Only 29 percent of health plans in the individual market included out-of-network coverage in 2018, down from 58 percent in 2015, according to an analysis by the Robert Wood Johnson Foundation. “National commercial carriers, which are more likely to offer broader network plans, exited the individual market in droves in 2016 and 2017, leaving a market that is dominated by Blues and Medicaid-managed care organizations,” the report notes. “MMCO plans almost always offer closed-network plans, and even many Blues plans have shifted to narrow network offerings in the individual market.” In the small group market, 64 percent of plans included out-of-network benefits in 2018, down from 71 percent in 2015. UnitedHealthcare, which largely exited the individual market in 2017, recently announced it will drop Envision Healthcare, a large provider of hospital-based physicians, from its networks effective Jan. 1. 

Related News Articles

Headline
The Centers for Medicare…
Headline
The National Institutes of Health today selected several universities to partner with communities in Kentucky, Massachusetts, New York and Ohio to study the…
Headline
Precancerous cervical lesions associated with human papillomavirus declined sharply in women aged 18–24 between 2008 and 2016, likely reflecting increasing HPV…
Headline
The Federal Trade Commission will hold a public workshop June 18 in Washington, D.C., to assess the impact of certificates of public advantage on health care…
Headline
The Medicaid and CHIP Payment and Access Commission yesterday recommended that Congress change the definition of Medicaid shortfall to exclude costs and…
Headline
The House Ways and Means Committee today approved the Prescription Drug Sunshine, Transparency, Accountability and Reporting Act (H.R. 2113), AHA-supported…