Smaller Networks Don’t Mean Smaller Issues

It would be reasonable to assume that smaller, regional networks carry less risk than sprawling national ones but the data doesn't support that assumption. Across the 144 blinded networks, the statistical relationship between provider count and exclusion rate is close to zero. A regional network with 10,000 providers can carry the same or higher exclusion rate as a network with more than 1 million providers. Continuous monitoring isn't a large-payer problem or a small-payer problem. It's a problem for every network in this dataset, regardless of size.