Regulatory Oversight of Narrow Network Plans

Jean LeMasurier

The Alliance for Health Reform held a meeting that focused on “Network Adequacy: Balancing Cost, Access and Quality” on July 21. The meeting was very well attended for mid-summer, indicating substantial interest in the trend towards smaller networks particularly in qualified health plans offered through the ACA Exchange marketplaces. Several of the panelists mentioned a recent McKinsey study that found that 92 percent of consumers using ACA plans have access to narrow network plans while 90 percent of ACA plans offer broader networks.

Read more

Leave a comment | Share | |

American Action Network Promotes Government Subsidies

William MacBain

The American Action Network (AAN), a 501(c)(4) conservative think tank, has published a report that purports to show that …

Read more

Leave a comment | Share | |

It’s silly season again, so let’s sue the President

William MacBain

The Speaker of the United States House of Representatives, one of the most senior elected officials in the …

Read more

Leave a comment | Share | |

High Performance Health Plan Networks

William MacBain

A Milliman report commissioned by AHIP finds that narrower, high value provider networks can help reduce premiums from …

Read more

Leave a comment | Share | |

Hobby Lobby and Corporate Person-hood

William MacBain

The Supreme Court ruled on Monday, in the Hobby Lobby case, that requiring family-owned corporations to pay for …

Read more

Leave a comment | Share | |

Part D and Hospice Rules Mucking Up Beneficiaries’ Last Days

John Gorman

Last week the Centers for Medicare and Medicaid Services (CMS) met with 30 hospice & healthcare organizations about …

Read more

Leave a comment | Share | |

Further Evidence That PBMs are Failing on Government Programs

John Gorman

At CMS’ oversight and enforcement conference last week Jonathan Blanar, the agency’s Deputy Director of Compliance Enforcement, presented …

Read more

Leave a comment | Share | |