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Lawmakers press regulators and insurers on network adequacy, credentialing delays
Summary
Committee members pressed DFR and carriers about provider 'ghosting', credentialing timelines, and measures in Senate Bill 822 to set quantifiable network standards; regulators said the agency can measure network adequacy but lacks authority to fix provider shortages.
Lawmakers at an informational hearing on Jan. 23 pressed regulators and insurers about patient access to providers, delayed credentialing and so‑called “ghost” providers who appear in networks but have no appointment availability.
Noomi Bridal Griffith of the Division of Financial Regulation told the committee that Oregon law requires annual carrier reports on network adequacy for small‑group and individual markets, but the standard is not clearly defined in statute. DFR said it will run a Senate bill (SB 822) this session to create quantifiable standards—time‑to‑appointment and…
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