Policy Recommendations for Addressing Health Insurance Network Adequacy and Provider Network Standards in the Georgia Insurance Market

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Adedapo-Jimoh, Oluwatoyin
network adequacy; healthcare; insurance; health insurance networks; narrow networks; health policy
thesis / dissertation description
Network adequacy is a key indicator of a health insurance plan’s ability to provide access to appropriate, timely, and geographically accessible care. This capstone project focuses on developing policy recommendations to address the issue of insurance network adequacy standards and provider directories in the state of Georgia. These recommendations focus on the state of Georgia due to its lower ranking on health of the population and policy actions of the Georgia legislature during the most recent legislative session. A synthesis of current policy and research articles was conducted, with a particular focus on comparing policies and initiatives in the state of Georgia with those in other states. The effect that certain policy changes on insurance networks have had in these other locations can provide valuable insights about the impact of such policies, should they be implemented in the state of Georgia.