Health insurers are relying on a narrower list of health provider networks because, under health reform, they compete on price and can’t vary copayments or deductibles. As a result, insurers eliminate medical providers who can’t meet their cost expectations, Center Director Gerald Kominski said in a California Healthline story. But the backlash against narrow networks is growing.
Patient says narrow networks make it harder to book doctor appointments, require long-distance travel to find in-network care and cause other health access problems, the story reports.
In California, consumer groups are filing lawsuits over and lawmakers are submitting bills to increase oversight of the insurers’ networks. Those actions are prompting changes in how insurers respond to the individual market, the story reports. Kominski said. “If this is the direction at least a piece of the market is going, the bigger group market may follow suit.”
Read the story.