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Lawmakers press plans on directories, 'ghost networks' and the need for apples-to-apples data
Summary
Members urged CMS and insurers to fix inaccurate provider directories and publish comparable data so beneficiaries can make informed choices; proposals included allowing plan-finder searches for a patient's current doctors and requiring annual directory updates.
Lawmakers and witnesses told the House Ways and Means joint subcommittee hearing that inaccurate provider directories — so-called “ghost networks” — and limited public data hamper beneficiaries’ ability to choose plans and can result in unexpected out-of-network bills.
Brookings senior fellow Matthew Fiedler and Rep. Michael Burgess (questions) and Rep. Tom Bean (remarks) referenced personal and constituent experiences illustrating the problem. Dr. Brian Miller, a…
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