Insurer Considerations On ACA Narrow Exchange Networks

Law360, New York (May 12, 2015, 12:30 PM EDT) -- Health care insurers are trimming the number of contracted providers for their health care plans offered through the health care benefit exchanges. To ensure these "narrow networks" adequately meet the health care needs of the growing number of consumers purchasing health insurance plans through exchanges, state legislators and regulators are working to develop standards to determine whether the numbers of physicians and hospitals included in these narrow networks are adequate as well as to develop accurate in-network provider lists as well as out-of-network notifications. Meanwhile, the Centers for Medicare and Medicaid Services has indicated it is considering adopting more stringent network adequacy and transparency requirements for plans sold through the federally facilitated marketplace ("FFM")....

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