New York’s Health Insurance Exchange

In several recent publications, MSSNY has been urging physicians to make MSSNY aware of concerns they may see regarding the health plans being offered in New York’s Health Insurance Exchange, which began enrolling New Yorkers on October 1 through its website nystateofhealth.ny.gov.

In response, MSSNY has received comments from some physicians regarding possibly unfair provisions contained in contracts offered to them to participate in some insurers’ Exchange products. MSSNY staff has had multiple meetings with various New York State agency officials to share these concerns, and ask that they be addressed. Please respond to the survey so we can better quantify the extent of the concerns that have been identified by physicians.

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* 1. How many health insurance companies’ Exchange plans you are participating with?

a. I am not participating in any health insurer Exchange plan

b. 1-2

c. 3-5

d. More than 5

e. Not sure

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* 2. Did you choose to be in the network of an Exchange plan, or were you required to by contract?

a. I affirmatively chose to be on the panel of an Exchange plan(s)

b. I had to participate as a result of a contract provision requiring me to participate with all products offered by that insurer

c. I had to participate as a result of a contract with a rental network entity (such as Multi Plan or MagnaCare)

d. I do not participate with an Exchange plan

e. Not sure

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* 3. Did any of the health plans with which you participate give you an opportunity to opt-out of participating in its Exchange product?

a. Yes, and it was not difficult

b. Yes, but it was difficult

c. No

d. Not sure

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* 4. Were you given a proposed fee schedule from any of the health insurance companies in whose Exchange products you are participating and/or considering participating?

a. Yes, from all of them

b. From some of them

c. From none of them

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* 5. If you were to characterize generally the payment levels offered to you to participate in Exchange plans, what would it be?

a. Significantly higher than other health insurance products offered by that insurer

b. Slightly higher than other health insurance products offered by that insurer

c. About the same

d. Slightly lower than other health insurance products offered by that insurer

e. Significantly lower than health insurance other products offered by that insurer

f. Not sure

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* 1. How many health insurance companies’ Exchange plans you are participating with?

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* 2. Did you choose to be in the network of an Exchange plan, or were you required to by contract?

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* 3. Did any of the health plans with which you participate give you an opportunity to opt-out of participating in its Exchange product?

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* 4. Were you given a proposed fee schedule from any of the health insurance companies in whose Exchange products you are participating and/or considering participating?

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* 5. If you were to characterize generally the payment levels offered to you to participate in Exchange plans, what would it be?

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* 6. Please share with us any additional comments you may have