The limited participation of physicians, specialists andhospitals in health plans offered through the Patient Protection and Affordable CareAct individual insurance marketplace has undoubtedlybeen a sore spot for the landmark health law.

Consumers and even some providers have complained that the “narrow networks” offeredby PPACA plans make it hard for many consumers,particularly those in rural areas, to find in-network medicalservices.

But whether it’s because insurers don’t want to offer broadnetworks or because doctors aren’t interested in taking PPACAhealth insurance isn’t always clear.

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