A Consumer-Centric Approach To Network Adequacy: Access To Four Specialties In California's Marketplace.
We assessed the effect of provider networks on access to four medical specialties for Affordable Care Act Marketplace enrollees in California. Our approach incorporated a crucial consumer-focused attribute, travel distance, and identified the restrictions on provider access resulting from network de...
| Publicado en: | Health Affairs Vol. 38; no. 11; pp. 1918 - 1927 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Nov2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139544992&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139544992 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Nov2019 vid: 38 iid: 11 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 139544992 139544992 139544992 10.1377/hlthaff.2019.00116 139544992 ppf: 1918 ppct: 9 formats: tig: atl: A Consumer-Centric Approach To Network Adequacy: Access To Four Specialties In California's Marketplace. aug: au: Haeder, Simon F. Weimer, David Mukamel, Dana B. affil: Assistant professor of public policy in the School of Public Policy at the Pennsylvania State University, in University Park sug: subj: Patient Centered Care Methods Health Services Accessibility Health Insurance Exchanges California Human California Health Information Networks ab: We assessed the effect of provider networks on access to four medical specialties for Affordable Care Act Marketplace enrollees in California. Our approach incorporated a crucial consumer-focused attribute, travel distance, and identified the restrictions on provider access resulting from network design. Our analysis indicated that Marketplace plan networks are narrower than their commercial plan counterparts and feature just over half as many providers. However, there is much diversity in network breadth, depending on consumers' choice of plans and geographic region. Furthermore, network designs often create important access issues for consumers because of what we call "artificial local provider deserts"--geographic areas within networks devoid of providers by design. Consumers in large metropolitan areas are generally guaranteed a significant degree of access and choice, but network design exacerbates limited access for rural areas in which few providers are available to any consumer. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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