Mass General Brigham Health Plan recognized for active digital strategies

In this issue:

• Q3 rates are live in the Broker Portal
• Share these resources in May for Mental Health Awareness Month
• Health plan leaders weigh in on healthcare’s needed conversations
• New payor assessment will replace six separate surcharges and assessments
  
• Toolkit: Share these resources with your clients

Q3 rates are live in the Broker Portal

We're pleased to announce that our 3rd quarter rates are live in the Broker Portal.

Resources related to rates in the portal:

• Download, print, or save these key dates for Q3 2025 new business.
• View our newly formatted 2025 product portfolio grids online.
• Review the merged market plan guidelines.
• Reminder - our EPO product is available in the merged market.

If you need a login for our portal, email us at HealthPlanBrokers@mgb.org or call 866-643-8392.

Have questions or need a small or large group quote? Contact your Mass General Brigham Health Plan Sales Executive or Account Executive or call the sales line at 800-433-5556.

Share these resources in May for Mental Health Awareness Month 

Mental health is a key part of overall well-being—and we're here to help. Check out some of the helpful resources available to members.

Lyra Health - A virtual‐first behavioral health platform chosen in collaboration with Mass General Brigham experts to improve access to care and outcomes. It offers a range of virtual and in-person options, including self‐service tools, mental health coaching, therapy, and medication management. Members can quickly schedule appointments, often within one to three days. Included with fully insured plans and available to self‐funded groups at an additional cost. Learn more.

Optum - Search for providers who offer treatments including outpatient services, day programs, residential programs, autism care and support, substance and recovery services, and more. Access Optum's telehealth capable providers through the virtual visit platform on Live and Work Well. Browse the articles on Live and Work Well as a guest using the access code: MGBHPMA. Available to all Mass General Brigham Health Plan members. Learn more.

Recovery coaching - Recovery isn’t something to face alone. Our recovery coaches understand the hurt caused by stigma and shame and can thoughtfully act as guides, mentors, and advocates. Available to all Mass General Brigham Health Plan members. Members can self-refer to our care management program or get in touch with a certified recovery coach by emailing HealthPlanCareManagement@mgb.org. 

Health plan leaders weigh in on healthcare’s needed conversations

New payor assessment will replace six separate surcharges and assessments

The Massachusetts Executive Office of Health and Human Services (EOHHS) has created a new payor assessment that will replace six separate surcharges and assessments, prospectively:

• Behavioral Health Trust Fund
• Center for Health Information Analysis (CHIA)
• Health Policy Commission (HPC)
• Health Safety Net (HSN)
• Massachusetts Child Psychiatry Access Program (MCPAP)
• Pediatric Immunization Program (PIPA)

Please note that final, partial payments are due for some of these six surcharges and assessments as the Commonwealth is in transition. For example, a PIPA payment was due March 20. 

The new payor assessment will be calculated at the rate of 1.18% of claims paid for commercial, non-Medicaid healthcare services rendered in Massachusetts. The health plan will pay the assessment monthly on behalf of self-insured groups and will complete the required reporting. The health plan will bill the self-insured groups for the assessments. The first payer assessment is expected to be paid by the end of March 2025 for claims paid in January 2025.

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

• • Video: Behavioral Health offerings at Mass General Brigham Health Plan
    Suggested text to share with clients: "Mental health is a crucial component of well-being—and Mass General Brigham Health Plan is here to help. Watch now to learn more about resources that help support members and their behavioral health needs, including mental health and substance use. Watch now."
    
    
  • Blog: Eating for energy: 7 ways to boost your daily nutrition
    Suggested text to share with clients: "In today’s fast-paced world, feeling tired and sluggish is all too common. Whether you're juggling work, school, family, or personal tasks, your energy can feel like it’s empty. But the secret to keeping energy might be simpler than you think: it's all about the food you eat. Read more."