— Deborah Chollet, Ph.D., fellow at Mathematica Policy Research, told AIS's Health Plan Week.
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Wednesday, March 30, 2016
"I think CMS [in its 2017 Benefit and Payment Parameters rule for HealthCare.gov] ...
... is trying to
draw a distinction between network adequacy and narrow networks. And the two
are different concepts not in conflict with one another at all. Network
adequacy means that when I need a provider there is a provider available to me.
And some of the literature around network adequacy has related to how far I
have had to travel, whether there are all the specialists you would need
in-network and am I being forced out of network to get the care I need, the
personnel to serve me.... [The narrow network issue is one of choice.] It's not
whether any provider is available to me, it is do I have choice among providers
available to me."
— Deborah Chollet, Ph.D., fellow at Mathematica Policy Research, told AIS's Health Plan Week.
— Deborah Chollet, Ph.D., fellow at Mathematica Policy Research, told AIS's Health Plan Week.
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