See what payers see, and what they can't afford to lose.
Network adequacy, measured in reach.
Radius is the first platform to cross-reference actual negotiated rates with provider adequacy contribution scores and termination impact, so independent physician groups and health systems walk into managed care negotiations knowing exactly what their network position is worth.
Payers know exactly how essential you are. You don't.
Every managed care contract is negotiated against a regulatory backdrop providers can't see. CMS and state regulators require payers to maintain provider networks that meet specific time-and-distance standards. When you're the only orthopedic group within drive time in a county, you're not a vendor. You're the plan's compliance.
The full regulatory picture.
HSD-table modeling against every county. Adequacy scoring at the specialty level. Termination scenarios run before the call. They walk in knowing precisely what they can lose, what they can replace, and what your number should be.
Last year's rate sheet.
An RVU comparison. A roster spreadsheet. A consultant who ran the same playbook for two health systems in a different state. No view into the regulatory leverage you actually carry. No way to model what happens if you walk away.
Four answers, before the renewal call.
Radius gives provider organizations the same network adequacy intelligence payers have used against them, plus the rate context, expansion mapping, and brief-ready outputs to act on it.
What percent of the network do you carry?
For every plan, every specialty, every county: see exactly how much of the payer's regulatory adequacy your providers supply. Sole-provider counties are flagged as the leverage they are.
What breaks the day you walk away?
Toggle your organization out of a payer's network and re-run adequacy in real time. Watch counties flip from green to red. Hand the negotiator a county-by-county list of where compliance fails without you.
How far below market are your rates?
Your actual TiC-disclosed negotiated rates, percentile-ranked against the market for providers with your adequacy profile. Annual dollar gap to median, by CPT, by plan. The exact ask, with evidence.
Where are payers failing that you could fill?
Counties where a payer is below CMS adequacy in your specialties. Ranked by marketplace population and feasibility. Walk in proposing a network development agreement before they go shopping.
Built for the negotiation table, on modern infrastructure.
The incumbent adequacy platforms were architected for CMS's batch review workflow in the 2010s: overnight jobs, spreadsheet deliverables, six-figure annual procurement. Radius runs the same CMS methodology on a modern stack: best-in-class geospatial infrastructure under the hood, REST endpoints on top, pricing that fits a contracting department budget.
Ask "what happens to adequacy if we walk away from this payer in these eight counties?" and get an answer before the next meeting, not next quarter. That's the shift.
The same methodology CMS uses, pointed in the right direction.
We compute time-and-distance adequacy from the same authoritative public datasets payers' platforms rely on, but we run the math for the provider side.
Public data, ingested.
QHP network sample, NPPES provider registry, Census TIGER county polygons, CMS Medicare Fee Schedule, and TiC machine-readable rate files.
Drive-time polygons, computed.
Best-in-class routing builds the actual reachable polygon from each provider for each county-tier T&D standard, not as-the-crow-flies approximations.
Adequacy, scored.
A purpose-built geospatial engine scores every (plan, specialty, county) cell against the CMS standard at scale.
Leverage, surfaced.
Contribution percentages, termination scenarios, rate-gap dollars, and expansion opportunities, assembled into briefs your contracting team hands across the table.
Built for the people who actually sit across from the payer.
VP of Managed Care. Director of Contracting. The CFO who has to sign off on whether a renewal at last year's rates is acceptable. The strategy lead modeling a new clinic location.
Independent physician groups
50–500 physicians, multi-specialty, with active MA and commercial renewals. The orgs whose adequacy contribution is most often invisible, and most often material.
Regional health systems
5–40 hospitals with employed-physician footprint and complex multi-state payer portfolios. Board-level managed care reporting that needs more than a spreadsheet.
Specialty networks & IPAs
Clinically integrated networks and IPAs negotiating on behalf of member physicians, where the network's collective adequacy contribution is the entire leverage story.
Walk into your next renewal
with the math.
90-day pilots are open for independent physician groups and regional health systems with a payer renewal in the next two quarters. We'll model your live position against the relevant plans before you sign.