Here are the key takeaways:
1. Narrow networks haven’t affected many physicians due to their exclusivity to Medicaid plans.
2. Employers, however, are beginning to embrace narrower networks as a cost-saving approach.
3. Insurers are launching narrow plans with major health systems or ACOs to save costs.
4. Narrow plans often do not pay out-of-network physicians, but if the physician knows the patient is out of network before treating them, the physician may be able to request prior authorization to get paid.
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