Atwood, A., Lo Sasso, A. T. (2016). The effect of narrow provider networks on health care use. Journal of Health Economics, 50, 86–98.
Google Scholar |
Crossref |
Medline
Bauman, N., Coe, E., Lamb, J. O., Parikh, A. (2016, January 29). Hospital networks: Updated national view of configurations on the exchanges.
https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/hospital-networks-updated-national-view-of-configurations-on-the-exchanges Google Scholar
Brennan, T. A., Spettell, C. M., Fernandes, J., Downey, R. L., Carrara, L. M. (2008). Do managed care plans’ tiered networks lead to inequities in care for minority patients? Health Affairs, 27(4), 1160–1166.
Google Scholar |
Crossref
Buntin, M. B., Graves, J. A. (2020). How the ACA dented the cost curve. Health Affairs, 39(3), 403–412.
Google Scholar |
Crossref
Burns, J. (2012). Narrow networks found to yield substantial savings. Managed Care, 21(2), 26–30.
Google Scholar
Corlette, S., Volk, J. A. (2014). Narrow provider networks in new health plans: Balancing affordability with access to quality care.
https://www.urban.org/sites/default/files/publication/22601/413135-Narrow-Provider-Networks-in-New-Health-Plans.PDF Google Scholar
Dafny, L., Hendel, I., Wilson, N. (2015). Narrow networks on the health insurance exchanges: What do they look like and how do they affect pricing? A case study of Texas. The American Economic Review, 105(5), 110–114.
Google Scholar |
Crossref |
Medline
Dafny, L. S., Hendel, I., Marone, V., Ody, C. (2017). Narrow networks on the health insurance marketplaces: Prevalence, pricing, and the cost of network breadth. Health Affairs, 36(9), 1606–1614.
Google Scholar |
Crossref
Elements of Access to Health Care . (n.d.).
https://www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements.html Google Scholar
Ericson, K. M., Starc, A. (2015). Measuring consumer valuation of limited provider networks (No. w20812).
https://doi.org/10.3386/w20812 Google Scholar
Feyman, Y., Figueroa, J. F., Polsky, D. E., Adelberg, M., Frakt, A. (2019). Primary care physician networks in Medicare advantage. Health Affairs, 38(4), 537–544.
Google Scholar |
Crossref
Fortney, J., Thill, J. C., Zhang, M., Duan, N., Rost, K. (2001). Provider choice and utility loss due to selective contracting in rural and urban areas. Medical Care Research and Review, 58(1), 60–75.
Google Scholar |
SAGE Journals |
ISI
Frank, M. B., Hsu, J., Landrum, M. B., Chernew, M. E. (2015). The impact of a tiered network on hospital choice. Health Services Research, 50(5), 1628–1648.
Google Scholar |
Crossref |
Medline
Gillen, E. M., Hassmiller Lich, K., Trantham, L. C., Weinberger, M., Silberman, P., Holmes, M. (2017). The effect of narrow network plans on out-of-pocket cost. The American Journal of Managed Care, 23(9), 540–545.
Google Scholar |
Medline
Graves, J. A., Nshuti, L., Everson, J., Richards, M., Buntin, M., Nikpay, S., Zhou, Z., Polsky, D. (2020). Breadth and exclusivity of hospital and physician networks in US insurance markets. JAMA Network Open, 3(12), Article e2029419.
Google Scholar |
Crossref
Gruber, J., McKnight, R. (2016). Controlling health care costs through limited network insurance plans: Evidence from Massachusetts state employees. American Economic Journal: Economic Policy, 8(2), 219–250.
Google Scholar |
Crossref
Haeder, S. F., Weimer, D. L., Mukamel, D. B. (2015). California hospital networks are narrower in Marketplace than in commercial plans, but access and quality are similar. Health Affairs, 34(5), 741–748.
Google Scholar |
Crossref |
Medline
Haeder, S. F., Weimer, D. L., Mukamel, D. B. (2016). Secret shoppers find access to providers and network accuracy lacking for those in marketplace and commercial plans. Health Affairs, 35(7), 1160–1166.
Google Scholar |
Crossref |
Medline
Haeder, S. F., Weimer, D. L., Mukamel, D. B. (2019). A consumer-centric approach to network adequacy: Access to four specialties in California’s marketplace. Health Affairs, 38(11), 1918–1926.
Google Scholar |
Crossref
Hall, M., Fronstin, P. (2016). Narrow provider networks for employer plans.
https://www.ebri.org/content/narrow-provider-networks-for-employer-plans-3404 Google Scholar
Ho, K. (2009). Insurer-provider networks in the medical care market. The American Economic Review, 99(1), 393–430.
Google Scholar |
Crossref |
Medline
Howard, D. H. (2008). Hospital quality and selective contracting: Evidence from kidney transplantation. Forum for Health Economics & Policy, 11(2), 2.
Google Scholar |
Crossref |
Medline
Howard, D. H. (2014). Adverse effects of prohibiting narrow provider networks. The New England Journal of Medicine, 371(7), 591–593.
Google Scholar |
Crossref |
Medline
Institute of Medicine Committee to Design a Strategy for Quality Review and Assurance, & Lohr, K. N . (1990). Defining quality of care. National Academies Press.
Google Scholar
Jacobson, G., Rae, M., Neuman, T., Orgera, K., Boccuti, C. (2017, October 5). Medicare advantage: How robust are plans’ physician networks?
https://www.kff.org/medicare/report/medicare-advantage-how-robust-are-plans-physician-networks/ Google Scholar
Jacobson, G., Trilling, A., Neuman, T., Damico, A., Gold, M. (2016, June 20). Medicare advantage hospital networks: How much do they vary?
https://www.kff.org/medicare/report/medicare-advantage-hospital-networks-how-much-do-they-vary/ Google Scholar
Kaiser Family Foundation . (2019, September 25). 2019 Employer Health Benefits Survey.
https://www.kff.org/health-costs/report/2019-employer-health-benefits-survey/ Google Scholar
Lo Sasso, A. T., Lindrooth, R. C., Lurie, I. Z., Lyons, J. S. (2006). Expanded mental health benefits and outpatient depression treatment intensity. Medical Care, 44(4), 366–372.
Google Scholar |
Crossref |
Medline
McKenna, R. M., Pintor, J. K., Ali, M. M. (2019). Insurance-based disparities in access, utilization, and financial strain for adults with psychological distress. Health Affairs, 38(5), 826–834.
Google Scholar |
Crossref
Melnick, G. A., Zwanziger, J., Bamezai, A., Pattison, R. (1992). The effects of market structure and bargaining position on hospital prices. Journal of Health Economics, 11(3), 217–233.
Google Scholar |
Crossref |
Medline |
ISI
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group . (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLOS Medicine, 6(7), Article e1000097.
Google Scholar |
Crossref |
ISI
Morrisey, M. A. (2001). Competition in hospital and health insurance markets: A review and research agenda. Health Services Research, 36(1, Pt 2), 191–221.
Google Scholar |
Medline
Oxford Centre for Evidence-Based Medicine: Levels of evidence (March 2009) . (2020, June 2).
https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009 Google Scholar
Polsky, D., Candon, M. K., Chatterjee, P., Chen, X. (2018). Scope of primary care physicians’ participation in the health insurance marketplaces. Health Affairs, 37(8), 1252–1256.
Google Scholar |
Crossref
Polsky, D., Cidav, Z., Swanson, A. (2016). Marketplace plans with narrow physician networks feature lower monthly premiums than plans with larger networks. Health Affairs, 35(10), 1842–1848.
Google Scholar |
Crossref |
Medline
Polsky, D., Weiner, J., Zhang, Y. (2017). Exploring the decline of narrow networks on the 2017 ACA marketplaces. LDI Issue Brief, 21(9), 1–6.
Google Scholar
Prager, E. (2020). Healthcare demand under simple prices: Evidence from tiered hospital networks. American Economic Journal: Applied Economics, 12(4), 196–223.
Google Scholar |
Crossref
Rosenthal, M. B., Li, Z., Milstein, A. (2009). Do patients continue to see physicians who are removed from a PPO network? The American Journal of Managed Care, 15(10), 713–719.
Google Scholar |
Medline |
ISI
Scanlon, D. P., Lindrooth, R. C., Christianson, J. B. (2008). Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Services Research, 43(5 Pt2), 1849–1868.
Google Scholar |
Crossref |
Medline
Schleicher, S. M., Mullangi, S., Feeley, T. W. (2016). Effects of narrow networks on access to high-quality cancer care. JAMA Oncology, 2(4), 427–428.
Google Scholar |
Crossref |
Medline
Sinaiko, A. D. (2016). Variations in patient response to tiered physician networks. The American Journal of Managed Care, 22(6), 420–425.
Google Scholar |
Medline
Sinaiko, A. D., Landrum, M. B., Chernew, M. E. (2017). Enrollment in a health plan with a tiered provider network decreased medical spending by 5 percent. Health Affairs, 36(5), 870–875.
Google Scholar |
Crossref
Sinaiko, A. D., Rosenthal, M. B. (2014). The impact of tiered physician networks on patient choices. Health Services Research, 49(4), 1348–1363.
Google Scholar |
Crossref |
Medline
StataCorp LLC . (2021). State base reference manual, Release 17.
Google Scholar
Tackett, S., Stelzner, C., McGlynn, E., Mehrotra, A. (2011). The impact of health plan physician-tiering on access to care. Journal of General Internal Medicine, 26(4), 440–445.
Google Scholar |
Crossref |
Medline
van den Broek-Altenburg, E. M., Atherly, A. J. (2020). The relation between selective contracting and healthcare expenditures in private health insurance plans in the United States. Health Policy, 124(2), 174–182.
Google Scholar |
Crossref |
Medline
Wholey, D., Feldman, R., Christianson, J. B. (1995). The effect of market structure on HMO premiums. Journal of Health Economics, 14(1), 81–105.
Google Scholar |
Crossref |
Medline |
ISI
Yasaitis, L., Bekelman, J. E., Polsky, D. (2017). Relation between narrow networks and providers of cancer care. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 35(27), 3131–3135.
Google Scholar |
Crossref |
Medline
Zwanziger, J., Melnick, G. A., Bamezai, A. (2000). The effect of selective contracting on hospital costs and revenues. Health Services Research, 35(4), 849–867.
Google Scholar |
Medline |
ISI
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