Network Adequacy in a Nutshell

Strategies to Mitigate Risk


BRG is uniquely qualified to help health plans navigate the complexities and ever-changing requirements related to provider network adequacy, whether assessing the adequacy of an existing network, or forming a new network. BRG combines its command of the network adequacy regulatory requirements with its expertise in data analytics to provide solutions across the entire spectrum of network adequacy measures. Additionally, BRG experts can assist in responding to government investigations and audits related to network adequacy, including serving as an external monitor.


About Brian Hoyt

Brian E. Hoyt
Berkeley Research Group

Brian E. Hoyt is a Managing Director in BRG’s Heath Analytics Practice in Washington, DC and is an expert in network adequacy and health plan provider directories. Mr. Hoyt has been selected as an independent monitor of enforcement decrees pursuant to both state and federal investigations in these areas. He also routinely works with health plans to proactively navigate the risks and complexities that these areas present, as well as to respond in the event of disputes and investigations. His expertise extends not only to the data and technology used in these areas, but also to the state and federal regulatory landscape in which plans operate.


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