ABOUT
COVERAGE THAT COUNTS
Coverage That Counts is focused on protecting and improving patients’ access to doctors, specialists, and other healthcare providers.
Patients pay for health insurance with the expectation that they will be able to access care when they need it. But too often, insurer practices can make that harder by limiting provider networks, offering physicians unsustainable contract terms, underpaying out-of-network claims, and creating barriers to independent review.
At the same time, consolidation is giving large insurance companies more control over doctors, clinics, pharmacies, pharmacy benefit managers, and other parts of the healthcare system. As that control grows, Americans are left with fewer independent practices, narrower networks, fewer specialists, longer waits, and less choice.
Coverage That Counts believes having an insurance card is not the same as having access to healthcare. Coverage only works when patients can find the right providers in their network and receive care when they need it.
Our priorities are simple:
- Protect access to doctors and specialists
- Promote competitive healthcare markets that give patients choices
- Hold insurers accountable for offering networks that provide meaningful access to care
- Protect independent dispute resolution so insurers cannot dictate payment without reviewList Item
- Prevent insurer practices that push physicians out of networks or make it harder for patients to receive care
Patients should not be caught in the middle of disputes between insurers and healthcare providers. They should be able to use the coverage they pay for, choose from a meaningful range of providers, and get care without unnecessary barriers.