عنوان
پدید آورنده
موضوع
رده
کتابخانه
محل استقرار
NATIONAL BIBLIOGRAPHY NUMBER
Number
LA7x22k9hg
LANGUAGE OF THE ITEM
.Language of Text, Soundtrack etc
انگلیسی
TITLE AND STATEMENT OF RESPONSIBILITY
Title Proper
Access to In-Network Emergency Physicians and Emergency Departments Within Federally Qualified Health Plans in 2015
General Material Designation
[Article]
First Statement of Responsibility
Dorner, Stephen C.; Camargo, Jr., Carlos A.; Schuur, Jeremiah D.; Raja, Ali S.
SUMMARY OR ABSTRACT
Text of Note
Introduction: Under regulations established by the Affordable Care Act, insurance plans must meet minimum standards in order to be sold through the federal Marketplace. These standards to become a qualified health plan (QHP) include maintaining a provider network sufficient to assure access to services. However, the complexity of emergency physician (EP) employment practices - in which the EPs frequently serve as independent contractors of emergency departments, independently establish insurance contracts, etc... - and regulations governing insurance repayment may hinder the application of network adequacy standards to emergency medicine. As such, we hypothesized the existence of QHPs without in-network access to EPs. The objective is to identify whether there are QHPs without in-network access to EPs using information available through the federal Marketplace and publicly available provider directories.
SET
Date of Publication
2016
Title
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume Number
17/1
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Dorner, Stephen C.; Camargo, Jr., Carlos A.; Schuur, Jeremiah D.; Raja, Ali S.
ELECTRONIC LOCATION AND ACCESS
Electronic name
مطالعه متن کتاب [Article]
275578
a
Y
