Tag Archives: provider networks

Aligning network adequacy to meet greater expectations

With the passing of the Affordable Care Act (ACA) and the advent of the health insurance marketplace, network adequacy has come under greater scrutiny. Increased emphasis getting the right providers to consumers is leading health plans away from expansive networks to a narrow, more efficient network design that better serves member needs. Not lost in […]
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ACOs Experience Unintended Consequences of Healthcare System Safeguards

We all are aware of the promise of ACOs.  By enabling physicians to manage the health of the population, the achievement of the triple aim (i.e., better care for individuals, better health for the population and lower growth – or a reduction – in healthcare expenditures) would finally be within reach.  Payers have proven over […]
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