Quest Analytics Launches Quest Enterprise Services
First to launch platform enabling health plans to simultaneously measure, manage and monitor network adequacy AND directory accuracy. OVERLAND PARK, Kan., June 16, 2020 – Quest Analytics, the leader in measuring, managing and monitoring health plan network performance, today announced the release of Quest Enterprise Services (QES), the first and only platform to enable the health plan community to […]
Though Agency Released No New Policy, CMS Says Inaccurate MA Provider Directories Raise Network Adequacy Issues
Reprinted from the April 3, 2019, article in Inside Health Policy. CMS emphasized the importance of accurate provider directories for Medicare Advantage plans, saying that inaccuracies can bring plans’ network adequacy into question, but did not finalize new policy to improve the directories as part of the MA and Part D call letter for next year. […]
The Health 202: Trump Administration Lets Medicare Plans Off the Hook
Reprinted from the December 4, 2018, article in The Washington Post THE PROGNOSIS The Trump administration is holding off on punishing Medicare Advantage plans for error-ridden doctor directories — further evidence the conservative-led Centers for Medicare and Medicaid Services is showing special favor to the alternative program over traditional Medicare offerings. In an audit quietly released late […]
Medicare Advantage Provider Directories Are Still Systemically Inaccurate
Reprinted from December 4, 2018, article in Modern Healthcare Federal audits of Medicare Advantage plans’ provider directories have revealed sweeping inaccuracies for the third straight year, raising the specter of fines or other penalties for the insurers. Nearly 50% of provider directory locations showed at least one mistake in the latest audit results, the CMS said […]
Quest Analytics Presents New Combined Network Adequacy and Accuracy Solution at AHIP Institute 2018
Last week, Quest Analytics’ CEO Ari Tulla and President and Co-Founder John Weis presented a newly combined network adequacy and accuracy solution for health plans during a session at AHIP Institute 2018. This conference brought together key healthcare industry players including health plans, health groups, policymakers, and providers in San Diego. The combination of Quest Analytics’ network decision-support tools […]
What Would Provider Data Management Look Like on Blockchain?
Join us to take a deep dive into blockchain on May 1-2, 2018 at Washington Plaza Hotel, Washington D.C. Our CTO Tapio Tolvanen is going to speak at Healthcare on the Blockchain conference, in Washington D.C. next week. The panel discussion, entitled “Managing Data on the Blockchain for Cost-Savings and Error Reduction“, will be held on May 2 at […]
Webinar Recap: Provider Directory Data Management & Audit Tips and Tricks
This month our webinar featured Gorman Health Group, Oliver Wyman, and Get Governed. These organizations work with many health plans to tackle provider data challenges. Our presenters shared their unique perspectives on how health plans have managed data. We heard from: Ellie Martin, Senior Director of Provider Innovations at Gorman Health Group Frank Roberts, Engagement […]
Meetup Recap: Provider Data Quality Must Be Fixed
A few weeks ago we hosted a meetup at our office about Provider Data and its quality. Around 50 healthcare data experts, developers, and data scientists joined to listen to the following three amazing speakers: Abe Gong from Superconductive Health, Morgan Templar from Get Governed, and our very own Andrew Kobylinski. Currently, the industry standard for provider data accuracy is between 70% and 80% for provider […]
Blockchain in Healthcare: Separating Hype from Reality
Is blockchain the biggest innovation since the internet? The hype and buzz about blockchain technology is just beginning in multiple industries. What will this new technology offer the healthcare industry? How will it change the industry manages data? We dive into the basics of blockchain, what the applications can be, and what challenges the industry […]
Managing Provider Data: Addressing the Complexities that Lie Within
Provider data management is complex. We all know that. What we do not always do is go into deeper exploration to learn where exactly that complexity comes from. BetterDoctor provider portal helps thousands of doctors, office managers and administrators on a daily basis to update their provider directory information. Here is what we learned about […]