Quest Analytics®, the leader in provider network design and management solutions, announced today that the Centers for Medicare & Medicaid Services (CMS) has renewed their contract with Quest Analytics for an additional five-year term. The renewed agreement builds on an almost two-decade partnership that has driven innovation in network adequacy and accuracy measurement.
Since 2007, Quest Analytics has supported CMS’ Medicare Advantage network adequacy reviews. The company’s solutions are integral to triennial network reviews, service area expansion evaluations, and the Health Plan Management System (HPMS) Network Management Module. Quest Analytics’ software provides geocoding and proximity mapping capabilities to assess provider networks against CMS’ time and distance standards.
CMS requires that “Plans maintain and monitor a network of appropriate providers that is sufficient to provide adequate access to covered services.” CMS uses Quest Analytics’ solutions to evaluate plan submissions across more than 40 specialties and facility types, applying adequacy standards based on population density. The Quest Analytics platform also supports CMS in identifying any noncompliance issues.
“We are honored to continue our work with CMS as a trusted partner in advancing access to care,” said Steve Levin, Chief Executive Officer of Quest Analytics. “This contract renewal reflects our shared commitment to improving health outcomes through better data, smarter networks, and innovative oversight tools that support the evolving needs of beneficiaries across all federally regulated plans.”
Quest Enterprise Services® (QES®) allows Medicare Advantage Organizations to evaluate their provider networks with the same standards used by CMS. Featuring our industry-renowned Medicare Advantage Network Adequacy Template, QES® automates network management, enabling organizations to:
- Continuously monitor network adequacy compliance
- Quickly identify deficiencies in the network and streamline provider recruitment efforts
- Gain actionable insights to make data-driven decisions
QES® offers expert guidance and enterprise-level tools to simplify regulatory processes and enhance your Medicare Advantage strategy. Connect with our experts today to learn more!
Related Resources on Medicare Advantage Requirements
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