Source: Center for Consumer Information and Insurance Oversight. 2017 letter to issuers in the federally facilitated Marketplaces. Washington (DC): Centers for Medicare and Medicaid Services; 2016 Feb ...

According to the Urban Institute more than 11 million people were enrolled in Affordable Care Act (ACA) marketplace health plans in 2015. While enrollment numbers tell us how many people are covered, ...

As health plans become more competitive, a new regulatory approach is needed to ensure the adequacy of provider networks without stifling marketplace innovation, according to an analysis published ...

As narrow-network health insurance plans continue to proliferate, state regulators are stepping in to ensure that these benefit designs don’t harm patients' access to healthcare. As these regulators ...

Network adequacy laws are designed to prevent patients from receiving out-of-network anesthesia care at in-network facilities — and receiving surprise bills as a result, according to Anesthesia ...

1. Although most respondents to the report predict that telemedicine providers have the potential to support an adequate local network, particularly for specialty services, uncertainty about how ...

Medicaid managed care network adequacy standards exhibit significant heterogeneity across regions and specialties, potentially creating large variations in health care access and quality. Objectives: ...

As insurers use narrow networks to control costs, federal regulators are poised to take on more oversight to ensure network adequacy if states fail to take the reins, according to a Health Affairs ...

The number of health insurance plans with limited networks continues to grow, both in the ACA exchange markets and off, raising issues about how best to regulate them and ensure network sufficiency, a ...

You are responsible for reading, understanding, and agreeing to the National Law Review's (NLR’s) and the National Law Forum LLC's Terms of Use and Privacy Policy ...