Insurance coverage Division Publicizes Examine and Public Remark Interval to Higher Perceive Accessibility to Specialty Medical Suppliers All through the Commonwealth – Pennsylvania PressroomAugust 19, 2022
Harrisburg, PA – Pennsylvania Performing Insurance coverage Commissioner Michael Humphreys in the present day introduced a community adequacy research as a part of the State Flexibility to Stabilize the Market Grant Program Cycle II supplied by the Facilities for Medicare & Medicaid Companies (CMS). One of many proposed initiatives consists of finding out accessibility of medical suppliers all through the Commonwealth, significantly specialty suppliers.
The purpose of this research 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, client advocates, suppliers, and customers about their expertise with accessing numerous in-network suppliers.
"There’s a cheap expectation that customers have entry to in-network suppliers inside an satisfactory community," stated Performing 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 enable us a chance to additional research industrial networks in Pennsylvania to establish any gaps or areas of want inside sure medical specialties."
Pennsylvanians need and deserve entry to complete well being protection and will anticipate to have the ability to see a specialist inside an affordable distance from their residence 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 supplies a chance for Pennsylvanians to inform the division the place their wants are that aren’t presently being addressed.
The division has developed an inventory of focused supplier areas, however strongly welcomes enter, feedback, lived experiences and solutions of different supplier sorts and areas of want. The ultimate checklist for the research will embody not more than ten supplier sorts. When submitting responses, the division is requesting people point out which of the next supplier sorts they imagine have accessibility points primarily based on their experiences or recognized points or if they’ve skilled entry points with supplier sorts that aren’t included on the checklist.
Present Focused Supplier Areas:
Feedback from Pennsylvanians could also be submitted by e mail to [email protected]. Feedback can be submitted through mail, Attn: Katie Merritt, Coverage Director, 1326 Strawberry Sq., Harrisburg, PA 17120.
Feedback shall be accepted till Friday, August 5, 2022.
For extra data and examples, evaluation the division’s Pennsylvania Bulletin discover right here.