New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year November 22, 2016 Agenda (Contents) 2017 Marketplace Network Information Slide New Hampshire Marketplace Preview 3-9 Health Insurance Carrier Network Profiles Ambetter from NH Healthy Families, offered by Celtic Insurance 11 Anthem Blue Cross Blue Shield of New Hampshire 12 Harvard Pilgrim Health Care of New England 13-14 Minuteman Health 15 Appendix: Hospital, ECP, & SUD Listing 16 11/23/2016 Page 2 Key Dates: 2017 Marketplace Plan Review 11/23/2016 Page 3 Preview of Marketplace Issuer Networks All information provided in this presentation has been generated from insurance carrier applications and is current as of November 22, 2016. This information does not represent final networks as they will appear on the Health Insurance Marketplace in 2017. Carriers continually negotiate contract terms with providers, and State review of these networks may result in changes to provider contracts or geographic coverage of health plans. Hospital listings reflect only those hospitals located in NH. Essential Community Providers (ECPs) are medical care providers who serve predominantly low-income, or medically underserved patient populations as classified by CMS under 45 CFR 156.235 of the Federal Register. 11/23/2016 Page 4 New Hampshire Insurance Marketplace Profile Medical Profile 2014 2015 2016 2017 1 5 5 4 • Anthem • Anthem Blue • Ambetterfrom NH • Ambetterfrom NH Blue Cross Cross Blue Shield Healthy Families, Healthy Families, Number of Blue Shield of New offered by Celtic offered by Celtic of New Hampshire Insurance Insurance Carriers Hampshire • Assurant Health • Anthem Blue • Anthem Blue • Community Cross Blue Shield Cross Blue Shield Health Options of New Hampshire of New Hampshire (MCHO) • Community Health • Harvard Pilgrim • Harvard Pilgrim Options (MCHO) Health Care of Health Care of • Harvard Pilgrim New England New England Health Care of • Minuteman Health • Minuteman Health New England Number of • Minuteman Health Plans 14 60 62 49 • 11 Individual • 42 Individual • 32 Individual • 32 Individual • 3 Small Group • 18 Small Group • 30 Small Group • 17 Small Group Hospital 16 26 26 26 Inclusion • Acute care • Acute care • Acute care • Acute care hospitals in hospitals in hospitals in hospitals in QHP networks QHP networks QHP networks QHP networks 11/23/2016 Page 5 New Hampshire Insurance Marketplace Profile Dental Profile 2014 2015 2016 2017 3 3 4 2 • Anthem • Anthem • Anthem • Anthem • Delta • Delta Dental • Delta Dental • Delta Dental Number of Dental • Guardian Life • Guardian Life • Guardian Insurance Insurance Carriers Life Company Company Insurance • Dentegra Company Insurance Company Number of 22 13 15 11 Plans • 8 Individual • 7 Individual • 8 Individual • 7 Individual • 14 Small Group • 6 Small Group • 7 Small Group • 4 Small Group 11/23/2016 Page 6 2017 Network Profile – Hospital Coverage Location of Hospitals in New Hampshire New Hampshire Hospitals 11/23/2016 Page 7 2017 Network Profile – Hospital Coverage Each hospital appears in at least 1 issuer network in Network Contracts per Hospital 2017, with several plans offering coverage at each facility 11/23/2016 Page 8 2017 Network Profile – SUD Treatment The New Hampshire Insurance Department, in a new initiative for 2017, provided a list of providers in seven SUD treatment categories requesting that carriers indicate which providers were included in their proposed network(s). The seven SUD treatment categories provided were:  Intensive Outpatient Program  Partial Hospitalization  Residential Services  Medication Assisted Treatment (MAT) – Buprenorphine (Suboxone)  MAT – Methadone  MAT – Naltrexone (Vivitrol)  MAT – Other Medication 11/23/2016 Page 9 2017 Network Profile – SUD Treatment  The template provided by the Department included108 SUD treatment providers throughout the state of New Hampshire. The data set can be found in the Appendix, starting on slide 16.  The 108 providers listed were generated from a Department created data set aimed at gathering a snapshot of network coverage by SUD treatment category.  This may not reflect the full breadth of each carrier’s SUD coverage by treatment category. For additional information on the providers included in an issuers’ network please consult the carrier’s provider directory. 11/23/2016 Page 10