Offline
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 care
    98% within 10 miadequate
  • Cardiology
    92% within 20 miadequate
  • Behavioral health
    71% within 30 migap
  • Endocrinology
    68% within 30 migap
  • Pediatric surgery
    54% within 60 migap
  • Maternal-fetal medicine
    88% within 30 miadequate

Top leakage destinations

  • Emory Healthcare · cardiology
    412 referrals (18%) · $2.1M ext spend
  • Children's Healthcare of Atlanta
    284 referrals (12%) · $1.4M ext spend
  • Piedmont · orthopedics
    168 referrals (7%) · $840k ext spend
  • Independent imaging centers
    311 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