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Ensuring Compliance with Network Adequacy Standards: Lessons from Four States
Robert Wood Johnson Foundation Link to more items from this source
Mar. 16, 2017
15 pages. "Quantitative standards and related metrics help regulators evaluate network adequacy, but regulators need flexibility in applying those standards. A combination of standardized forms and narrative submissions help regulators analyze network adequacy. States vary in the extent to which regulators require insurers to change or supplement proposed networks. States vary in their transparency about insurer network submissions and regulators' review of those submissions. Challenges remain in assessing and monitoring network adequacy."

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