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. The flow chart below shows some of areas in which BRG can work with plans to potentially mitigate the risks associated with network adequacy:

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Brian E. Hoyt Berkeley Research Group bhoyt@thinkbrg.com

Brian E. Hoyt
Berkeley Research Group
bhoyt@thinkbrg.com

Brian E. Hoyt is a managing director in BRG’s Heath Analytics Practice in Washington, DC. He combines more than 20 years of healthcare industry expertise with analytical acumen to develop customized solutions to the complex challenges that participants in the healthcare system are facing. He routinely partners with clients—from startups to Fortune 500 companies—to implement a data-driven approach to identify and analyze critical business issues, make strategic decisions, and respond to disputes and investigations. Mr. Hoyt was recently appointed by a state attorney general to serve as the independent monitor of a settlement between the attorney general and a health insurer related to reported inaccuracies in the health insurer’s online provider directory. Mr. Hoyt is an expert in health plan provider directories and network adequacy. He has spoken at conferences and written extensively on these topics, and has also offered analysis and commentary to national news media.

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