The Role of Adequate Health Networks in the Marketplace

Quest Analytics® is hosting leadership from The CMS Center for Consumer Information and Insurance Oversight (CCIIO) for a conversation about network adequacy requirements and standards. CCIIO develops and implements the provider network standards health insurance plans must meet to participate in the Federally-facilitated Exchanges (FFEs). This discussion will address various topics focusing on requirements introduced for Plan Year 2025.

By Watching this Webinar, You'll Learn

  • How CCIIO thinks about the role of adequate health networks in the Marketplace.
  • Insights into the process CCIIO goes through to explore possible changes to network and data requirements for issuers providing coverage in a Federally-facilitated Marketplace.
  • The logic driving requirements for the coming plan year (PY2025).

Meet the Presenters

  • Scott Westover, Chief Network Solutions Officer, Quest Analytics®
  • Deborah J. Hunter (she/her), JD, MHS, Technical Advisor, Centers for Medicare & Medicaid Services, Center for Consumer Information & Insurance Oversight, Marketplace Plan Management Group
Watch the Recording
Marketplace Success Watch the Replay Webinar

Complimentary Consultation

We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.

Schedule a consultative session with one of our network management experts to discuss and determine your strategy.

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