Adequacy of Outpatient Specialty Care Access in Marketplace Plans Under the Affordable Care Act | Zendy

Stephen C. Dorner | Zendy; Douglas B. Jacobs | Zendy; Benjamin D. Sommers | Zendy

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Adequacy of Outpatient Specialty Care Access in Marketplace Plans Under the Affordable Care Act

Author(s) -

Stephen C. Dorner,

Douglas B. Jacobs,

Benjamin D. Sommers

Publication year - 2015

Publication title -

jama

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.688

H-Index - 680

eISSN - 1538-3598

pISSN - 0098-7484

DOI - 10.1001/jama.2015.9375

Subject(s) - medicine , specialty , patient protection and affordable care act , health insurance , family medicine , medical emergency , nursing , health care , law , political science

Adequacy of Outpatient Specialty Care Access in Marketplace Plans Under the Affordable Care Act Nearly 12 million individuals have enrolled in coverage through the Affordable Care Act’s insurance marketplaces.1 The US Department of Health and Human Services regulates plans, applying a “reasonable access” standard to ensure access to “a sufficient number and type of providers.”2 Nonetheless, concerns remain about network adequacy.3 We assessed access to outpatient specialists in federal marketplace plans.

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