Bill > H2184

This bill establishes a shared savings incentive payments program within health insurance plans in Massachusetts. Key provisions include: 1. Requiring health care providers and insurance carriers to disclose the allowed amount and out-of-pocket costs for non-emergency medical services upon request by the patient. 2. Mandating insurance carriers to develop and implement a program that provides financial incentives to enrollees who choose to receive certain "shoppable" health care services, such as physical therapy, radiology, and outpatient procedures, from lower-cost in-network providers. 3. Requiring carriers to apply the shared savings incentive payments towards the enrollee's cost-sharing obligations, and stipulating that these payments are not considered administrative expenses for rate-setting purposes. 4. Directing carriers to annually report to the Division of Insurance on the utilization and savings associated with the incentive program, which the Division will then aggregate and submit to the legislature. The bill aims to improve price transparency and empower consumers to make more cost-effective choices when seeking non-emergency health care services.

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https://malegislature.gov/Bills/190/H2184