QHP MARKETPLACE RESOURCES
Essential resources for issuers applying for QHP Certification to participate in the Marketplaces. Explore our growing library to find the latest news, tips, and support.
Proposed Rule for QHP Certification
Dive into the latest proposed policy changes impacting healthcare insurers on State-Based Exchanges! Stay informed about the 4 new network adequacy requirements proposed by CMS. Download our policy brief to get the details!
Network Adequacy and Provider Directory Accuracy Policy Updates
Just in: Network adequacy and provider directory policy updates! Stay in the know with our comprehensive update on the changes that emerged between December ’23 and February ’24. Don’t let these updates catch you off guard – read the article now.
Proposed Key Dates: QHP Certification and New Network Adequacy Review Timeline
Mark your calendars with the proposed key dates for QHP Data Submission and Certification for Plan Year 2025 on the Federally-facilitated Exchanges. Stay organized with our downloadable calendar.
6 Tips for QHP Issuers Completing the Essential Community Providers Network Adequacy Template
Complete the QHP Essential Community Providers/Network Adequacy Template without missing a beat! Download the infographic and uncover 6 essential tips for QHP Issuers.
Four Ways Regulators Prioritize Health Equity into Network Adequacy
Want to explore the topic of health equity and network adequacy in more detail? Read our four takeaways from this conversation Michael Conway, Colorado Insurance Commissioner, Grace Arnold, Minnesota Department of Commerce Commissioner, and Scott Westover, SVP of Network and Regulatory Strategy at Quest Analytics. Discover the four takeaways.
Differentiating Your Health Plan: Reimagining Your Provider Network Strategy
Tune into The Bright Spots in Healthcare Podcast to hear Quest Analytics discuss how health plans are adjusting their network strategies to meet evolving member needs, focusing on compliance, network adequacy, data integrity, and performance metrics. Explore the crucial role of network adequacy, provider data accuracy compliance, and network design.
Find resources, webinars, guides, and expert advice to help you stay compliant and ahead of the competition.
breaking silos, leveraging efficiencies and reducing risk
Seeking scalability and visibility across all of Molina’s networks, one of their new SVPs started putting a plan in motion that has led to greater compliance confidence, consistent reporting and faster speed to market.
Join us as we learn what it takes to break down organizational silos and what you can expect to gain as the reward.
Speakers:
Karen Decaran-Voigt, SVP of National Networks, Molina Healthcare
James Lamb, VP of National Payers, Quest Analytics
Complimentary Strategy Session
Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.
