Medicare Advantage & Medicaid Resources
We’re talking all things related to the Centers for Medicare & Medicaid Services: Network Adequacy Applications, HSD Tables, Triennial Reviews, Service Area Expansion, Star Ratings and more! Below you’ll find our growing collection of guides, videos and tools to help you achieve your Medicare Advantage goals.
Free Content: Webinar | Resource Center | Star Ratings
CMS Extends Their Contract With Quest Analytics
The Centers for Medicare & Medicaid Services (CMS) has extended their contract with Quest Analytics for an additional five-year term to measure the adequacy of all Medicare Advantage Part C & D and Medicare-Medicaid Health Plans’ (MMP) provider, facility and pharmacy networks.
The ROI of Provider Network Management
Hear how a New York health plan uses Quest Enterprise Services to quickly and efficiently identify the right providers to fill gaps, leverage deeper data insights to optimize contract negotiations with providers, improve internal communication, and streamline the process for submitting HSD Exception Requests.
Presenters:
Dee Bellanti
Directory of Provider Network Operations, HealthNow New York, Inc.
Linda Borths
Chief Client Officer, Quest Analytics
Network Adequacy Submission, Reviews, and More
White Paper
IDC agrees: Provider Directory Accuracy is an integral part of network adequacy
CMS Star Ratings: Five Things to Know About the Changes
Deliver on tomorrow’s goals by planning today
Our main priority is assisting you with your day-to-day roles and responsibilities of ensuring accurate provider directories and adequate health networks, in turn, maintaining appropriate access to care for your members. We encourage you to lean on us as much as you need. Each of us at Quest Analytics has the tools and technology to help you and your team meet the needs and goals you have for your Medicare Advantage, Medicaid and Commercial lines of business.
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