HEALTH INSURANCE HASSLES SURVEY

We need your input! In the last 2 years, many physicians across New York State completed a survey sent by MSSNY to gauge their experience with health insurers selling policies through New York State’s Health Insurance Exchange and other health insurance coverage. These surveys help us to fully understand physician concerns with the contracting process between physicians and these health insurers. The findings also assist MSSNY’s advocacy efforts in the media and with policymakers to support fair contracting, comprehensive health insurer networks and comprehensive out of network coverage. Detailed physician data is essential if we are to be successful in advocating on your and your patients’ behalf. Please take just a few minutes to complete this brief survey.

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* 1. Approximately what % of your patients have coverage through the New York State Exchange?

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* 2. Approximately what % of your patients are insured by Medicaid or a Medicaid managed care plan?

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* 3. How many Health Insurance Exchange plans do you participate with?

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* 4. If you were to characterize generally the payment levels offered by insurers for you to participate in their Exchange plans, what would it be?

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* 5. In the last three years, have you experienced a situation where your participation contract with a health insurance company was not renewed?

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* 6. If you answered yes to Question 5, why do you believe you were not renewed?

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* 7. In the last three years, have you experienced a situation in where you were not invited to participate with a new health insurance product offered by a health insurance company with which you participate?

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* 8. If you answered yes to Question 7, why do you believe you were not asked to participate?

For Questions 9,10 & 11, thinking about your patient population with commercial health insurance coverage (non Medicaid/Medicare), approximately what percentage of your population has:

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* 9. Deductibles greater than $1,000 and less than $2500?

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* 10. Deductibles greater than $2,500 and less than $5000?

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* 11. Deductibles greater than $5,000?

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* 12. Compared to three years ago, how would you characterize the number of patients you treat with out of network coverage?

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* 13. Compared to three years ago, how would you characterize the level of coverage for your patients with out of network coverage?

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* 14. In the last year, have you been inappropriately listed as a participant in a health plan in which you were not participating?

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* 15. What is the size of your practice?

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* 16. What is your specialty?

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* 17. Please share any comments you may have?

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