Network Adequacy and Travel Standards Dataset

The Network Adequacy and Travel Standards Dataset captures what states are doing to ensure QHPs maintain adequate networks.

The Network Adequacy and Travel Standards Dataset captures what states are doing to ensure that Qualified Health Plans (QHPs) maintain provider networks that are sufficient to ensure access to care without unreasonable delays. Although HHS has established broad Network Adequacy parameters, states have considerable discretion in establishing the minimum network adequacy standards for QHPs. The Network Adequacy and Travel Standards Dataset contains data on these standards, including requirements related to the geographic accessibility of providers, appointment wait times, and provider:member ratios.

The Network Adequacy and Travel Standards Dataset is current as of January 2015.

Citation

If you are using the Network Adequacy and Travel Standards Dataset for research purposes please cite the dataset as follows: Baker, T.; Town, R. (2014): Health Insurance Exchanges 2.0 Dataset. Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania. http:www.rwjf.org/en/library/research/2015/01/network-adequacy-and-travel-standards-dataset.html

 

Funding for HIX 2.0, and the Network Adequacy Dataset, was provided by the Robert Wood Johnson Foundation and the Alfred P. Sloan Foundation.

The creation of the datasets is a work in progress. We welcome your suggestions. Please contact Gabbie Nirenburg at gni@wharton.upenn.edu with any questions, comments, or ideas for improvement in the datasets. The datasets are regularly updated and we will attempt to incorporate your comments.

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