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Latest Headlines

Latest Headlines

Insurers must break consumers of choice habit

Narrow networks have become the favorite among insurers selling plans on health insurance exchanges. Now, insurers need to help convince consumers that they don't need more provider choices and it's better to save money instead.

State-by-state look at narrow networks

To compete on premium price in the healthcare market, payers are turning to narrow provider networks. As this trend continues, many states are assessing their next moves to determine which actions will ensure access to care, reports AMA Wire.

Hospital purchases of private practices drive up spending, prices

Hospital acquisitions of physician practices often increase both prices and spending by privately insured patients, according to a new study published in  Health Affairs.  

Enable consumer choice when offering narrow networks

It's always refreshing when I come upon a story that makes me feel like there's hope for the health insurance industry. This hope came last week when Washington Insurance Commissioner Mike...

Insurers must expand provider networks in Washington

The Washington state insurance department has adopted a new rule requiring insurers incorporate certain adequacy standards in their provider networks.

WA insurers, providers object to proposed network rule

Washington state insurers and hospitals have united in opposition to state Insurance Commissioner Mike Kreidler's proposed new rule for insurance-provider networks, according to a report by  Kaiser Health News  and the  Seattle Times.

The challenge of keeping exchange members enrolled

Insurers want to make sure their new members become reliable, long-term customers. That's more difficult since the 8 million new consumers primarily signed up for individual plans instead of employer-based policies.

Moody's: Narrow networks in exchanges could hamper hospital finances

Hospitals generally support the Affordable Care Act, noting that it provides them with a reliable revenue stream from a larger number of insured patients, who otherwise would be unable to pay their bills. But acute care facilities should lower their enthusiasm, a new report from Moody's Investors Service suggests.

Provider networks exclude some top cancer centers

Provider networks on insurance exchanges exclude some of the nation's best cancer hospitals, which concerns some state insurance regulators and patient advocates.

New health plan accreditation rules would scrutinize narrow networks

The National Committee for Quality Assurance wants to overhaul its health plan accreditation program to better align with market and stakeholders needs. With that in mind, the proposed changes focus on provider networks and transparency.