Network adequacy is a state and federal regulatory requirement that health plans maintain a sufficient number and geographic distribution of contracted providers. The NAIC's Model Act #74, substantially revised in 2015, introduced quantitative time-and-distance and wait-time standards.
Rural and underserved markets are hardest to serve because provider recruitment has failed regardless of contracting strategy, the same problem Health Professional Shortage Area designations exist to measure. Deployable infrastructure like the OnMed CareStation™ closes network adequacy gaps without requiring new facilities or successful recruitment.
The NAIC's Health Benefit Plan Network Access and Adequacy Model Act (Model #74), substantially revised in 2015, is the primary framework states use, though implementation varies significantly by state.
Yes. Solutions like the CareStation can close network adequacy gaps in rural and underserved markets without requiring new physical facilities or successful local provider recruitment.
Every term here points to the same gap in healthcare access. See how the CareStation closes it.
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