Any Willing Provider Law

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Any Willing Provider Law

In health care, a law requiring an insurer or a managed care organization to allow policyholders to receive treatment from any provider willing to accept the fee the insurer offers, even if he/she is not in the insurer's network of approved providers. About half of U.S. states have any willing provider statutes.
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Examples include community rating, premium increase limitations, further "commoditizing" the market i.e., Any Willing Provider laws, mandated benefits, make the purchase of health insurance more affordable/attractive, changes in rules regarding portability, tax credits, or premium subsidies that could result in unmanaged growth, or even eliminate the current private market (national health care).
The spread of state any willing provider laws. Health Services Research, 33(5), 1537-1562.
Inadequate Legal Protection State regulation of MCOs in the form of Any Willing Provider laws (AWP) provides little protection for NPs.
The 2006 edition adds sections on "any willing provider laws" and mandated coverage for cancer clinical trials.
Several studies of any willing provider laws have shown that they increase the cost of care (Hellinger 1995; Jensen and Morrisey 1999; Rogal and Stenger 2001), and there have been a number of studies of the impact of specific patient protection laws (Hellinger 1996).
There is also reason to believe that any willing provider laws were not actively enforced during the time period studied by the authors because of a court order in 1997 blocking Arkansas' broad-based any willing provider law, passed in 1995 (Crowley 2003; McLean and Richards 2003; Bleed 2004a).
Indeed, there is evidence from California that laws that limit the ability of health plans to selectively contract with providers (e.g., any willing provider laws) increase the price that insurers pay for health services and in turn increase health care premiums (Zwanziger, Melnick, and Bamezai 2000).
Arkansas' 1995 any willing provider law was blocked because both the U.S.
Any willing provider laws enable a hospital or physician to join these plans if they are willing to accept the terms and reimbursement rates already in place.
In short, Arkansans deserve the any willing provider law.
Several states have enacted so-called any willing provider laws banning closed or preferred networks and enabling any pharmacy to participate in the network if it accepts required conditions and the stated reimbursement fees.
MCCLEAN, Va.--Members of the American Managed Care Pharmacy Association (AMCPA) have vowed to continue to oppose unitary pricing proposals as well as so-called any willing provider laws. The group held its fourth annual conference here recently and heard one speaker predict that the health care system of the future will feature the direct distribution of pharmaceutical products from manufacturers to the people who use them.