September 29, 2015
With pressure mounting to keep coverage affordable, health insurers are placing even greater emphasis on narrow provider networks for their commercial and Medicare Advantage plans. Restricting the number of contracted providers can have a dramatic impact on premiums and place pressure on high-cost hospitals to bring down their prices. But narrow networks have come under intense scrutiny from state and federal regulators, and have been the focus of state laws and legal challenges. And health plans confront messy PR incidents when providers excluded from networks go public or limited networks create consumer backlash. Learn the details of problems narrow networks can create and steps you can take to avoid them.
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