Specialty Health Network Model Law

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Regulation of Health Plan Provider Networks Health Affairs

(Just Now) WebHealth insurance plans with limited networks of providers are common on the Affordable Care Act's (ACA's) health insurance Marketplaces. Recent studies have found that these "narrow network" plans

https://www.healthaffairs.org/do/10.1377/hpb20160728.898461/

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Health Insurance Network Adequacy Requirements - National …

(4 days ago) WebHMO network adequacy requirements: 30 miles for primary care and general care hospital. 75 miles for specialty care, special hospitals and single health care plan …

https://www.ncsl.org/health/health-insurance-network-adequacy-requirements

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Network Adequacy Standards and Enforcement KFF

(5 days ago) WebHealth plan networks affect patient access to care. This brief reviews options for setting and enforcing network adequacy standards and tools for making differences …

https://www.kff.org/affordable-care-act/issue-brief/network-adequacy-standards-and-enforcement/

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Network Adequacy - National Association of Insurance …

(3 days ago) WebLast Updated 6/1/2023. Issue: Network adequacy refers to a health plan's ability to deliver the benefits promised by providing reasonable access to enough in-network primary …

https://content.naic.org/cipr-topics/network-adequacy

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Medicaid Managed Care Network Adequacy & Access: Current

(6 days ago) WebCurrent federal rules require states to establish network adequacy standards for specified provider types including primary and specialty care (adult and pediatric), …

https://www.kff.org/medicaid/issue-brief/medicaid-managed-care-network-adequacy-access-current-standards-and-proposed-changes/

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A state-by-state fix for network adequacy issues?

(6 days ago) WebLast week, the NAIC unanimously voted to adopt the Network Adequacy Model Act – draft legislation that states can use as a foundation for enacting a state law …

https://www.healthinsurance.org/blog/a-state-by-state-fix-for-network-adequacy-issues/

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Ensuring Compliance with Network Adequacy Standards: …

(Just Now) Web(NAIC) developed a model state network adequacy law for managed care plans.12 Health plan networks broadened for a few years, but when premiums began to increase …

https://www.urban.org/sites/default/files/publication/88946/2001184-ensuring-compliance-with-network-adequacy-standards-lessons-from-four-states_0.pdf

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Network Adequacy: What Advocates Need to Know

(Just Now) Webpersons requiring advanced technology or specialty care Although the Model Act, which has not been updated since 1996, applies to all managed care plans such as health …

https://communitycatalyst.org/wp-content/uploads/2022/11/Network-Adequacy_what-advocates-need-to-know_FINAL-01-28-14.pdf

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Reforming State Regulation of Provider Networks: Efforts at the …

(4 days ago) WebAlmost two decades ago, the National Association of Insurance Commissioners (NAIC) adopted a model state law to regulate the adequacy of health …

https://communitycatalyst.org/posts/reforming-state-regulation-of-provider-networks-efforts-at-the-naic-to-re-draft-a-model-state-law/

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CMS Releases Final Rule for 2024 Qualified Health Plans, …

(7 days ago) WebOn April 17, 2023, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued the final Notice of Benefit and …

https://www.appliedpolicy.com/cms-releases-final-rule-for-2024-qualified-health-plans-strengthening-network-adequacy-standards-and-expanding-consumer-access/

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Regulators Urge Broader Health Networks - The New York Times

(2 days ago) WebHarvard researchers reported last month that nearly 15 percent of health plans in the federal insurance marketplace “completely lacked in-network physicians for …

https://www.nytimes.com/2015/11/09/us/regulators-urge-broader-health-networks.html

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Insurance commissioners publish first draft of network adequacy …

(3 days ago) WebThe model law applies to all forms of health insurance, including qualified health plans, health maintenance organizations, and preferred provider organizations, …

https://www.mdedge.com/obgyn/article/88895/practice-management/insurance-commissioners-publish-first-draft-network-adequacy

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Home Specialty Health Network

(2 days ago) WebAt Specialty Health Network by Shoppers™, A Commitment to Our Clients Means: Working collaboratively to understand patient and prescriber needs. Planning and …

https://www.sdmshn.ca/

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LOCAL HEALTH DISTRICTS DISTRICT MODEL BY-LAWS …

(7 days ago) WebMinistry of Health, do by this Order set out the terms of the Model By-laws to be used by Local Health Districts constituted under section 17 of the Health Services Act 1997 and …

https://www.health.nsw.gov.au/legislation/Documents/lhd-shn-model-by-laws.pdf

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ASHP Specialty Pharmacy Resource Guide

(8 days ago) WebThe purpose of this resource guide is to provide an overview of the financial and business challenges and opportunities in incorporating specialty pharmacy into hospitals and …

https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/specialty-pharmacy/specialty-pharmacy-resource-guide.ashx

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Transforming Specialty Care Delivery and Payment Under

(Just Now) WebThird, value-based specialty care must incorporate explicit considerations of health equity. The GBR model provides 2 potential mechanisms. At the systems level, …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2806814

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Access to Medi-Cal Specialty Mental Health Services: Network …

(2 days ago) WebMedi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing …

https://healthlaw.org/resource/access-to-medi-cal-specialty-mental-health-services-network-adequacy-requirements-and-other-beneficiary-rights/

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Network Meta‐Analysis for Decision-Making - Wiley Online …

(9 days ago) Webvi Contents 2.2.3.1 WinBUGS Implementation 37 2.3 Technical Issues in Network Meta‐Analysis 50 2.3.1 Choice of Reference Treatment 50 2.3.2 Choice of Prior …

https://onlinelibrary.wiley.com/doi/pdf/10.1002/9781118951651.fmatter

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WebMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Model Law: Health Data Governance Principles

(1 days ago) WebThe Model Law is informed by equity and rights-based principles, among other international, regional and national commitments and best practice. Transform Health and partners are convening a period of public consultation on a draft Model Law on Health Data Governance, which articulates core elements, guidance and model legal text, informed …

https://healthdataprinciples.org/modellaw

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LOCAL HEALTH DISTRICTS DISTRICT MODEL BY-LAWS …

(2 days ago) WebSPECIALTY HEALTH NETWORK– MODEL BY-LAWS PURSUANT to sections 39 and 60 of the Health Services Act 1997, I, Elizabeth Koff, Secretary of the Any motion to …

https://www.swslhd.health.nsw.gov.au/pdfs/BoardMinutes/Health_Service_Act_1997.pdf

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HEALTH SERVICES ACT 1997

(9 days ago) WebLOCAL HEALTH DISTRICTS DISTRICT – MODEL BY-LAWS . SPECIALTY HEALTH NETWORK– MODEL BY-LAWS PURSUANT to sections 39 and 60 of the Health …

https://www.health.nsw.gov.au/legislation/Documents/model-by-laws.pdf

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The Public Health Emergency Law Competency Model

(Just Now) WebThe PHEL Competency Model Version 1.0 focuses on the third element: competencies, and offers a set of core standards that aim to ensure that mid-tier public …

https://www.cdc.gov/phlp/php/about/emergency-law-competency-model.html

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