Benefits

CMS Takes a Stand on Minimum ACA Standards

By Sarah Sipek

Nov. 20, 2015

The Centers for Medicare & Medicaid Services is taking action to ensure that Affordable Care Act policyholders have sufficient access to health care providers.

Under the ACA legislation all medical policies sold on the exchangers must have enough in-network hospitals and doctors for members so that, “all services will be accessible without unreasonable delay.” ACA-compliant plan networks must also update their provider directories monthly and include at least 30 percent of essential providers.

In a proposal released Nov. 20, the CMS — a branch of the Department of Health and Human Services — asked states to establish a quantitative measure to help guarantee policyholders’ ability to access health care. If the states don’t choose a standard, the CMS wants provider network adequacy measured by time and distance from the policyholder.

Sarah Sipek is a Workforce associate editor.

What’s New at Workforce.com?

blog workforce

Come see what we’re building in the world of predictive employee scheduling, superior labor insights and next-gen employee apps. We’re on a mission to automate workforce management for hourly employees and bring productivity, optimization and engagement to the frontline.

Book a call
See the software

Related Articles

workforce blog

Benefits

What is Earned Wage Access (EWA)? A Few Considerations

Summary Earned wage access (EWA) programs are an increasingly popular way for employees to access their...

benefits, earned wage access products, payroll, time and attendance

workforce blog

Benefits

EEOC says that employers legally can offer incentives to employees to get vaccinated in almost all instances

If you’re an employer looking to get as many of your employees vaccinated as possible, you can rest eas...

ADA, CDC, COVID-19, EEOC, GINA, pandemic, vaccinated

workforce blog

Benefits

Fixing some common misconceptions about HIPAA

Ever since the CDC amended its COVID-19 guidance to say that the fully vaccinated no longer need to wea...

COVID-19, health care, HIPAA, human resources, wellness