Although a federal judge recently barred UnitedHealthcare from dropping about 19 percent of doctors from its Medicare Advantage network in Connecticut, the country's largest insurer says it's going ahead with plans to cut down the network.
During a Congressional hearing on Wednesday, policy experts debated in their testimonies whether the healthcare reform law's funding cuts to Medicare Advantage insurers will lead to higher costs and lower enrollment.
Frustrated with the lack of information coming from UnitedHealth, which is cutting about 19 percent of doctors from its Medicare Advantage network in Connecticut, Attorney General George Jepsen is asking the U.S. Department of Health & Human Services to get involved.
After Blue Cross Blue Shield of Mississippi last week offered to reinstate four hospitals owned by Health Management Associates at higher in-network rates, the state's second largest hospital company turned down the proposal.
More problems lie ahead for the new insurance marketplaces as many hospitals and physicians don't know which exchange plans include them in their provider networks and will pay them for services, Kaiser Health News and The Texas Tribune reported.
Doctors are pushing back against UnitedHealth for dropping about 19 percent of doctors from its Medicare Advantage network in Connecticut.
Anthem Blue Cross Blue Shield in Maine can't force its members to stop seeing their existing doctors who work for one of the state's hospital systems.
Insurers have been reviving narrow networks for plans they're going to sell through the health insurance exchanges, believing consumers will trade provider choice and access for lower premiums.
Washington Insurance Commissioner Mike Kreidler has publicly described the reasons behind his decision to deny five insurers from selling their proposed health plans on the state's health insurance exchange.
Health insurance plans sold through state health insurance exchanges are likely to include limited choices of doctors and hospitals and require referrals for specialists and preauthorization before expensive procedures, The Wall Street Journal reported.