On Dec. 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes provisions related to network adequacy standards. The proposal would require all Affordable Care Act exchange plans to comply with existing standards for network adequacy, including those that have not used a provider network. Unfortunately, the AANS and the CNS believe that the existing network adequacy standards fail to ensure robust access to specialty and subspecialty medical care. In commenting on the proposal, the groups urged CMS to take the necessary steps to address the problem of narrow and restrictive provider networks.
Click here to read the Alliance of Specialty Medicine letter.