# Network adequacy

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> Source: https://en.wikipedia.org/wiki/Network_adequacy
> Source revision: 1247067972
> License: Creative Commons Attribution-ShareAlike 4.0 International (https://creativecommons.org/licenses/by-sa/4.0/)

'''Network adequacy''' in [healthcare in the United States](/source/healthcare_in_the_United_States) is having sufficient [provider](/source/Health_care_provider)s within a [health plan](/source/Health_insurance_in_the_United_States) network to ensure reasonable and timely access to care. <ref name="Bradley">{{cite web |last1=Bradley |first1=Katharine |last2=Wishon |first2=Allison |last3=Donnelly |first3=Alexandra |last4=Lechner |first4=Amanda |title=Network Adequacy for Behavioral Health: Existing Standards and Considerations for Designing Standards |url=https://aspe.hhs.gov/reports/network-adequacy-behavioral-health |publisher=U.S. Department of Health and Human Services |access-date=22 September 2024 |date=November 2021|id=HHSP233201500035I}}{{source-attribution}}</ref>

Health insurance plans may include [ghost provider](/source/ghost_provider)s to falsely maintain compliance.<ref name="Rahim">{{cite news |last1=Rahim |first1=Hannah |title=Addressing Ghost Networks in Mental Health Care |url=https://blog.petrieflom.law.harvard.edu/2023/12/06/addressing-ghost-networks-in-mental-health-care/ |access-date=22 September 2024 |work=Bill of Health |publisher=[Petrie-Flom Center](/source/Petrie-Flom_Center)|agency=[Harvard Law School](/source/Harvard_Law_School) |date=December 6, 2023}}</ref> There are no federal standards, though several states, including [California](/source/California), have passed legislation to ensure minimum network adequacy.<ref>{{cite news |last1=Pollitz |first1=Karen |title=Network Adequacy Standards and Enforcement |url=https://www.kff.org/affordable-care-act/issue-brief/network-adequacy-standards-and-enforcement/ |access-date=22 September 2024 |work=KFF |date=4 February 2022}}</ref>

==References==
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Category:Healthcare in the United States

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Adapted from the Wikipedia article [Network adequacy](https://en.wikipedia.org/wiki/Network_adequacy) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/Network_adequacy?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.