$2.2B in expenses

Health care delivery: mass general brigham health plan (mgbhp) promotes the general welfare of the people in the community by facilitating the delivery of comprehensive health services on a prepaid basis to members at 2,059 primary care locations. Fully insured members include 233,978 individuals covered by medicaid, medicare advantage, small and large employer groups and low-income, high-risk individuals. During 2024, members incurred approximately 4.4 million ambulatory encounters and incurred 169,638 hospital patient days. Mgbhp offers members access to 8,385 primary cary physicians and 53,275 specialty care providers. Since 2008, mass general brigham health plan has been accredited by the national committee for quality assurance (ncqa). The ncqa accreditation survey process includes on- and off-site evaluations of over 60 standards and performance measures conducted by a team of physicians and managed care experts. Nearly every part of the mass general brigham health plan was evaluated including utilization management, care management, quality, member experience/customer service, network operations, population health, and credentialing. Mass general brigham health plan voluntarily pursued ncqa accreditation and will continue to strive for this recognition because we know our members deserve the highest quality care. In the latest health plan survey ratings (2024), we achieved a 4.0 out of 5.0-star rating for both our commercial and medicaid plans.