Tiered Networks on the Way for 2017

A reputable industry newsletter featured an interview with the leader of a major insurer in NY, discussing their performance for the past 2 years and plans for the future.

Point is, this insurer has already developed and implemented tiered networks for municipal plans, called the "HMO Preferred Plan" (not to be confused with a "Preferred Provider Organization").

If you visit certain providers at certain facilities, co-pays are waived. But, everywhere else you go, they're higher than normal (about triple).


As of Feb, 2016, about 60% of the members enrolled on this plan were usi
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