Washington state insurance regulators want more information about provider networks from all state-regulated health plans.
The regulators want carriers to give them monthly health care provider directory updates and disclose referral and prior authorization practices in the directory.
Plans that offer different "tiers" of in-network providers — such as wider tiers for enrollees who pay more out-of-pocket and narrower tiers for enrollees who pay less — would have to disclose which providers were in which network, and how much more patients would have to pay out of pocket to see the providers in the more wider tier.
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Allison Bell
Allison Bell, ThinkAdvisor's insurance editor, previously was LifeHealthPro's health insurance editor. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached at [email protected] or on Twitter at @Think_Allison.
