Volume Targeting Includes:
- Simple Three-Step Process
- What-If Simulations
- Robust Analysis Reports
- Role-Based Security
BRINGING EFFICIENCY TO YOUR TARGETING WORKFLOW
Your Current Provider Targeting Process
You are constantly working to reduce your regulatory risk and maintain a competitive advantage. As a result, you need to understand the impact on your network when you are targeting a large group of providers or facilities. Going through the process of targeting one provider or facility at a time is challenging and inefficient. This challenge is compounded when you have multiple lines of business.
Your Improved Provider Targeting Process
Maintain compliance confidence by identifying gaps
Optimize all of your provider networks
Utilize targeting scenario results in your competitive analyses
Gain insight for provider negotiations
Perform “what-if” analyses
Volume Targeting is a great way to save time, reduce your regulatory risk and maintain a competitive advantage by automating your provider targeting process.
Create your report
Upload a list of Providers by location and specialty
Select the Projects
YOUR VOLUME TARGETING ANALYSES SIMPLIFIED
Running QES Volume Targeting is a simple three-step process
Multiple volume targeting simulations can quickly be performed to determine what will happen if a volume targeting scenario is performed against a set of providers.
The ‘what-if’ scenarios illustrate if a gap is closed when you add a list of providers with their locations and specialties to your network. Multiple volume targeting simulations can quickly be performed to determine what will happen if a large group of providers/facilities is added to a project. If a targeted provider or location is not currently part of the market or prospect provider list in a project selected, the user is notified.
ROBUST ANALYSIS REPORTS
QES Volume Targeting includes in-depth reporting to help you collaborate with your team and determine strategic next steps. Automated reports help eliminate the need for manual research.
Report outputs include:
Provider Upload Summary
Provides details about the uploaded providers and which projects they were found or not found in for targeting
Volume Target Project Details
Shows which projects were or were not affected and counts of gaps closed due to targeting
Targeted Service Area Changed Gaps
Details of the specific specialty/county gap closures
Targeted Service Area Providers
Shows all providers that were targeted and the specialties/counties those providers are considered servicing
Targeted Service Area Specialty Summary Comparison
Provides a full specialty summary comparison between the current and targeted results
Due to the sensitive nature of targeting analysis, access security is managed by role and assigned at the user level.
- Targeting Administrators
Only designated administrators can perform volume targeting scenarios.
DELIVER ON TOMORROW’S GOALS BY PLANNING TODAY
We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.
Schedule a consultative session with one of our network management experts to discuss and determine your strategy.