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.

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Thank you City of AtIanta for the recognition! We hope that Atlantans and people across the state will join us in our work to ensure ALL Georgians have access to the quality, affordable health care they need to live healthy lives and contribute to the health of their communities. Learn more and support our work at healthyfuturega.org. ... See MoreSee Less

Laura Colbert serves as the Executive Director for Georgians For a Healthy Future, a non-profit cons...

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GHF's Executive Director reacts to HHS's announcement that it will allow insurers to offer more short-term plans that do not comply with the Affordable Care Act's consumer protections: “Middle-income consumers with pre-existing conditions who want to remain in the marketplace where they’re protected are going to see big increases in premiums if a lot of healthy people leave to buy short-term plans.” Read more: ow.ly/JM5730ixp2H ... See MoreSee Less

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GHF In The News
Jul 27, 2015
Ga. Officials Looking Into Access To Healthcare Providers

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