Adverse Effects of Prohibiting Narrow Provider Networks

Overview

Journal N Engl J Med

Specialty General Medicine

Date 2014 Aug 15

PMID 25119604

Citations 8

Authors

David H Howard

Affiliations

Soon will be listed here.

Abstract

Many insurers participating in the new insurance exchanges are controlling costs by offering plans with narrow provider networks. Proposed regulations would promote network adequacy, but a pro-provider stance may not be inherently pro-consumer or even pro-patient.

Citing Articles

Physician patient sharing relationships within insurance plan networks.

Graves J, Lee D, Leszinsky L, Nshuti L, Nikpay S, Richards M Health Serv Res. 2023; 58(5):1056-1065.

PMID: 36734605 PMC: 10480085. DOI: 10.1111/1475-6773.14138.

Disruptions to the patient-provider relationship and patient utilization and outcomes: Evidence from medicaid managed care.

Staiger B J Health Econ. 2021; 81:102574.

PMID: 34968786 PMC: 8815618. DOI: 10.1016/j.jhealeco.2021.102574.

The Impact of Narrow and Tiered Networks on Costs, Access, Quality, and Patient Steering: A Systematic Review.

Mazurenko O, Taylor H, Menachemi N Med Care Res Rev. 2021; 79(5):607-617.

PMID: 34753330 DOI: 10.1177/10775587211055923.

Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance.

Busch S, Kyanko K JAMA Netw Open. 2021; 4(10):e2130770.

PMID: 34677592 PMC: 8536951. DOI: 10.1001/jamanetworkopen.2021.30770.

Breadth and Exclusivity of Hospital and Physician Networks in US Insurance Markets.

Graves J, Nshuti L, Everson J, Richards M, Buntin M, Nikpay S JAMA Netw Open. 2020; 3(12):e2029419.

PMID: 33331918 PMC: 7747020. DOI: 10.1001/jamanetworkopen.2020.29419.