Issue Briefs

Date of this Version

9-2017

Abstract

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.

Document Type

Brief

Volume

21

Number

8

License

Creative Commons License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 License.

Keywords

narrow networks, ACA, individual marketplace, healthcare

View On LDI Website

https://ldi.upenn.edu/brief/narrow-networks-individual-marketplace-2017

 

Date Posted: 31 October 2017