BOSTON (AP) — Massachusetts health insurers would be required to pay lower rates to some of the state's most expensive health care providers, while boosting rates for some of the lowest-paid providers, under legislation introduced Tuesday by a top lawmaker.

The measure proposed by Rep. Ronald Mariano, the House majority leader, takes aim at price disparities between larger hospitals — those that use their market clout to charge higher rates — and smaller, community hospitals that often are paid less for delivering the same services to patients.

Mariano, D-Quincy, said the bill would immediately address the price disparities. It would potentially impact the 20 percent of hospitals and physicians at the high end of the rate spectrum, along with the 20 percent at the lowest.

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