Narrow networks are more prevalent in public exchanges than the commercial market, and while this trend helps keep costs more manageable, it also significantly restricts any movement for consumers and could undermine network adequacy standards.

These conclusions are based on a new Avalere analysis of 2015 exchange plan enrollment in the nation’s the largest rating region. An average of 34% fewer providers in exchange plans relative to off-exchange options were found, along with 42% fewer oncologists and cardiologists; 32% fewer mental health and primary care providers; and 24% fewer hospitals.

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