Provider Mandates

VII. Key Issues: Regulation & Reform >> B. Health Care Regulation >> Health Insurance Regulation >> Provider Mandates (last updated July 12, 2014)

 

Overview

This includes mandates that health insurance policies cover selected types of medical professionals (e.g., chiropractors). Currently, states have imposed such requirements for more than 30 different categories of health providers. The Duke Center for Health Policy and Inequalities Research has developed a draft working paper on the benefits and costs of mandated health providers: (pdf)

 

Analysis of Specific Mandates

Chiropractic Services

• CT Mandate. 2010 Vol. III report estimates this increases group premiums by 0.80% (excludes administrative load)

Physician Assistants and Certain Nurses

• CT Mandate. 2010 Vol. III report estimates this increases group premiums by 0.00% (excludes administrative load)

Veterans’ Home Services

• CT Mandate. 2010 Vol. III report estimates this increases group premiums by 0.10% (excludes administrative load)

 

Links

• California Health Benefits Review Program. Health Insurance Benefit Mandates in California State and Federal Law (Oakland:University of California, 2012).