State insurance regulators will spend months talking to interest groups before they dare touch health plan provider network standards.
J.P. Wieske of Wisconsin talked about the cautious strategy of the new Network Adequacy Model Review Subgroup today at a conference call organized by the subgroup’s parent, the Health Insurance and Managed Care Committee.
The committee is part of the National Association of Insurance Commissioners.
Members of the NAIC have been talking about updating the network adequacy model act, which was approved in 1996, in response to reports that some health plans now have so few doctors and hospitals in their networks that patients have a hard time seeing in-network providers.
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Consumer groups have told the NAIC they think updating the network adequacy model is a high priority.