Author Archives: Heather R. Johnson

Heather R. Johnson

About Heather R. Johnson

Heather Johnson is an Oakland, Calif.-based journalist, author and editor specializing in legal writing, general interest, health and fitness, entertainment and consumer and professional audio.

Adequacy, transparency of provider networks among things to watch

Narrow networks

Photo: Niklas Morberg via Flickr

At a recent San Francisco Bay Area chapter event, health journalists received a primer on the narrowing networks of current health plans and the delicate balance between managing health care costs and providing reasonable access.

Panelists Anne Price, director of the Plan Management Division of Covered California; journalist and “Ask Emily” columnist Emily Bazar of California HealthCare Foundation’s Center for Health Reporting; Larry Levitt of Kaiser Family Foundation; and Betsy Imholz of Consumers Union addressed narrow networks’ impact on consumers, insurers, and providers, as well as proposed government regulation. Marilyn Serafini of nonpartisan Alliance for Health Reform, the panel’s cohost, moderated the briefing.

Narrow networks predate the Affordable Care Act to the controlled HMOs of the 1980s and 1990s, Levitt explained. The ACA accelerated the trend as insurers sought new ways to cut costs under a law that capped deductibles, banned pre-existing condition denials and mandated certain preventative care benefits. Continue reading