The skinny on narrow networks in health insurance marketplace plans
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Data brief (Leonard Davis Institute of Health Economics)
- Author(s):
- Polsky, Dan, author Weiner, Janet, author
- Contributor(s):
- Leonard Davis Institute of Health Economics, issuing body.
- Publication:
- [Philadelphia, PA] : Leonard Davis Institute of Health Economics, June 2015
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Choice Behavior Cost Control Databases, Factual Health Insurance Exchanges Patient Preference Physicians -- supply & distribution Humans United States United States.
- Genre(s):
- Technical Report
- Abstract:
- The Affordable Care Act (ACA) has prompted health plans to increase their use of "narrow networks" of providers as a cost containment strategy. These plans have proven popular on the ACA marketplace because they carry lower premiums. Yet consumers have little information to guide them on the tradeoff between lower premiums and network size when shopping among the various plans offered on the ACA marketplace. Regulators and policymakers also have little information on these networks. New federal requirements for updated, accurate provider directories create an opportunity to significantly improve consumers' ability to make more informed health plan choices. The Leonard Davis Institute of Health Economics has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces. The percent of physician networks that were classified as small or x-small came to 41% overall, 55% for HMO networks, and 25% for PPO networks.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (5 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101663473 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101663473