To address the narrowing of provider networks, the Centers for Medicare & Medicaid Services wants to mandate minimum network standards for health plans to be sold on the federal insurance marketplace in 2017.
The proposed rule would ask states to establish a quantitative measure to ensure that policyholders under the Affordable Care Act have sufficient access to healthcare providers. For states that don’t establish a standard, the CMS would mandate a default setting to measure network adequacy by maximum travel times or distances to providers.