Narrow Networks Under the ACA: Financial Drivers and Implementation Strategies

By David Cusano and Amy Thomas

The ACA’s new essential health benefits and metal tier coverage standards, guaranteed issue, and community rating requirements help level the playing field among insurers in terms of their ability to compete on cost in the individual and small group markets.  Therefore, insurers are turning to limited network products as a way to leverage more favorable pricing from providers, drive down unit cost, and lower premiums. Former insurance company executives and current CHIR experts David Cusano and Amy Thomas discuss insurers’ approaches to the development of plan networks in the post-ACA era in a new blog post for Health Affairs. Read their full post at http://healthaffairs.org/blog/2014/02/17/narrow-networks-under-the-aca-financial-drivers-and-implementation-strategies/.

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