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Insurers invoking all-product clauses to fill exchange plan networks

from Pamela Lewis Dolan

Some physicians are experiencing confusion and surprise by learning they are contracted to accept patients covered by insurance exchange plans despite the fact they rejected offers to participate in those plans. Plans are invoking what is known as an “all-product clause.” This is a provision many physicians may not be aware are present in their contracts, but essentially force physicians contracted in a particular payer plan to participate in all of the plans offered by that payer in the state, including those offered through the exchanges. more

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