OPM Pushes Prevention-First Plan to Cut Federal Health Costs for 2027

The Trump administration’s OPM is asking FEHB and PSHB carriers to emphasize prevention, wellness, and long‑term affordability in plan year 2027, expanding access to non‑drug interventions and digital therapeutics while dropping cash incentives for vaccines. FEHB will cover all recommended vaccines with a renewed focus on informing participants of risks. Carriers have under two months to align benefits and adjust premiums for 2027. Separately, OPM is seeking monthly reports from insurers with medical, pharmacy, and provider data to monitor costs and plan quality, a move privacy experts describe as vague and potentially allowing access to identifiable medical records. Overall, officials expect a modest shift toward treating underlying causes and innovative cost-saving approaches rather than symptoms.