New resource: Client engagement playbook for brokers

In this issue:

• Dana-Farber network update: No impact to commercial members
• 2025 Medical Loss Ratio (MLR) rebate information
• New resource: Client engagement playbook for brokers
• Register now: Fall broker webinar
• Upcoming customer feedback survey
• Mass General Brigham Health Plan receives Health Outcomes Accreditation for commercial plans by the NCQA
• Toolkit: Share these resources with your clients

Dana-Farber network update: No impact to commercial members

Effective October 1, 2026, Mass General Brigham Health Plan's Medicare Advantage provider network will no longer include Dana-Farber Cancer Institute (Dana-Farber). This change is due to the challenging environment impacting Medicare Advantage plans nationwide and does not affect commercial products. Dana-Farber will remain part of the Mass General Brigham Health Plan commercial provider network, and no action is required for commercial members.  

2025 Medical Loss Ratio (MLR) rebate information

Mass General Brigham Health Plan will provide MLR rebates for fully insured plans offered to individuals and small employer groups for 2025.

Our rebates reflect changes to the administration of the risk adjustment program under the Affordable Care Act. These changes required us to recognize risk adjustment payments from previous years in calendar year 2024, which is part of the three-year average considered in our 2025 filing. This resulted in our MLR being below the threshold in Massachusetts and led to rebates for CY2025, to be paid in 2026.

Mass General Brigham Health Plan met the minimum threshold for large employer group plans, so no rebates are required. Rebates are not provided if the amount calculated is below the minimum dollar amount thresholds defined by the federal government: 

1.    The total amount calculated for a group policyholder is less than $20, or 
2.    The total amount calculated for an individual subscriber is less than $5.

As you know, many of our small employers purchase their insurance directly through Mass General Brigham Health Plan. Small employers and individuals can also purchase their Mass General Brigham Health Plan insurance through intermediaries such as HSA Insurance (HSA) and the Small Business Service Bureau (SBSB) or through the Massachusetts Health Connector. Here is how rebates will be provided:

• Rebate premium credits will be provided by Mass General Brigham Health Plan to small employer groups who purchase their coverage directly from Mass General Brigham Health Plan.
• Rebate checks will be provided by Mass General Brigham Health Plan to individuals and small employer groups who purchase their coverage through the Health Connector.
• Rebate checks will be provided by the Small Business Service Bureau (SBSB) to individuals and small employer groups who purchase their coverage through the SBSB.
• Premium credits will be provided by HSA Insurance (HSA) to individuals and small employers who purchase their coverage through HSA and are active clients.
• Rebate checks will be provided by HSA Insurance (HSA) to individuals and small employers who purchase their coverage through HSA but terminated their coverage.

Notices to subscribers and employers will be mailed by August 30, 2026.

Please visit MGBHP.org/mlr for more information and direct any questions to your sales or account executive.

New resource: Client engagement playbook for brokers

We're excited to share our Client Engagement Playbook, created specifically for health insurance brokers. This practical resource is designed to help you stay connected with clients throughout the year using timely, relevant, and easy-to-share content.

Inside the playbook, you'll find monthly awareness holidays, health insurance conversation starters, and ready-to-use email templates and social media posts that can help spark engagement. Whether you're planning ahead for seasonal communications or looking for simple ways to stay visible with clients, this playbook gives you ideas you can start using right away. View the playbook and start planning your next client touchpoint today.

Register now: Fall broker webinar on October 6

Join us for our 2026 fall broker webinar on Tuesday, October 6, at 1 p.m. ET to hear the latest news and product updates from Mass General Brigham Health Plan.

We’ll share timely information to help you stay informed, support your clients with confidence, and prepare for the year ahead. A formal agenda will follow. Save your seat today and register now.

Upcoming customer feedback survey

At Mass General Brigham Health Plan, we strive to provide our customers with the best healthcare coverage and experience. With that goal in mind, we are excited to once again conduct a survey with our broker and employer customers. It’s an effective way for us to better understand how we are doing and develop new initiatives that offer real value to you, your clients, and their employees.

Mass General Brigham Health Plan receives Health Outcomes Accreditation for commercial plans by the NCQA

Mass General Brigham Health Plan has received Health Outcomes Accreditation for our Commercial plans by the National Committee for Quality Assurance (NCQA).

NCQA’s Health Outcomes Accreditation recognizes organizations that lead the market in providing accessible and culturally or linguistically appropriate care and services through standardized data and measurement that help identify population needs and address differences in outcomes, experience, and access.

“Mass General Brigham Health Plan is committed to advancing health equity to address social determinants of health and reduce health disparities,” said Reagan Gargasz, Senior Director of Clinical Operations, Mass General Brigham Health Plan. “We are proud to be recognized by NCQA for using data to better understand our members’ health needs and support access to high-quality, equitable care. We are grateful to the many teams whose dedication and collaboration helped make this achievement possible.”

Mass General Brigham Health Plan is one of 51 commercial health plans in the country to achieve this accreditation by the NCQA. For more information about the Health Outcomes Accreditation, visit the NCQA website.

Tips for sharing these articles and resources

• Include in an email blast to your clients
• Post on your social media or blog

Articles and resources for your clients

• • Blog: What does your health insurance really cover? A step-by-step guide
    Suggested text to share with clients: "Between deductibles, copays, provider networks, and prescription coverage, health plans can feel confusing. It’s easy to assume something is covered only to find out later that it isn’t or miss out on benefits you didn’t even realize you had access to. The good news is that checking your coverage doesn’t have to be overwhelming. With a few simple steps, you can better understand your plan and feel more confident making healthcare decisions. Read more."
    
    
  • Blog: Digital equity for all ages: Helping older adults access technology and care
    Suggested text to share with clients: "As we consider how to better support healthy aging, it’s important to recognize the contributions of older adults and the role communities, health systems, and health plans play. Digital equity is a critical part of that effort, helping ensure people of all ages have fair access to technology and digital healthcare tools. Learn more."