Network Adequacy

When consumers enroll in a health insurance plan, they gain access to a network of medical providers. Insurance companies contract with a range of providers, including both primary care and specialty physicians, to deliver health care services included within the plan’s benefit package. This network of providers must be adequate to ensure that consumers enrolled in the plan have reasonable access to all covered benefits. This is what is meant by network adequacy. 


Are newly insured Georgians accessing the care they need? For the most part, the answer seems to be yes, but there are also some warning signs on the horizon. As narrow provider networks become more common, health care consumers need accurate and more usable information about the size and composition of provider networks to make meaningful choices about health insurance. In addition to transparency measures like enhancements to provider directories, Georgians for a Healthy Future also supports updating Georgia's network adequacy laws and regulations to ensure that consumers can access a provider in their network for all covered benefits. 


Learn more about our advocacy around network adequacy and provider directories through the resources and information on this page. Extra text to test editing.

Don't get left out
Facebook Twitter

This message is only visible to admins.

Problem displaying Facebook posts.
Click to show error

Error: An access token is required to request this resource.
Type: OAuthException
Solution: See here for how to solve this error
GHF In The News
Jul 27, 2015
Ga. Officials Looking Into Access To Healthcare Providers

Stay Connected

Sign up for GHF emails for the latest information on network adequacy.


Can newly covered Georgians access the care they need?

The short answer seems to be yes, but there are some warning signs on the…

Network adequacy takes the stage

Georgians for a Healthy Future has identified network adequacy, or the sufficiency of the health…

Network Adequacy: Action Alert

Decision-makers are weighing policy choices that will have implications for health care consumers in Georgia…

Hot Topic Update: Network Adequacy

To ensure the needs of consumers are considered in the model law updating process, the…