in Management, concentrating in Public Administration and Finance, from Northwestern’s Kellogg School and a BA in English from Harvard College.
Baker was raised in Needham, Massachusetts. He lives with his wife, Lauren, and three children on the North Shore.