“Having a serious conversation about public exchange plan provider networks is difficult, because many of the plans are still creating their networks.”
Editor’s Note: Why do exchanges, or anyone else for that matter, need to have networks of providers? Allow consumers to seek and receive medical care from the providers of their choice. Whether you go to Dr. Smith or Dr. Jones, the insurance plan would pay the same. It’s that simple.
By Ashley Collins, Phia Group
You may be aware of recent growing efforts by providers and vendors to leverage prompt pay laws as they seek to obtain additional funds from you and benefit plans across the nation. In particular, we are aware of providers in Texas working hand-in-hand with aggressive local law firms to take advantage of the state’s prompt pay laws. One Texas law firm recently boasted that it is pursuing potential damages exceeding $865,000,000 and is now promising to pay a 20% referral fee to parties that refer providers to the firm. (FOR A COPY OF ATTORNEY SOLICITATION LETTER WRITE RISKMANAGER@RISKMANAGERS.US)
