Insurance coverage Division Broadcasts Examine and Public Remark Interval to Higher Perceive Accessibility to Specialty Medical Suppliers All through the Commonwealth – Pennsylvania Pressroom

August 17, 2022 By admin

​Harrisburg, PA – Pennsylvania Appearing Insurance coverage Commissioner Michael Humphreys at the moment introduced a community adequacy examine as a part of the State Flexibility to Stabilize the Market Grant Program Cycle II offered by the Facilities for Medicare & Medicaid Companies (CMS). One of many proposed tasks contains learning accessibility of medical suppliers all through the Commonwealth, significantly specialty suppliers.
The purpose of this examine is to know areas of want primarily based on present availability of suppliers to just accept new sufferers, the period of time it takes to get an appointment with these suppliers and to assist assess if the state’s present healthcare community can adequately handle the wants of the inhabitants. The division welcomes public remark from organizations, shopper advocates, suppliers, and customers about their expertise with accessing numerous in-network suppliers. 
"There’s a affordable expectation that buyers have entry to in-network suppliers inside an enough community," mentioned Appearing Commissioner Humphreys. "CMS has targeted federal consideration in direction of community adequacy.  Utilizing this CMS grant, and welcoming public remark to tell our work, will permit us a possibility to additional examine business networks in Pennsylvania to determine any gaps or areas of want inside sure medical specialties."
Pennsylvanians need and deserve entry to complete well being protection and will count on to have the ability to see a specialist inside an affordable distance from their dwelling with out ready for months. The Wolf administration acknowledges this and continues the continuing dedication to guard and educate customers whereas fostering a aggressive market. This public remark interval offers a possibility for Pennsylvanians to inform the division the place their wants are that aren’t at present being addressed.
The division has developed an inventory of focused supplier areas, however strongly welcomes enter, feedback, lived experiences and recommendations of different supplier varieties and areas of want. The ultimate checklist for the examine will embody not more than ten supplier varieties. When submitting responses, the division is requesting people point out which of the next supplier varieties they imagine have accessibility points primarily based on their experiences or identified points or if they’ve skilled entry points with supplier varieties that aren’t included on the checklist.
Present Focused Supplier Areas:
Feedback from Pennsylvanians could also be submitted by electronic mail to [email protected]. Feedback can be submitted through mail, Attn: Katie Merritt, Coverage Director, 1326 Strawberry Sq., Harrisburg, PA 17120.
Feedback can be accepted till Friday, August 5, 2022.
For extra info and examples, overview the division’s Pennsylvania Bulletin discover right here