Network Adequacy Rules Insurance Carriers Must Follow
This article will explain how network adequacy rules work, why they’re important, and what qualified health plan enrollees can expect under the new regulations that take effect in 2023 and 2024. Virtually all modern health insurance plans—including all plans sold in the health insurance exchanges/marketplaces—have healthcare provider networks. That means the health plan has contracted with a specific list of medical providers who have agreed to a certain fee schedule for the health plan’s members....