URAC Network Adequacy Issue Brief

image depicting a network of people

As consumers continue to enroll in health plans through Health Insurance Marketplaces, there is concern about the adequacy of provider networks created by Qualified Health Plans (QHPs).

This issue brief examines consumer protection principles underlying URAC’s Health Plan Accreditation standards that address the network adequacy requirements of QHPs. URAC standards that support the best practices highlighted in this brief are also utilized by non-marketplace health plans.

Download the URAC Network Adequacy Issue Brief.