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Changing Provider Networks in Marketplace Health Plans: Balancing Affordability and Access to Quality Care
Health Affairs Link to more items from this source
June 11, 2014

"A number of states have enacted -- or are considering enacting -- quantitative standards for provider networks, such as a maximum time and distance a consumer must travel to see a provider. Other states maintain a network adequacy standard but it is predicated on a subjective expectation that insurers provide access to care 'without unreasonable delay.' While quantitative standards have significant drawbacks, [the authors] conclude that a clear numeric adequacy standard is preferable to a subjective 'reasonableness' standard."

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