Health plan networks are narrowing. While there are good reasons for this, regulators across markets are moving to check this trend. 2016 is likely to be a year of unprecedented regulatory activity regarding provider networks.
Please join Michael Adelberg, who oversaw and implemented provider network policy at CMS while serving as the Director of Medicare Advantage Operations and Acting Director of Exchange Policy and Operations, as he discusses:
- Evidence of network narrowing and reasons for this trend
- Findings and concerns from government auditors and other researchers
- New guidance and oversight tactics across the Exchanges, Medicare, Medicaid and commercial markets
- Strategies that can be employed by health plans to stay on the right side of emerging oversight