Narrow Network

N.H. Insurance Department

Consumers will have more than 50 plans to choose from next year on the Affordable Care Act health exchange, according to the New Hampshire Insurance Department.

During the first of two public hearings, department officials on Tuesday said five insurance companies will compete in the marketplace in 2015.

Anthem was the only participant this year, and it’s decision to include just 16 of the state’s 26 hospitals in its network sparked frustration even among supporters of the health law.

Insurance Department Holds Hearing On Narrow Network

May 14, 2014
Todd Bookman / NHPR

Politicians in New Hampshire have done plenty of arguing over the Affordable Care Act. Today, lawyers were given a turn.

A long-awaited hearing was held at the state Insurance Department. At issue is a complaint filed by an East Rochester woman over alleged harm suffered at the hands of Anthem’s limited network of hospitals.

Margaret McCarthy was a bookkeeper and office manager, but now, in her early 60s, she’s content volunteering as treasurer of her church.

Via Flickr CC

After several stops and starts, the Insurance Department has agreed to a formal hearing on the adequacy of Anthem’s narrow network of hospitals.

The move stems from a complaint filed by East Rochester resident Margaret McCarthy. She says she’s been aggrieved by Anthem’s decision to exclude Frisbie Memorial Hospital from its network for plans sold through the Affordable Care Act.

Todd Bookman / NHPR

The Insurance Department kicked off a series of public meetings on Wednesday looking into network adequacy standards, with a focus on health plans that exclude doctors and hospitals.

Anthem’s ‘narrow network’ plans—the only option available through so-called ObamaCare this year—left out 10 of New Hampshire’s 26 hospitals, forcing some consumers to switch doctors.

The Insurance Department found Anthem’s plans met the current standards for coverage, which take into account the distance patients must travel for care.

Massachusetts-based Minuteman Health says New Hampshire’s insurance marketplace is "ripe for disruption."

Daniel S. Hurd via Flickr CC

Health insurance products sold in New Hampshire’s exchange would face public hearings under a bill passed by the Senate.

Supporters say the hearings will provide transparency about what exactly the plans cover, and which doctors and hospitals are participating. The move comes in direct response to Anthem’s so-called narrow network exchange plans that leave out 10 of the state’s 26 hospitals.

Lawmaker Seeks To Expand Anthem's Narrow Network

Jan 28, 2014
via WUKY

As the only company participating in New Hampshire's insurance exchange, Anthem is facing additional scrutiny for its decision to exclude 10 of the state’s 26 hospitals from the plans it’s selling under so-called Obamacare. 

 Consumers will have more health insurance options in New Hampshire starting in 2015. Massachusetts-based non-profit Minuteman Health says it plans to compete in the state’s exchange with a wide network of hospitals.

CEO Tom Policelli says his company has already begun talks with many of the state’s providers.

“We believe that we can come into New Hampshire and offer a much more broad network than Anthem has, and still deliver an excellent price point, and that’s what we intend to do,” says Policelli.

Anthem is the only company selling products in 2014.

The New Hampshire Insurance Department is denying a complaint filed by Frisbie Memorial Hospital over its exclusion from Anthem’s provider network for individual policies.