Massachusetts will impose the strictest limits on health insurance cost-sharing in the country beginning in 2027, Gov. Maura Healey said May 18.
Payers will be required to limit increases in member cost-sharing, including deductibles and copays, to no more than 3.6% for plans sold in the merged market (individual and small-group fully insured plans) starting in January 2027. The cap is down from 4.8% set under previous guidance. The state estimates the change will save individuals an average of $232 per year.
Massachusetts first capped deductibles, copays and other out-of-pocket costs last year, which was described at the time as the first such action in the state’s history.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
