Oscar Health expands New York small group insurance offerings
The company has launched its Circle Plus product which adds three major New York providers - Northwell Health, Memorial Sloan Kettering, and Westmed Medical Group - to its network.
Feds scale back tool for narrow provider networks on HealthCare.gov
The new tool will designate marketplace health plan networks as “basic,” “standard” or “broad” based on how they compare with other health plan networks in a county.
With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
The problem with Obamacare for many people is, ‘We take the old plan, but not the new one’
Nancy Pippenger and Marcia Perez live 2,000 miles apart but have the same complaint: Doctors who treated them last year won’t take their insurance now, even though they haven’t changed insurers. “They said, ‘We take the old plan, but not the new one,’” says Perez, an attorney in Palo Alto, Calif. In Plymouth, Ind., Pippenger got […]
Narrow networks getting wide attention from regulators
With the proliferation of narrow networks being rolled out as a cost-containing effort on health plan costs, the Obama administration and state insurance commissioners are vowing to more closely scrutinize such networks amid consumer concerns of limited choice of doctors and hospitals and potentially surprising out-of-network costs. The New York Times reports that federal officials […]
Obamacare customers need quality data to go with narrow networks
I have heard rumblings about narrow networks since early 2013. Mostly the discussion was framed in terms of “one more thing everyone will hate about the Affordable Care Act.” Sarah Kliff of the Washington Post recently published a simple and comprehensive explanation of this “feature” of many exchange plans. Just the name itself, a narrow […]