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News Market Conduct Exam Reviewing Health Insurance Carriers' Provider Directory Information

6/15/2018
  • Division of Insurance

Provider Information Report 6-12-2018

Good afternoon,

I am contacting you as an individual who has expressed interest to be informed about Massachusetts Division of Insurance (DOI) information sessions on health issues.

The Division is sending this notice to inform interested parties that it is issuing a report to summarize an examination of Massachusetts’ health carriers provider network information.  The report presents information on carriers’ systems to collect, store and report provider information, results of “secret shopper” calls made to survey provider network information, actions that carriers are to take to improve provider network information and additional steps that the Division may consider to take to amend existing regulations to improve managed care members’ ability to obtain appointments with providers when they need to access care.

The Division is looking to draft changes to its existing managed care regulation – 211 CMR 52.00 – in the next few months and is interested to hear any and all thoughts from interested parties about things it should consider as it drafts these amendments.

 

Scheduling of the Sessions

The sessions will take place at the times and dates noted below:

                       

Wednesday, June 27, 2018 at the Massachusetts Division of Insurance, 1000 Washington Street, Room 1-E, Boston, MA, from 1:00 – 3:00 PM

Thursday, June 28, 2018 at UMass Center, Tower Square, Classroom 14, 1500 Main Street, Springfield, MA, from 10:00 – 12:00 Noon

Friday, June 29, 2018 at Lowell City Hall, 375 Merrimack Street, Mayor’s Reception Room, 2nd Floor, Lowell, MA, from 9:30 – 11:30 AM

Monday, July 2, 2018 at Worcester Public Library – Saxe Room, 3 Salem Square, Worcester, MA from 9:30 – 11:30 AM

 

If interested parties are unable to attend any session in-person, they may participate in the Boston session on June 27, 2018 by telephone by calling (605) 475-3215 and using access code =  116040#.  If unable to attend in-person or by phone, you may still forward comments that you wish the DOI to consider to my attention at kevin.beagan@state.ma.us or to Rebecca Butler’s attention at Rebecca.butler@state.ma.us.

 

Thank you in advance for your interest in this issue.

Division of Insurance 

The primary mission of the Division of Insurance is to monitor the solvency of its licensees in order to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. Protection of consumer interests is of prime importance to the Division and is safeguarded by providing accurate and unbiased information so consumers may make informed decisions and by intervening on behalf of consumers who believe they have been victimized by unfair business practices.

Division of Insurance 

The primary mission of the Division of Insurance is to monitor the solvency of its licensees in order to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. Protection of consumer interests is of prime importance to the Division and is safeguarded by providing accurate and unbiased information so consumers may make informed decisions and by intervening on behalf of consumers who believe they have been victimized by unfair business practices.

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