Healthcare DIVE November 16, 2023
Beginning in 2025, plans sold in state-based exchanges would be required to meet time and distance standards for provider access under a new rule proposed Wednesday.
Dive Brief:
- The Biden administration wants to require plans in state-run exchanges set up by the Affordable Care Act to maintain provider networks as extensive as those in federal marketplaces.
- Under a new rule proposed Wednesday, beginning in 2025 plans sold in state-based exchanges and marketplaces that use the HealthCare.gov enrollment website would be required to meet time and distance standards for provider access that are already applied to plans sold on the federal level.
- Insurers that can’t meet those standards would have to justify noncompliance to their state, which would then decide...
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