America’s Essential Hospitals submitted comments Jan. 12 to the Center for Consumer Information and Insurance Oversight (CCIIO) and the National Association of Insurance Commissioners (NAIC), calling for more robust standards regarding the inclusion of essential community providers (ECPs) in health insurance marketplaces (exchanges). Responding to the draft 2016 letter to issuers in the federally facilitated marketplaces, the association urged CCIIO to require qualified health plan (QHP) issuers to offer contracts in good faith to every willing ECP hospital in each county of the QHP’s service area.
In response to NAIC’s draft Health Benefit Plan Network Access and Adequacy Model Act, the association recommended stronger network adequacy requirements in the draft model act to ensure vulnerable patients continue to have access to ECPs through QHPs and other insurance plan networks. Specifically, the association suggested inclusion of language that would require health insurance issuers to include ECPs in plan networks and avoid tiered network arrangements.
Please contact Xiaoyi Huang, JD, director of policy, at firstname.lastname@example.org or 202.585.0127 with any questions.