Network adequacy intelligence for everyone
Accurate · Blazing fast · Cost effective · API-driven
A modern network adequacy platform for healthcare payers, providers, and regulators. Radius runs ACA, Medicare Advantage, and other standards in seconds, with zip-code-level granularity and auditable results.
Adequacy analysis as
production infrastructure.
Every incumbent was built as reporting software: slow data loads, overnight batch jobs, spreadsheet exports. Radius is a live API on top of a blazing fast adequacy engine, built for the operational tempo modern healthcare actually runs at.
High accuracy
Our geocoding and travel calculations are tuned for a close match to CMS results while using modern geocoding and travel calculation services. Accurate provider and facility counts and zip-code-level granularity to narrow down gaps in coverage.
Blazing fast
Full-state, multi-specialty adequacy in seconds. Our novel implementation outperforms the competitors by 10x or more. Interactive exploration replaces overnight batch. Ask a "what if" and get an answer before the meeting ends.
Cost effective
A fraction of what incumbents charge, so adequacy stops being an annual procurement and starts being an everyday tool. Check it before every renewal, every board meeting, every expansion conversation. No six-figure commitment required.
API-driven
Every capability exposed as a REST API to enable a first-class integration. Embed in compliance dashboards, run in automated pipelines, script your M&A market assessments. Not a quarterly deliverable. A production service that you can use every day.
One engine. Every use case.
The Radius platform offers discrete variants for payers, providers, and regulators. Radius can support a payer's network operations team's compliance monitoring, a provider's contracting team's rate-gap brief, and a state DOI's carrier verification. The data inputs and outputs are tailored for each use case.
Continuous compliance, not quarterly panic.
Directory accuracy monitoring, adequacy forecasting, and gap ranking on an API your network operations team can actually integrate. Audit-ready evidence in seconds, not weeks. Use maps to understand the geography of your network.
- · Director of Network Operations
- · VP of Compliance / Regulatory Affairs
- · Provider Data / Directory Management lead
Walk into renewals with the math.
Rate-gap analysis, adequacy contribution scoring, termination modeling, and expansion targeting, built for contracting teams, CFOs, and strategy leads at independent physician groups and regional health systems.
- · VP Managed Care / Director of Contracting
- · CFO signing off on a renewal
- · Strategy leads modeling new clinic locations
Run carrier review at actual scale.
Re-run CMS-methodology T&D on every carrier submission, detect gaming patterns, and stand up the Effective Review Program infrastructure the 2027 NBPP requires, at a price point that lets you review every carrier, not just the ones you can afford to.
- · State Departments of Insurance
- · State-Based Marketplace operations
- · Medicaid MCO oversight
Same-day deliverables, on data that holds up.
Adequacy and rate intelligence for advisory practices. Run a client's full network in seconds, embed scoring in branded deliverables, and serve smaller engagements profitably without an enterprise license.
- · Network development & adequacy practices
- · Managed care contracting advisors
- · Healthcare M&A and strategy firms
Three regulatory forces are compressing the window.
Network adequacy sat behind a wall of batch reports and manual spreadsheets for two decades because enforcement was rare and transparency was worse. Both just changed.
ACA NBPP devolution
Federal ACA network adequacy authority devolves to the states. QHP issuers face 20+ different state DOI review regimes instead of one federal one, on rolling SBM implementation timelines. State regulators need Effective Review Program infrastructure that doesn't exist yet. The procurement category is new on both sides.
MA directory mandate
MA plans must submit provider directory data to CMS Medicare Plan Finder. 30-day update requirement. Annual accuracy attestation. Directory accuracy is suddenly auditable on a continuous basis.
Ghost network enforcement
OIG audits escalating. Cigna's $5.7M settlement is the first of many. Class actions across MA and ACA marketplaces are multiplying. Inaccurate networks are now a regulatory and legal liability, not a marketing problem.
Try it against your own data in an afternoon.
API keys available for evaluation. Send a roster, a payer filing, or a county list and we'll return adequacy scores the same day, so you can see the performance, accuracy, and integration story for yourself before a formal pilot.