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network adequacy

The Department of Labor has issued a final rule expanding the definition of "employer" for purposes of establishing association health plans.

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network adequacy

In a March 6 comment letter, America's Essential Hospitals urged federal officials to ensure association health plans have proper oversight and cover all necessary services for beneficiaries.

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network adequacy

The policy team at America's Essential Hospitals discussed the regulatory outlook for the next year, including key policy issues on the horizon.

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network adequacy

The proposed rule aims to provide flexibility by targeting network adequacy reviews & inclusion of essential community providers in qualified health plans.

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network adequacy

CMS finalized a proposal to continue the current methodology, which qualified health plans use to satisfy the minimum essential community provider standard.

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network adequacy

Hospitals eligible for the essential community providers list are participants in the 340B and DSH programs, critical access hospitals, and others.

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network adequacy

Comments on the proposed Notice of Benefit and Payment Parameters for 2018 are due by Oct. 6.

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network adequacy

HHS finalizes 2017 Notice of Payment and Benefit Parameters rule and letter to issuers offering qualified health plans on the federally facilitated marketplace.

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network adequacy

Comments urge CCIIO to require that ACA marketplace plans include willing essential community provider (ECP) hospitals and ensure payment rates support access to care.

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network adequacy

Proposals would make required and recommended changes to how qualified health plans operate in Affordable Care Act marketplaces.

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network adequacy

Model law would update requirements for insurance carriers in the health insurance marketplaces, particularly regarding provider directories, mental health services, telehealth, and nondiscrimination.

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network adequacy

Recent narrowing of provider networks in Medicare Advantage (MA) organizations, which privately offer one or more health benefit plans to Medicare beneficiaries, has caused concerns over whether MA enrollees can adequately access care.

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