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Many ACA Health Plans Limit Choice of Doctors, Hospitals

Under the new consumer exchanges or marketplaces created under the federal health law, many health insurance plans will include relatively few choices of doctors and hospitals...
August 20, 2013

Under the new consumer exchanges or marketplaces created under the federal health law, many health insurance plans will include relatively few choices of doctors and hospitals. Plans in certain cases will layer on other limits, such as requirements that patients first obtain referrals to see specialists or insurer authorization prior to costly procedures. A McKinsey & Co. analysis of 955 consumer exchange-plan filings from 13 states found that 47 percent were health-maintenance organizations or similarly designed plans, which typically do not pay for care provided outside their networks. Several other plans were identified as preferred-provider organizations, but will still have limited choices of doctors and hospitals in their networks.

Insurers May Limit Choices of Hospitals, Doctors (St. Louis Business Journal 8/15/2013)

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