Topic
Network Adequacy
8 published works
Health Law
CMS Delays but Finalizes Changes on Network Adequacy
The final rule implementing “Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs” is now available for review, and set for publication…
Health Law
Network Adequacy for Medicaid Managed Care: New Standards under the Final Rule
The Medicaid Managed Care Final Rule addresses managed care plan network issues while preserving significant flexibility for the states in designing the standards. The Rule adds a new regulation (42…
Health Law Update
The 2017 Exchange Regulations: Network Adequacy Challenges Remain
By Susan Feigin Harris, Summer D. Swallow
The impact of these rules will be felt widely among the provider community as it struggles to face increasing pressures resulting from the plans’ continually narrowing networks The Centers for…
Focus on Regulation
CMS Proposes Network Adequacy Standards for 2017 as State Regulators Approve Network Access and Adequacy Model Law
By Melissa Bianchi, Ken Choe, Therese Goldsmith
On November 22, 2015, the National Association of Insurance Commissioners (NAIC) approved new standards designed to ensure that consumers have adequate access to doctors, hospitals, and other healthcare providers under…
Health Care and Life Sciences
Network Adequacy: A Multimarket Recap of 2015 and Looking Ahead
By Richard H. Hughes IV, Helaine I. Fingold
2016 is poised to be a major year in network adequacy developments across public and private insurance markets. Changes are ahead in the Medicare and Medicaid managed care programs, the…
Global Insurance Blog
US: CMS proposes Network Adequacy Standards for 2017 as State Regulators approve network access and Adequacy Model Law
By Therese Goldsmith, Ken Choe
On November 22, 2015, the National Association of Insurance Commissioners (NAIC) approved new standards designed to ensure that consumers have adequate access to doctors, hospitals, and other health care providers…
Healthcare Law Blog
The National Association of Insurance Commissioners Weigh in on Issues of Network Adequacy
By Eric Klein, Rachel Landauer
Network adequacy—a health plan’s ability to provide timely access to a sufficient number in-network providers—has become a matter of increased scrutiny during these early years of ACA implementation; Many consumer…
Health Law Prof Blog
Concerns About Network Adequacy for Health Insurance Plans in Exchanges
My home state of Washington is about as far along in the process of creating a functional health insurance exchange as any state in the country. So when the Washington State Office…