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Feds to look at Obamacare networks after Shea-Porter request
The U.S. Department of Health and Human Services has announced that the agency next year will require insurers to provide comprehensive lists of health care providers in their Obamacare networks, and will actively evaluate whether they provide reasonable access to hospitals, primary care doctors and other essential services.
The research, called a market conduct exam, evaluates the strength and adequacy of Anthem's network. HHS did not require a market conduct exam before it approved Anthem's narrow network last year, but the New Hampshire Insurance Department recently requested the exam.
"While we have not yet had the opportunity to review the report in detail, we fully respect the formal process and timeline set forth under the law for such reviews," Dugan said in a written statement Wednesday night.
In a Tuesday letter to insurance companies participating in the online marketplace, federal officials outlined the criteria by which the Centers for Medicare and Medicaid Services would evaluate future networks.
Sen. Kelly Ayotte, a vocal opponent of Obamacare, said the controversy over narrow networks is another reflection of problems in the legislation.
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