Access
Network adequacy & leakage
Time/distance access by specialty, payer narrowness, and where attributed patients seek care out-of-network.
Specialties tracked
34
Counties covered
14
Out-of-network leakage
11.4%
CMS gap flags
3
Adequacy by specialty (time/distance)
- Primary care98% within 10 miadequate
- Cardiology92% within 20 miadequate
- Behavioral health71% within 30 migap
- Endocrinology68% within 30 migap
- Pediatric surgery54% within 60 migap
- Maternal-fetal medicine88% within 30 miadequate
Top leakage destinations
- Emory Healthcare · cardiology412 referrals (18%) · $2.1M ext spend
- Children's Healthcare of Atlanta284 referrals (12%) · $1.4M ext spend
- Piedmont · orthopedics168 referrals (7%) · $840k ext spend
- Independent imaging centers311 studies (14%) · $420k ext spend
Recruitment priorities
- Adolescent psychiatry · south metro2 FTE target
- Endocrinology · east campus1 FTE + 1 NP
- Bilingual primary care (Spanish)3 FTE across 4 sites
- Lactation consultants2 FTE network-wide