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Consumers Sue Centene Over Network Adequacy, Transparency
Katie Keith, in Health Affairs Forefront Link to more items from this source
Jan. 16, 2018

"The lawsuit alleges that Centene misrepresents the breadth of its provider networks and, when consumers enroll in the Ambetter plans, they're unable to find a doctor who will take their insurance or have to travel long distances to find a doctor who will see them. The plaintiffs argue that these practices violate the ACA and state law, are a breach of Centene's insurance contract with its consumers, and lead to higher out-of-pocket costs for enrollees through unpaid claims, denied claims, and balance billing."

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