Massachusetts Association of Health Plans

Each year, the @mass_HPC sets the cost growth benchmark through a public process tied to projected economic growth. The benchmark is set in advance, creating a clear target for the upcoming year and a shared framework for evaluating health care spending trends 📅. Learn more: #MeasuringPerformanceAgainsttheHealthCareCostGrowthBenchmark" target="_blank" rel="nofollow noopener">masshpc.gov/cost-containme…

Get the mental health support you need: @MGBHealthPlan certified peer recovery coaches and care management teams provide personalized support to promote the overall health and well-being of members. fal.cn/3xxZ8

Transparency is important. But transparency alone doesn’t lower premiums. The benchmark gave Massachusetts a framework for accountability. The next step is ensuring it has teeth.

Massachusetts led the nation in 2012 by establishing a health care Cost Growth Benchmark tied to our economy. That leadership mattered. As we approach the April 1 hearing, it’s worth asking: are we recommitting to affordability or just measuring its erosion?

💊#DYK? Several states, including Maryland, Colorado & Oregon have created Prescription Drug Affordability Boards (PDABs) to tackle high drug costs. It’s time for Massachusetts to do the same by establishing a PDAB within @Mass_HPC with the power to set upper payment limits on unaffordable drugs.

Through Wellpoint’s Sydney Health app, members can access personalized care resources, view benefits, and connect with a doctor virtually: wellpoint.com/mass/blog/sydn…

💊 In 2024, prescription drugs were the largest driver of health care spending growth in Massachusetts, increasing $1.5 billion and accounting for nearly a quarter of total spending growth after rebates According to @Mass_CHIA. Addressing drug prices is essential to making health care more affordable for employers and families. Read more here: chiamass.gov/assets/2026-an…

Mental wellness starts with awareness and everyday support. @CignaHealthcare shares accessible mental health resources to help individuals navigate life's challenges and find care when they need it. Explore the hub: insights.cignahealthcare.com/employers/hub/…

#DYK? Massachusetts provides consumers with robust opportunities to appeal health coverage decisions. Members can address denials through internal appeals with their health plan and, if needed, request an independent external review through the Office of Patient Protection.

When the cost of care rises faster than employers and families can absorb in premiums, the sustainability of coverage itself is at risk. Massachusetts must act now on reforms that address the primary drivers of health care spending, including stronger benchmark enforcement, site-neutral payments & policies that bring accountability to hospital & drug pricing.

@HarvardPilgrimHealthCare offers a virtual approach to mental health support. Meru Health’s 12-week digital program addresses the growing demand for flexible, effective mental health care — especially for teens and young adults. harvardpilgrim.org/public/meru-he…

SCO and One Care have been leaders in coordinating medical, behavioral health, and long-term services and supports. Preserving these managed care models is essential to protecting access, improving outcomes, and ensuring continuity of care for high-need populations.

According to @Mass_CHIA, small and mid-size employers faced the greatest cost pressures in 2024, with higher premiums and cost-sharing than larger employers. State mandated benefits contribute significantly, adding about $2.5B annually, over 17% of premiums, that disproportionately impact fully insured small businesses. 👥📊 Learn more here: chiamass.gov/assets/2026-an…

.@MGBHealthPlan knows that mental health is a key part of our overall well-being. Learn more about the comprehensive mental health resources offered to members: fal.cn/3xxZ8

💰New data from @Mass_CHIA found that in 2024, fully insured employer-sponsored premiums reached $683 PMPM, with mid-size employers seeing the largest increases & small businesses facing the highest cost sharing. The affordability pressures employers are feeling are real and must be addressed. Learn more here: chiamass.gov/assets/2026-an…

.@Wellpoint offers members numerous virtual care options for #behavioralhealth treatment such as @talkspace, LiveHealth Online, and more: wellpoint.com/mass/health-pl…

📈💊Rx drugs & hospital outpatient care continue to be the two major drivers of health care spending growth in Massachusetts, with pharmacy spending increasing 9.8% & hospital outpatient spending rising 7.5% according to @Mass_CHIA. Health insurance premiums directly reflect the cost of care, so when costs rise quickly, premiums follow. Read more here: chiamass.gov/assets/2026-an…

#DYK? @HNEinc offers its members additional benefits for non-opioid pain management that include PT, chiropractic care and reimbursements for qualifying fitness club memberships, weight watchers, personal trainer fees, aerobic/wellness activities/classes, and school or town sports registration fees.

🏛️📄 Patient advocacy organizations play a vital role in Massachusetts policymaking. Our latest policy brief calls for stronger disclosure requirements for pharmaceutical manufacturer donations to PAOs — so policymakers and the public have clear context when evaluating drug pricing and coverage debates. Transparency builds trust. Learn more here:mahp.com/wp-content/upl…

#DYK? Rx price increases are often not supported by clinical evidence. A @icer_review analysis found that 8 out of 10 Rx drugs had price increases unsupported by clinical evidence, accounting for $1.27 billion in increased Rx spending. Learn more: rb.gy/sd41b6