Concepedia

Network Adequacy Requirements

Network Adequacy Requirements is a set of legal and regulatory standards that obligate health insurance carriers to maintain provider networks of sufficient size, specialty mix, geographic distribution, and timely availability to ensure enrollees reasonable access to all covered health care services.

11

Publications

323

Citations

32

Authors

32

Institutions

Publications per year

2017–2026

5

Parents

Children

Publications

11

Secret Shoppers Find Access To Providers And Network Accuracy Lacking For Those In Marketplace And Commercial Plans

Simon F. Haeder, David L. Weimer, Dana B. Mukamel · Health Affairs · 2016 · 69 citations · Full text

, , +16

In Medicaid Managed Care Networks, Care Is Highly Concentrated Among A Small Percentage Of Physicians

Avital Ludomirsky, William L. Schpero, Jacob Wallace et al. · Health Affairs · 2022 · 54 citations

, , +17

Discrete Particle Swarm Optimization Algorithm Used For Tnep Considering Network Adequacy Restriction

Hossein Shayeghi, Meisam Mahdavi, A Kazemi · 2009 · 31 citations · Full text

, , +9

The Accuracy of Dermatology Network Physician Directories Posted by Medicare Advantage Health Plans in an Era of Narrow Networks

Jack Resneck, Aaron Quiggle, Michael Liu et al. · JAMA Dermatology · 2014 · 31 citations

, , +16

A Consumer-Centric Approach To Network Adequacy: Access To Four Specialties In California’s Marketplace

Simon F. Haeder, David L. Weimer, Dana B. Mukamel · Health Affairs · 2019 · 30 citations

, , +17

1–5 of 11

Authors

32

  1. DL
    David L. Weimer

    University of Wisconsin–Madison, United States

    2 publications · 99 citations

    2

    h-index

  2. DB
    Dana B. Mukamel

    University of California, Irvine, United States

    2 publications · 99 citations

    2

    h-index

  3. JM
    Jane M. Zhu

    Oregon Health & Science University, United States

    2 publications · 37 citations

    2

    h-index

  4. SF
    Simon F. Haeder

    University of Wisconsin–Madison, United States

    2 publications · 99 citations

    2

    h-index

  5. MA
    Michael Adelberg

    University of Pennsylvania, United States

    1 publications · 18 citations

    1

    h-index

1–5 of 32

Institutions

32

  1. University of Wisconsin–Madison

    Madison, United States

    2 h-index

    2 publications

    99 citations

  2. Oregon Health & Science University

    Portland, United States

    2 h-index

    3 publications

    54 citations

  3. Public Policy Institute of California

    San Francisco, United States

    2 h-index

    2 publications

    48 citations

  4. Cornell University

    Ithaca, United States

    1 h-index

    1 publications

    54 citations

  5. Emory University

    Atlanta, United States

    1 h-index

    1 publications

    23 citations

  6. Texas Board of Nursing

    Austin, United States

    1 h-index

    1 publications

    12 citations

  7. RAND Corporation

    Santa Monica, United States

    1 h-index

    1 publications

    17 citations

  8. Quality Systems (United States)

    Irvine, United States

    1 h-index

    1 publications

    30 citations

1–8 of 32

Venues

  1. Health Affairs

    3 publications · 153 citations

    3

    h-index

  2. Health Services Research

    HSR · 1 publications · 18 citations

    1

    h-index

  3. New England Journal of Medicine

    NEJM · 1 publications · 23 citations

    1

    h-index

  4. JAMA Dermatology

    1 publications · 31 citations

    1

    h-index

  5. The American Journal of Managed Care

    AJMC · 1 publications · 20 citations

    1

    h-index

1–5