Network Adequacy Testimony for House Insurance 9.5.24

Texas’s strict network adequacy requirements exceed federal standards, creating significant administrative burdens for health plans. Reconsidering network mandates, streamlining waiver processes, considering provider consolidation and empowering innovative care models would serve both patients and employers. A detailed analysis of these factors is available here.

Recommendations:

• Align federal and state network adequacy standards
• Reform the waiver process
• Reform laws to allow for high-value networks
• Account for anticompetitive health care provider market share in waivers

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