Quest Analytics, the leader in provider network management solutions and services, today announced the launch of Provider Claims Insights. This new offering adds provider performance measures within the Quest Enterprise ServicesTM (QESTM) platform to help health plans improve provider selection and overall network performance. Provider Claims Insights gives network teams the tools and analytics to identify the right providers for inclusion so that the resulting networks better meet business requirements and member needs while also reducing administrative costs.
“Provider Claims Insights was built with our clients’ direct input to improve their understanding of each provider’s practice – their mix of business and relative cost and quality,” Steve Levin, CEO, Quest Analytics. “This type of more detailed insight allows superior network composition improving member satisfaction while maintaining critical access and adequacy.”
Benefits of Using QES Provider Claims Insights
- Avoid ghost providers and ensure true access for members.
- View a provider’s clinical activity by the line of business relative to other providers in their specialty/geography.
- Understand a provider’s payer mix by line of business, providing insight into a provider’s relationship with all health plans in a given market.
- Gain insight into relative performance among physicians through cost and quality metrics.
- Make more informed gap-filling decisions by knowing each provider’s top procedures and conditions.
- Reduce costs associated with contracting and managing non-productive providers.
Experience QES Provider Claims Insights at AHIP 2023
Join Quest Analytics at AHIP 2023 and explore the latest QES Provider Claims Insights. Discover ways to enhance your provider network management and elevate your organization to the next level. Don’t miss this opportunity to connect, learn and grow with us! Find us at booth #1717.
If you are unable to attend AHIP, don’t worry! Simply get in touch with us to learn more.
Join our AHIP Session
Roger Holstein, Chairman, will lead a session on June 14, 2023, from 11 a.m. – 11:45 a.m. PST entitled, Cacophony or Symphony: Eliminating Bias and Noise to Improve Outcomes. The presentation will explore how bias and noise in decision-making lead to unintended consequences and greater variation in care. Join us and broaden your knowledge on this important topic.
Discover More Ways Provider Claims Insights Can Improve Your Network Performance
- How Provider Claims Activity Can Improve Your Provider Network Management Read the Blog
- Expand Your Network Insights Watch the Webinar
- What Are Ghost Networks Read the Blog
- How Ghost Networks Impact Health Plans & Health Systems Read the Blog
- Four Steps to Increase the Value of Your Physician Network Download the Infographic
Proven Solutions for Your Provider Network Management
Looking to simplify your workload? Let Quest Analytics take on the heavy lifting! Our solutions and dedicated team specialize in provider data accuracy and provider network adequacy for various lines of businesses, including Medicare Advantage, Medicaid and Commercial. Schedule a strategy session today and see how we can help you every step of the way.