Concerns continue to grow about narrow-network health plans that have proved popular with consumers during the first year of state and federal insurance exchange operations under the Patient Protection and Affordable Care Act.
Last Thursday, California Gov. Jerry Brown signed legislation increasing scrutiny of provider networks in the state. The bill requires insurers to file annual reports with the California Department of Managed Health Care. The agency's assessment of that data will be posted on its website.
The National Association of Insurance Commissioners is in the process of revising its model regulations for network adequacy. A draft of its new policy is expected to be released by the end of the year. And the CMS indicated in a letter to insurers in March that it intends to apply heightened scrutiny to provider networks for plans that will be sold on the exchanges during the next open-enrollment period, which begins Nov. 15.