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Discussion with CCIIO: Role of Network Adequacy in Consumer Protection

Jul 25, 2024
1:00 pm EDT
Presented by Quest Analytics
Register Now Registration takes place at a third-party website.

About This Webinar

Quest Analytics® is hosting leadership from The CMS Center for Consumer Information and Insurance Oversight (CCIIO) for a conversation about how network adequacy requirements and standards support their mission of consumer protection. CCIIO develops and implements the provider network standards health insurance plans must meet to participate on the Federally-Facilitated Exchanges (FFEs). This discussion will address a variety of topics with a focus on new requirements introduced for Plan Year 2025.

This webinar will answer the challenge of PY2025 requirements by providing clarity on the new standards, facilitating a direct conversation with the policymakers, and highlighting the importance of these requirements in the context of consumer protection. It's an opportunity for attendees to gain firsthand knowledge and prepare for the upcoming policy year effectively.

Attendees Will Learn About

Network Adequacy Requirements: Understanding the standards health insurance plans must adhere to for participation on the Federally-facilitated Exchanges (FFEs)

Consumer Protection Mission: Insights into how these requirements support the CCIIO's mission to protect consumers

PY2025 New Requirements: Detailed information on the new provider network standards introduced for the policy year 2025 and their implications


Scott Westover

Chief Network Solutions Officer

Quest Analytics

Scott is a seasoned healthcare executive with deep experience across the payer, provider, and regulatory space. In his role, he works directly with state and federal regulators to navigate rapidly changing market and policy needs and oversees the Regulatory and Network Analytics teams. Prior to Quest Analytics, he served as market president for AmeriHealth Caritas New Hampshire, where he was…

Learn more about Scott Westover

Deborah Hunter, JD, MHS

Technical Advisor

Center for Consumer Information & Insurance Oversight (CCIIO)

Learn more about Deborah Hunter, JD, MHS