Tag: Narrow network

November Research Round Up: What We’re Reading

This month, CHIR’s Olivia Hoppe dug into studies on health care financing equity, insurer and consumer participation in the individual market, consumer plan decision-making, and access to specialty providers.

New Network Adequacy Rules: Less Federal Oversight, More Deference to States

In a soon to be finalized “market stabilization” rule, the Trump Administration has proposed a new approach to the oversight of health plan network adequacy. Sabrina Corlette reviews the administration’s revised stance and what it could mean for state-level enforcement, and for the consumers enrolled in marketplace plans.

The Ever-Shrinking Pilot to Inform Consumers About Health Plans’ Network Size

The agency running the federal health insurance marketplace announced on September 30 they would provide information on the size of health plans’ provider networks in just four states “at some point” during the coming open enrollment season. This is a dramatic roll back from the anticipated availability of the system in 34 states in 2017. Sabrina Corlette takes a look at the latest guidance and what it means for consumers.

New Health Affairs Policy Brief Examines the Regulation of Health Plan Provider Networks

Limited networks have become increasingly common on ACA marketplaces, comprising almost half of all offerings during the first two years of the exchanges. In a new policy brief for Health Affairs, CHIR experts Justin Giovannelli, Kevin Lucia, and Sabrina Corlette examine what the states and the federal government are doing to ensure that marketplace plan networks are adequate and transparent.

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