Provider Networks: Comparison Of Child-Focused Network Adequacy Standards Between Children’s Health Insurance Program & Private Health Plans

In February 2016, the federal Government Accountability Office (GAO) released this report regarding a comparison of child-focused network adequacy standards between Children's Health Insurance Program (CHIP) and private health plans. This report examines federal and selected state CHIP and qualified health plans (QHP) network adequacy standards, the extent to which selected issuers of CHIP plans and QHPs include children’s hospitals and otherwise help ensure access to pediatric specialists, and how CMS and selected states monitor CHIP plan and QHP compliance with adequacy standards . . .