That somebody can be get to in tough numbers and types in a reasonable amount of team states can look at the networks to make sure that that definition of reasonable is reasonable. When you look at the time it takes people to get to them, any waiting periods, any distance issues that you make sure that everybody can get to somebody in a sufficient way. If not, if there is an insufficient network the carrier makes sure the patient can go to another doctor or provider and that they would be not charged more for going to them. They require the carriers to file an access plan with the commissioner prior to offering the new managed care plan. What goes in that is a description of the network and also say how they are going to monitor the network on an ongoing basis. What their egregious procedures will be if somebody has a problem or question about the network. Notification. How do they notify if theres a change. Also, the continuity of care if somebody is dropped how are you going to make
Regulate and have transparency for limited network plans. Because they are and im familiar with some anecdotes where say in ophthalmology, which i know fairly well where the issue about retina specialists was raised. And, you know, through the academy of ophthalmology went to the insurer who i think just responded. Oh, we didnt know that. So we will make sure to put some retina specialists in the plan. So i think its just discovery that this is an issue. And i would say yes, you know, the detail that is going to be needed in some specialties will probably have to go by sub specialty. And it is going to make it more complex but this is going to be a big part of our market environment. So we mights well ju as well ju that. Anybody else . Brian. It does vary by state. But some do a deep dive and they go down to specialists, subspecialists. Not at medicare venues though. We dont get to regulate that. So were excluded. Yes, go right ahead. I work with the American College of nurse mid wives
Couple of years. You can get that as well which kind of looks at the issues that we are now going to be looking at as we look to revise our model. We have set up a subgroup which is currently doing regular phone calls. They are open phone calls, anybody, anybody in this room can sit in on them if you have nothing else better to do with your life. I always picture a 40yearold man in his mothers basement. I dont know why. You can provide comments anybody and everybody can provide comments, suggested changes, however you want to do it. Weve gone through a series of calls now where weve had all the stakeholders, the carriers, provide providers, consumers, of course, others that have come in and brought us their ideas. Were going to soon start the process of updating it. There are a couple of areas we are clear we need to update. One is essential Community Provider. Thats not something we were really looking at before. Are those now included in your networks . Theres also issues in the new
Thank you, mr. Chairman. Ms. Barra youve mentioned several times in your comments todays gm. So my assumption is that you are going to run gm in a different manner than it has been run in the past . And that thats correct. And you are making some changes. I want to ask you just a little bit about time line. Helping us to get our hands around this because this is the first investigation were going to do. Were going to have others. And continue to look at this to get answers and figure out what has happened here between you all and nhtsa, and also within what happened at gm. So you mentioned in your testimony that this came to light on your watch. So i am assuming that there was no widespread knowledge in gm about this issue until you became ceo. Am i correct on that . At the senior level of the company, we learned of this after the recall decision was made on january 31st. I was aware in lace debtber december there was analysis going on cobalt issue. But as soon as we understood the Sen
I believe i can to the extent its not privileged. I would imagine it shouldnt be privileged but id be surprised if a document like that would be privileged. Im sure we can work out a situation where you can provide that to us. Okay. But it may well be in terms we dont need filled out one, just blank one to see what kind of questions you are asking. I would ask, have a moment hcr working with ice reviewing the form. I dont know where that process is but i know the form has been subject people have had a look at it. I think its googleable even if the government doesnt release it. It is a public form. I cant remember the number. I appreciate that. Recently received here at the commission a number of complaints, copies of complaints that were submitted involving religious freedom submitted by arab American American Arab Antidiscrimination Committee involving religious freedom at the stewart facility. Are any of you aware of these complaints . Its very possible my organization has gotten th