Network Adequacy and Essential Community Providers Workgroup: A Report to the Maryland Health Benefit Exchange Board of Trustees

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dc.contributor.authorThe Hilltop Institute
dc.date.accessioned2019-07-09T12:54:13Z
dc.date.available2019-02-26T17:21:04Z
dc.date.issued2015-09-11
dc.descriptionMHBE Board of Trustees for the 2017 benefit year.en_US
dc.description.abstractNetwork adequacy refers to a health plan’s ability to provide reasonable access to sufficient in-network providers. Essential community providers (ECPs) serve low-income and medically underserved populations and include such providers as federally qualified health centers (FQHCs), Ryan White designated providers, family planning clinics, Indian health providers, and specified hospitals. Pursuant to federal regulations, the Maryland Health Benefit Exchange (MHBE) is interested in further developing policies for ECPs and provider network adequacy. To achieve this goal, the MHBE tasked its Standing Advisory Committee (SAC) to create a Network Adequacy and ECP Workgroup (Workgroup), charged with reviewing background materials and developing and assessing various policy options for provider network standards. The Workgroup included 16 members, representing carriers, providers, and consumer advocacy organizations. This report summarizes the background materials Hilltop developed for the Workgroup and the Workgroup’s discussions of policy options. The purpose of this report is to provide input to the MHBE Board of Trustees for the 2017 benefit year.en_US
dc.description.urihttps://www.hilltopinstitute.org/wp-content/uploads/publications/Network-Adequacy-and-Essential-Community-Providers-Workgroup-A-Report-to-the-Maryland-Health-Benefit-Exchange-Board-of-Trustees-pdf.pdfen_US
dc.format.extent54 pagesen_US
dc.genrereportsen_US
dc.identifierdoi:10.13016/m2nddl-x9y9
dc.identifier.urihttp://hdl.handle.net/11603/12875
dc.language.isoen_USen_US
dc.publisherThe Hilltop Instituteen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofThe Hilltop Institute (UMBC) Works
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.subjectessential community providers (ECPs)en_US
dc.subjectMaryland Health Benefit Exchange (MHBE)en_US
dc.subjectnetwork adequacyen_US
dc.titleNetwork Adequacy and Essential Community Providers Workgroup: A Report to the Maryland Health Benefit Exchange Board of Trusteesen_US
dc.typeTexten_US

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