Part 1: Increasing Health Insurer Accountability
ISMS members: Free
Non-ISMS members: $75.00
This three-part series focused on holding Illinois health insurers accountable for compliance with two state laws aimed at promoting fairness for patients and physicians. ISMS advocacy was instrumental in the passage of both laws.
At the conclusion of this activity, learners will be able to:
- How is network adequacy determined
- What are the notice and transitional coverage requirements insurers must comply with
- What are insurer obligations with respect to maintaining accurate provider directories
ISMS members and their staffs
The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and healthcare providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.
Lila Valinoti is the Assistant Vice President of Health Policy Research and Education at the Illinois State Medical Society (ISMS) and has over 25 years’ experience in health policy development and helping physicians understand how legislative and regulatory changes may affect their practices.