APMA signed on to the Patient Access to Responsible Care Alliance (PARCA) letter thanking the Departments of Health and Human Services, Treasury, and Labor for holding a listening session on the issue of provider nondiscrimination. During the listening session, APMA President Laura Pickard, DPM, and other PARCA members shared examples of discrimination based on licensure by health plans that the Affordable Care Act Provider Nondiscrimination Provision was intended to prevent.
During the listening session and in its most recent letter, APMA and PARCA urged the administration to promulgate strong rules and enforcement provisions to prevent further provider discrimination. Crafting a strong and enforceable provider nondiscrimination rule is a critical element to ensuring that patients have access to care from the provider of their choice. While APMA and PARCA acknowledge that the statute does not require insurers to contract with any willing provider, it does clearly state that insurers cannot base reimbursement decision around a provider licensure if that provider is working within their scope of practice.
For more information, visit the APMA Provider Nondiscrimination Provision Toolkit.