Quest Analytics
Member Level: VendorVendor Overview
Description of Services: Quest Analytics is the software platform trusted by the nation’s health plans and regulators to manage, measure and monitor health plan network performance. The company’s software is used by more than 425 payers,?including all eight of the nation’s largest health plans, the Centers for Medicare and Medicaid Services (CMS),?multiple state regulatory agencies?and?many of?the nation’s leading health systems. Quest Analytics’ solutions include Quest Analytics Services, the most widely utilized software to measure network access, and Quest Enterprise Services, the only software that enables health plans to measure, manage and monitor both network adequacy and provider directory accuracy within a single platform. Quest Analytics helps health plans move beyond adequacy to excellence by delivering differentiated?member experiences, improving Americans’ access to quality healthcare, and creating more efficient and compliant network management for payers across all plan types—including meeting the newly passed provider verification requirements under the No Surprises Act. For more information, please?visit?www.questanalytics.com.?
Primary Service: Enterprise Data
Secondary Service: Consulting
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9225 Indian Creek Pkwy
Suite 200
Overland Park, KS 66210
9207394552
http://www.questanalytics.com
Documents
Presentation: Reducing abrasion and increasing alignment between the payer, provider, and member
Quest Analytics leads a roundtable discussion about getting providers outside of your system to care about quality measures. This was shared at the 2022 Network Innovations Supporting the "Quadruple Aim" of Healthcare fly-in.
Presentation: Network Adequacy - Regulators' Priorities and Corrective Actions
Quest Analytics with FaegreBD discuss how data is changing provider network transparency,expectations, adequacy, and accuracy requirements and risks across government programs. They share on the newest network optimization tools, provider challenges and remediation strategies. This was presented at the Co-located Government Programs and Risk, Compliance, Privacy and Security meeting in August, 2018 in San Francisco.
Brochure: Quest Analytics
The industry leader in network adequacy and compliance monitoring. CMS and Quest Analytics have partnered to successfully design and implement network adequacy automated reviews for managed care plans.
Presentation: Automated network adequacy solutions
Across the Medicare, Medicaid and commercial markets, CMS and States are actively auditing provider directories and re-tooling their approaches to measuring network adequacy. Increased attention surrounding network adequacy has prompted action from advocates and legislators alike to identify solutions. Join us as our speakers discuss the latest industry trends in Network Adequacy and Compliance Monitoring.
Recording: Automated network adequacy solutions
Across the Medicare, Medicaid and commercial markets, CMS and States are actively auditing provider directories and re-tooling their approaches to measuring network adequacy. Increased attention surrounding network adequacy has prompted action from advocates and legislators alike to identify solutions. Join us as our speakers discuss the latest industry trends in Network Adequacy and Compliance Monitoring.