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Improvements may come to the provider networks of exchange-offered insurance plans

The federal and state insurance benefits marketplaces have provided Americans with another option for healthcare coverage, but one of the main issues many people have had with the plans are their narrow networks. According to The New York Times, however, these networks may soon widen.

The Times reported President Barack Obama’s administration is working with state insurance regulators to create more robust standards regarding provider networks. According to the newspaper, state will be allowed to create additional regulations and standards on insurance networks. 

According to a blog on domestic policy by Reihan Salam for the National Review, narrow networks are now commonplace and are meant to be a cost control measure for insurers. The reason narrow insurance benefits networks are problematic is if patients need to receive care from a provider outside the network, such as during an emergency situation or when they are unable to find a physician in the network, they can be hit with large costs, often without their knowledge. New York is one state that has already taken action to prevent patients from receiving surprise bills, and providers must now communicate with patients about their insurance. The new standards may help to reduce this issue, making exchange-offered plans even more attractive.

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Erin Woulfe
Erin Woulfe
Erin Woulfe likes to write about things that matter. Keeping her finger on the pulse of what’s happening in the public sector world, she blogs about the latest legislative news and employee benefit trends that affect our school, city and county clients. She’s been with NIS since 2002. “I love connecting to our clients and providing them with the tools they need in order to administrate their plan,” says Erin. “Whether that be materials to educate their employees on certain benefits, how to effectively communicate change within an organization or just providing tips and how-to’s to help them make their job easier.”

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