The Totally Adequate Podcast

The Final 2026 Payment Notice: Network Adequacy Updates for Qualified Health Plans


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The Final Notice of Benefit and Payment Parameters for 2026 is out, and we’re here to break it down for you. Kate Deiters and Zach Snyder discuss the key changes in network adequacy requirements. Tune in to learn how these changes will impact Qualified Health Plans (QHPs) Certification for issuers on the federal and state exchanges. 

Topics Covered 

New Network Adequacy Calculations: Learn about the shift to using geographic distance for network adequacy evaluations. 

Implications for State-based Exchanges: Find out about the requirements for state-based exchanges to meet federal standards by January 1, 2026, and potential legislative and regulatory shifts. 

State-Specific Legislative Actions: Get an overview of how states like Nevada and Oregon are aligning their standards with federal requirements and the legislative processes involved. 

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The Totally Adequate PodcastBy Quest Analytics®