Alert: Got Access? Advocating for Network Adequacy

Dear Partners,

As millions of people begin to use their new health insurance plans, there will be an increased focus on the benefits provided to consumers, access to those benefits, and how consumers feel about their available providers. These are all components of network adequacy and an area where advocates are positioned to weigh in.

Network adequacy is the ability of a health plan to give enrollees timely access to enough in-network providers, including primary care and specialty physicians, as well as other important health care services. We are now seeing many states struggle with networks that may not meet the needs of consumers. 

The ACA outlines network adequacy criteria, but these standards are not specific. Consumer advocates have an opportunity to push for more robust network adequacy standards.  To support this work, Community Catalyst has developed a number of materials to guide consumer advocates:

We hope you will find these materials helpful as consumers begin accessing health care services under ACA programs. We would love to hear how you have used any of these tools and resources. Please contact Quynh Chi Nguyen, at with any questions or feedback.

Thank you for your continued advocacy,

The Community Catalyst Private Insurance Team 

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