The Geography of Enrollments Report 2025

The geography of enrollment tells a bigger story about care access‍

cross the U.S., providers face vastly different timelines to get enrolled and billable. In some states, approvals take weeks. In others, it’s months.Those delays impact providers and ripple across the entire system. Patients wait longer for care. Health systems lose revenue. Payers struggle to meet network adequacy goals.

But within the data, there’s good news: states proving that fast, efficient enrollment is possible.

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‍In this interactive report, you’ll learn:

• How payer enrollment timelines vary across all 51 states and territories.
• Where providers face the longest delays and where enrollment moves fastest.
• How these trends connect to access to care, provider capacity, and financial performance.
• Why improving administrative speed can unlock millions in revenue and earlier access to care.

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See how your state compares — and where opportunities for improvement and growth are emerging.

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