New resource: Client engagement playbook for brokers
In this issue:
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.
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:
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.
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.
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.
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.
As in the past, you and your clients will soon receive an email from our Customer Experience Team with a link to the survey. Please be on the lookout for it. This survey will collect feedback on various aspects of your experience with Mass General Brigham Health Plan. Your feedback is greatly appreciated. Thank you in advance for your support!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.
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