Consultants to Contact
- Allison Young - Vice President & Consulting Actuary (Dallas)
- Bonnie Albritton - Vice President & Principal (Dallas)
- Brian Rankin - Vice President & Principal (Washington, D.C.)
- Brian Stentz - Vice President & Principal (Dallas)
- Cabe Chadick - President & Managing Principal (Dallas)
- Chris Merkel - Senior Vice President & Principal (Kansas City)
- David Dillon - Senior Vice President & Principal (Dallas)
- Daniel Moore - Vice President & Senior Consulting Actuary (Dallas)
- David Palmer - Vice President & Principal (Baltimore)
- Glenn A. Tobleman - Executive Vice President & Principal (Dallas)
- Heather Robinson - Senior Consultant & Director - Underwriting (Kansas City)
- Jamie Fender - Vice President & Consulting Actuary (Dallas)
- Jason Dunavin - Vice President & Senior Consulting Actuary (Kansas City)
- Jeffrey D. Lee - Vice President & Consulting Actuary (Kansas City)
- Josh Hammerquist - Vice President & Principal (Dallas)
- Jing Qian - Vice President & Consulting Actuary (Dallas)
- Jacqueline Lee - Vice President & Principal (Dallas)
- Kevin Ruggeberg - Vice President & Senior Consulting Actuary (Dallas)
- Kim Shores - Vice President & Principal (Kansas City)
- Mike Brown - Vice President & Principal (Kansas City)
- Muhammed Gulen - Vice President & Legal Consultant (Dallas)
- Moshe Nelkin - Senior Consulting Actuary (Dallas)
- Mark Stukowski - Vice President & Principal (Denver)
- Patrick Glenn - Vice President & Principal (Kansas City)
- Robert Dorman - Vice President & Consulting Actuary (Dallas)
- Traci Hughes - Vice President & Senior Consulting Actuary (Dallas)
- Tom Roberts - Vice President & Consulting Actuary (Dallas)
- Vickie Goodman - Vice President & Director - Compliance (Kansas City)
Testimonial
The health insurance landscape has changed markedly since the passage of the Patient Protection and Affordable Care Act several years ago, and those alterations to the coverage people have faced for decades continue to happen even now. One of the biggest things that may end up impacting people is the fact that insurers are slowly but steadily narrowing the number of in-network health care providers for a given plan.
Today, 60 percent of health insurance networks covering people in major U.S. cities have narrowed in some way, and 48 percent have done so overall, according to U.S. News and World Report. This has come largely as health insurers look to cut costs in the face of rising regulatory controls and a growing number of people – some of whom might have preexisting conditions – getting enrolled in such coverage over the last few years.
What does this mean for patients?
It is important to note that narrow networks have existed for quite some time, typically as part of HMOs. However, consumer backlash in the late 1980s and early 1990s caused the lawmakers to consider putting standards in place to make sure that the number of options for consumers was as large as possible, the report said. But the big comeback seen in the last few years, since the ACA was passed, has been met with far less backlash from either consumers or legislators.
Insurance companies will highlight the fact that narrower networks generally reduce monthly premiums for consumers, the report said. However, 51 percent of consumers in a recent poll said that they would pay a little more every month if it meant having access to a broader network. Likewise, only 37 percent of respondents said they would seek out a smaller network if it meant paying less. And if such a change meant they had to change doctors, only 23 percent would make the switch.
Therefore, insurance companies may need to seek creative ways to make sure their concerns about rising costs match up with the consumers' concerns about narrowing networks and higher premiums. The more that can be done in this regard to find judicious solutions, the better off policy providers are likely to be when it comes to meeting people's expectations, as well as their own.