Polski Daniel, Weiner Janet, Zhang Yuehan
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
LDI Issue Brief. 2017 Sep;21(8):1-6.
This Issue Brief describes the breadth of physician networks on the ACA marketplaces in 2017. We find that the overall rate of narrow networks is 21%, which is a decline since 2014 (31%) and 2016 (25%). Narrow networks are concentrated in plans sold on state-based marketplaces, at 42%, compared to 10% of plans on federally-facilitated marketplaces. Issuers that have traditionally offered Medicaid coverage have the highest prevalence of narrow network plans at 36%, with regional/local plans and provider-based plans close behind at 27% and 30%. We also find large differences in narrow networks by state and by plan type.
本问题简报描述了2017年《平价医疗法案》（ACA）市场上医生网络的广度。我们发现，窄网络的总体比例为21%，与2014年（31%）和2016年（25%）相比有所下降。窄网络集中在基于州的市场上销售的计划中，比例为42%，而在联邦政府协助的市场上销售的计划中这一比例为10%。传统上提供医疗补助覆盖的保险公司，其窄网络计划的比例最高，为36%，地区/本地计划和基于医疗服务提供者的计划紧随其后，分别为27%和30%。我们还发现，不同州和不同计划类型的窄网络存在很大差异。
