Regulators Developing Stricter Standards for Provider Networks


Kaiser Health News reported regulators are developing stricter standards to address the concerns of consumers who say that many health plans under the Affordable Care Act have unduly limited their choices of doctors and hospitals, leaving them with unexpected medical bills. Officials indicated the new standards would be similar to those used by the government to determine whether Medicare Advantage plans have enough doctors and hospitals in their networks.  The Kaiser Family Foundation is a non-profit private operating foundation, based in Menlo Park, California, dedicated to producing and communicating the best possible information, research and analysis on health.  Click here to learn more.

RISKMANAGERS.US  SOLUTION: Discontinue using PPO networks and pay all medical care givers on a fair and transparent basis using Medicare pricing as the benchmark.