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Are Limited Networks What We Hope and Think They Are?
Andréa Elizabeth Caballero, Roslyn Murray, and Suzanne F. Delbanco, in Health Affairs Forefront Link to more items from this source
Feb. 14, 2018

"Across health plans, CPR found no consistent formula for selecting providers by type, below a certain price point, or above a specific level of quality.... [H]ealth plans primarily consider which hospital or provider group will agree to a certain price ... whether excluding others is feasible given each provider's market power or 'must have' status, and whether exclusions create access issues.... Health plans may consider quality while developing a limited network, but it is secondary to other criteria."

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