Nar­row net­work in­clud­ing Mayo to de­but on Minn. ex­change

Modern Healthcare - - REGIONAL NEWS - —Bob Her­man

Health in­surer Medica is rolling out a new nar­row-net­work plan in Min­nesota—an in­creas­ingly common op­tion—with the Mayo Clinic as a cen­tral en­tice­ment to draw in po­ten­tial en­rollees.

The plan, which will be of­fered off and on the state ex­change es­tab­lished by the Pa­tient Pro­tec­tion and Af­ford­able Care Act, will in­clude only spe­cific providers in south­ern Min­nesota. But the in­surer said monthly pre­mi­ums and co­pay­ments will be af­ford­able for those who choose the plan.

In ad­di­tion to Rochester, Minn.based Mayo and its af­fil­i­ated hos­pi­tals and doc­tors through­out the area, the other provider groups in the nar­row net­work are North­field (Minn.) Hos­pi­tal & Clin­ics and Wi­nona (Minn.) Health. Medica is the sole owner of the plan.

Dannette Cole­man, Medica’s se­nior vice pres­i­dent for in­di­vid­ual and fam­ily business, said the Mayo health plan will have bronze-, sil­ver-and gold-tier op­tions on the ex­change. Medica also will of­fer a cat­a­strophic op­tion, a cov­er­age level for which peo­ple pay very low monthly pre­mi­ums but face much higher out-of-pocket costs if they need care.

Roughly half of all in­di­vid­ual ex­change plans na­tion­wide dur­ing last year’s open-en­roll­ment pe­riod of­fered limited groups of providers. Re­search has shown many con­sumers have re­sponded pos­i­tively to nar­row net­works.

Even with a high-pro­file provider like Mayo, Medica’s new plan has monthly pre­mi­ums that are only slightly above av­er­ages of other health plans on Min­nesota’s ex­change.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.