How administrative professionals see the effects of narrow networks and complex benefits

How administrative professionals see the effects of narrow networks and complex benefits

Collection:
Health Policy and Services Research
Author(s):
Silliman, Rebecca, author
McNally, Erin, author
Schleifer, David, author
Contributor(s):
Public Agenda Foundation, issuing body.
Publication:
[Brooklyn, New York] : Public Agenda, 2023
Language(s):
English
Format:
Text
Subject(s):
Administrative Personnel
Health Insurance Exchanges
Health Services Accessibility -- statistics & numerical data
Insurance Benefits
Insurance Coverage
Referral and Consultation
United States
Genre(s):
Technical Report
Abstract:
In two in-depth diary studies, Public Agenda gave voice to the challenges that people with marketplace insurance plans face when trying to access in-network health care providers. Administrative professionals witness those challenges firsthand as they help both patients and clinicians navigate networks and benefits. This brief report provides a perspective from administrative professionals on how narrow networks and complex benefits affect patients and shape their own work. The scope and scale of this report--based on interviews with twelve practice managers or office staff members from primary care, mental health care, and diabetes care practices--is limited, and the findings are not generalizable. All twelve interviewees reported that they were employed in offices that treat people covered by marketplace plans, including nine who reported that half or more of their patients were covered by marketplace plans. Interviewees were initially asked to reflect on their experiences with patients and plans in general, with selected follow-up questions focusing specifically on marketplace plans.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (8 pages))
Illustrations:
Illustrations
NLM Unique ID:
9918734073406676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918734073406676