I was wondering if some can help me out with this assignment, as I don't understand.

For this assignment, put yourself in the shoes of a state regulator. Based on the network adequacy requirements below and the insurer network for each scenario, would you approve the network? If not, why? (10 points for each scenario.) (This is obviously a simplified network adequacy analysis, a true analysis would be far more complex.) For your answer, please input text responses into WebCourses numbered 1-4 for each scenario. Remember to read all of the details of the network adequacy requirements and carefully review the time and distance for each provider.

Network Adequacy Requirements:

PCP 30 minutes/15 miles; at least 2 providers for every 500 members

Mental Health 30 minutes/15 miles; at least 1 provider for every 500 members

Specialty (Urology) 30 minutes/15 miles; at least 1 provider for every 1,500 members

Hospital: 30 minutes/15 miles; at least 1 for every 1,000 members (up to 2,000 members--in other words, no insurer needs to have more than 2 hospitals because there are only 2 hospitals in the geographic area)

EXAMPLE: Insurer: We Care Health Plan: Expected Enrollment 2,000 members

Provider Name	PCP/Specialty	Time/Distance
Dr. Cavenaugh	PCP-1 provider	30 min/15 miles
Dr. Jones	PCP-4 providers	60 min/30 miles
Radford Pediatrics	PCP-6 providers	60 min/30 miles
Dr. Singh	Mental Health-1 provider	30 min/15 miles
Behavioral Health Associates	Mental Health-3 providers	60 min/30 miles
St. James Hospital	Hospital	30 min/15 miles
Dr. Copeland	Urology-1 provider	30 min/15 miles

Based on a projected enrollment of 2,000 members, the insurer needs: 8 PCPs within 30 minutes/15 miles; 4 mental health providers within 30 minutes/15 miles; 2 urologists within 30 minutes/15 miles; and 2 hospitals within 30 minutes/15 miles.

Answer: The insurer fails to meet network adequacy standards because the network is missing 7 PCPs (within 30 minutes/15 miles), 3 mental health providers (within 30 minutes/15 miles); 1 urologist and a hospital.

ASSIGNMENT SCENARIOS:

Insurer: Wellness Experts Health Plan: Expected Enrollment 1,000 members

Provider Name	PCP/Specialty	Time/Distance
Dr. Smith	PCP-1 provider	30 min/15 miles
Primary Care Associates	PCP-6 providers	30 min/15 miles
Dr. Jones	PCP-4 providers	60 min/30 miles
Radford Pediatrics	PCP-4 providers	60 min/30 miles
Dr. Chamberlin	Mental Health-2 providers	30 min/15 miles
Dr. Singh	Mental Health-2 providers	30 min/15 miles
Behavioral Health Associates	Mental Health-3 providers	60 min/30 miles
Dr. Peterson	Mental Health-1 provider	30 min/15 miles
St. James Hospital	Hospital	30 min/15 miles
Dr. Copeland	Urology-2 providers	30 min/15 miles

Insurer: Healthy Start Health Plan: Expected Enrollment 1,000 members

Provider Name	PCP/Specialty	Time/Distance
Dr. Patel	PCP-1 provider	30 min/15 miles
Primary Care Associates	PCP-6 providers	30 min/15 miles
Dr. Chamberlin	Mental Health-1 provider	30 min/15 miles
Dr. Yiu	Mental Health-1 provider	30 min/15 miles
Behavioral Health Associates	Mental Health-3 providers	60 min/30 miles
Cambridge Hospital	Hospital	30 min/15 miles
Dr. Matheson	Urology-1 provider	30 min/15 miles
Urologist Associates	Urology-2 providers	60 min/30 miles

Insurer: Healthy Start Health Plan: Expected Enrollment 2,000 members

Provider Name	PCP/Specialty	Time/Distance
Dr. Hamilton	PCP-1 provider	30 min/15 miles
Anderson Pediatrics	PCP-3 providers	30 min/15 miles
Dr. Reid	PCP-2 providers	30 min/15 miles
Dr. Rogers	Mental Health-1 provider	30 min/15 miles
Behavioral Health Associates	Mental Health-3 providers	60 min/30 miles
St. James Hospital	Hospital	30 min/15 miles
Central Valley Hospital	Hospital	30 min/15 miles
Urologist Associates	Urology-2 providers	60 min/30 miles

Insurer: Healthy Start Health Plan: Expected Enrollment 3,000 members

Provider Name	PCP/Specialty	Time/Distance
Dr. Smith	PCP-1 provider	30 min/15 miles
Childrens Health Group	PCP-3 providers	30 min/15 miles
Dr. Jones	PCP-1 provider	30 min/15 miles
Primary Care Associates	PCP-6 providers	30 min/15 miles
Dr. Chamberlin	Mental Health-1 provider	30 min/15 miles
Dr. Singh	Mental Health-2 providers	30 min/15 miles
Behavioral Health Associates	Mental Health-3 providers	60 min/30 miles
Dr. Peterson	Mental Health-1 provider	30 min/15 miles
St. James Hospital	Hospital	30 min/15 miles
Central Valley Hospital	Hospital	30 min/15 miles
Urologist Associates	Urology-2 providers	60 min/30 miles