"There are physician shortages,

...  and health plans are under increasing pressure to narrow their networks to reduce costs. At the same time, some states are ramping up their network-adequacy standards and moving closer to quantitative standards where you'd have specific provider ratios or geographic distance standards."

— According to Sandy Ahn, an associate research professor at the Georgetown University Health Policy Center and co-author of a recent Urban Institute paper that suggests the inclusion of telehealth in NAIC's network adequacy model.