Growing private insurance exchange enrollment shows that employers want to offer a variety of individual plans to a diverse set of would-be enrollees, according to Ron Goldstein, CEO of California-based private exchange Choice Administrators.
As more insurers offer plans with narrow networks, consumers are increasingly willing to give up a broader selection of providers to save money on their healthcare costs--they account for almost 50 percent of all plans offered on health insurance exchanges.
In this special report, FierceHealthPayer examines why each topic made headlines in 2014 and will continue to matter to payers in 2015 and beyond.
Academic medical centers increasingly find themselves on the outside of many insurers' provider networks, the St. Louis Post-Dispatch repor ted.
Narrow insurance networks have come under fire for offering a limited list of participating physicians and facilities--but one former White House official says they can, in fact, work.
I have a friend, let's call her Amy, who casually told me last week how she struggled to find a pediatrician for her children since moving to our town. She said all the doctors she had called either weren't accepting new patients or "don't take Affordable Care Act plans."
Medicare Advantage insurers "substantially overestimate" how many in-network dermatologists can treat patients in several different markets. Many of the doctors weren't actually available--including some that are dead, retired or not accepting new patients, according to a new study published in the Journal of the American Medical Association Dermatology.
As Pennsylvania officials have attempted to force Highmark into expanding its Medicare Advantage network, Highmark pushed back by claiming that the state lacks authority over the federal program.
A think tank within the Department of Health and Human Services analyzed whether the agency should set new rules requiring stricter standards for provider networks on the health insurance exchanges, reported LifeHealthPro.
California insurers are raising rates by an average of 4.2 percent, but state insurance officials aren't challenging the increased premiums. However, they are scrutinizing insurers' narrow networks, reported the Los Angeles Times.