States wrestle with provider network regulation.
Across the country, states are considering whether to permit provider network participation in risk-based arrangements. Interest in this issue is driven primarily by market realities and, to a lesser extent, by two recent developments: the National Association of Insurance Commissioners' 1995 recommendation that provider networks entering certain risk arrangements be subject to state insurance regulation and last year's Federal health legislation allowing "provider sponsored networks" (PSNs) to enter Medicare risk contracts.
O'Hare
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McDermott, Will & Emery, Washington, DC, USA.
D002204:Capitation Fee; D019058:Community Networks / Q000331:legislation & jurisprudence*; D003284:Contract Services / Q000331:legislation & jurisprudence; D008004:Licensure; D008484:Medicaid / Q000592:standards; D006278:Medicare / Q000592:standards; D012306:Risk; D014481:United States