Narrow Networks on the Individual Marketplace in 2017

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narrow networks
ACA
individual marketplace
healthcare
Health and Medical Administration
Health Economics
Health Policy
Health Services Administration
Insurance
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Polsky, Daniel
Weiner, Janet
Zhang, Yuehan
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This Issue Brief describes the breadth of physician networks on the ACA marketplaces in 2017. We find that the overall rate of narrow networks is 21%, which is a decline since 2014 (31%) and 2016 (25%). Narrow networks are concentrated in plans sold on state-based marketplaces, at 42%, compared to 10% of plans on federally-facilitated marketplaces. Issuers that have traditionally offered Medicaid coverage have the highest prevalence of narrow network plans at 36%, with regional/local plans and provider-based plans close behind at 27% and 30%. We also find large differences in narrow networks by state and by plan type.

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2017-09-01
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