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In preparation for the upcoming open enrollment period for Health Insurance Marketplace Qualified Health Plans (QHP), which starts November 15, 2014, the federal government is reviewing QHP plans for network adequacy. The federal Centers for Medicare and Medicaid Services (CMS) required all QHPs to submit a provider organization network list. Federal rules for the 2015 plan year require that QHPs cover 30% of essential community provider (ECP) organizations in the plan’s target area, or provide justification of adequacy.

The reviews were noted in a presentation by representatives from the National Association of Insurance Commissioners (NAIC) to the Florida Health . . .

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Weekly News Wire | September 21, 2014

Feds Reviewing Health Insurance Marketplace Plans For Network Adequacy

In preparation for the upcoming open enrollment period for Health Insurance Marketplace Qualified Health Plans (QHP), which starts November 15, 2014, the federal government is reviewing QHP plans for network adequacy. The federal Centers for Medicare and Medicaid Services (CMS) required all QHPs to submit a provider organization network list. Federal rules for the 2015 plan year require that QHPs cover 30% of essential community provider (ECP) organizations in the plan’s target area, or provide justification of adequacy.

The reviews were noted in a presentation by representatives from the National Association of Insurance Commissioners (NAIC) to the Florida Health . . .

Want To Read More? Log In Or Become A Paid Member
Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
Log In
If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

Become A Paid Member
If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.

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