Investigators at the California Department of Managed Health Care tested the provider directories of two major California public exchange plan issuers — and discovered that most of the providers are accepting new exchange plan patients.
The department launched the investigation in response to consumer complaints that many of the providers in the provider networks for the Covered California exchange plans are refusing to take new Covered California patients.
The department had members of its staff call some of the physicians listed in the Web directories for a unit of WellPoint Inc. and for Blue Shield of California.
The department was critical of the insurers and said their directories seem to be violating California provider directory accuracy and update standards. Regulators in California and elsewhere are thinking about beefing up network adequacy standards.