November 13, 2015
Organizations from across medicine – including the AADA – sent a letter advocating for additional network adequacy regulations in the National Association of Insurance Commissioners (NAIC) model legislation. The letter urges strengthening provisions of the bill language to ensure active approval of networks prior to products going to market; the use of quantitative measures to determine network adequacy; and regulation of tiered networks to prevent discriminatory network design. The NAIC is expected to adopt the model legislation language this year.
The AADA has also been fighting for network adequacy regulations at the state level. Recently, along with other national dermatologic organization, the AADA called for changes to a network adequacy rule in Nevada. In a joint letter, led by the AADA, from national dermatologic associations, the groups urge the state to consider strengthening network adequacy rules so that they are more inclusive of subspecialties. Specifically, the letter calls for clarity in delineating how access to subspecialties will be ensured by requesting new language be added to the rules. The coalition also asked that the language include a process for physicians to appeal a termination from network.
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