Kearny Street Management
Provider Network Development
ACA Marketplace (QHP)
For issuers entering or expanding on the Exchange
Clear QHP certification without a network scramble.
Marketplace certification runs on an annual clock with little forgiveness. The Essential Community Provider threshold and county-level time-and-distance standards are where issuers most often get sent back.
Sound familiar?
- The ECP threshold is short and the contracts aren't signed yet
- County-designation rules change what adequate even means
- Certification timelines collide with contracting reality
- Network breadth is fighting your premium target
What we take off your plate
ECP strategy & contracting
Identify, recruit, and paper the essential community providers that count.
County-level adequacy
Time-and-distance modeled by county designation, gaps ranked by impact.
Certification filing support
Network templates and narratives assembled to survive review.
Justifications & exceptions
Defensible write-ups where the market genuinely cannot supply.
A simple plan
1
Diagnose
Where you stand against this year's QHP standards.
2
Build
Close ECP and specialty gaps against the filing date.
3
Hand back
A certified network and the cadence to renew it.
What winning looks like
- ECP threshold met with signed agreements
- Certification cleared without a resubmission cycle
- A renewal process that isn't a fire drill next year
Talk to Dave Smith, Founder
770.329.9823
dsmith@ksmnetwork.com
A 20-minute call. No pitch.