WASHINGTON — The nation’s insurance commissioners are recommending sweeping new standards to address complaints from consumers about limited access to doctors and hospitals in health plans sold under the Affordable Care Act.
Limited networks of health care providers are a feature of many insurance policies offered in the public marketplaces, or exchanges, where people with low incomes can often obtain subsidies that reduce their monthly premiums to $100 or less. Such “narrow networks,” consumers say, often do not include the doctors they need for specialized care for themselves or their children.
The National Association of Insurance Commissioners, which represents state officials, would require that insurers have enough doctors and hospitals in their networks to provide all covered services to consumers “without unreasonable travel or delay.” States remain the primary regulators of insurance, despite a huge increase in federal insurance standards since adoption of the health law in 2010. For the full article click here
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