Author: Joe Hagen

Quest Analytics Introduces Enhancements to its Quest Enterprise Services Platform at AHIP Institute & Expo Online 

OVERLAND PARK, KS, June 22, 2021 - Quest Analytics, the leader in Provider Network Management, today announced new capabilities to the Quest Enterprise Services (QES) platform at AHIP Institute & Expo Online. The enhancements to the cloud-based SaaS solution let health plans save time and resources by making it easier to manage a growing network of providers… Read more »

Quest Analytic’s Investor, CVS Health Launches New $100m Fund for Early-Stage Digital Health Startups

CVS Health announced the formation of CVS Health Ventures, a $100M corporate venture capital fund that will focus on companies with the potential for technology-enabled innovation and disruption in digital health care that are anchored in CVS Health’s core strategy. Read full article: CVS Health Launches $100M Fund to Invest in Early-Stage Digital Health Startups

Quest Analytics Adds Payer, Provider and Regulatory Expert to Leadership Team 

OVERLAND PARK, KS, March 23, 2021 – Quest Analytics today announced that Scott Westover, a long-time health plan executive with payer, provider and regulatory experience, has joined the company as SVP Network and Regulatory Strategy, effective immediately. In this role, he will partner with key clients to connect rapidly changing market needs to Quest Analytics’… Read more »

Key Application Dates: Unpacking The CMS Medicare Advantage Calendar

Centers of Medicare & Medicaid Services (CMS) Key Application Dates for CY 2022 Medicare Parts C and D Annual Calendar Our CMS calendar is one of the easiest ways to stay up-to-date with important dates and timelines for CY 2022 Medicare Advantage (MA) plans, Medicare Advantage-Prescription Drug (MA-PD) plans, Prescription Drug Plans (PDPs), Medicare-Medicaid Plans… Read more »

Designing and Building Clinician Networks That Address Social Determinants of Health

social determinants of health (SDoH)

Five Takeaways From Our Webinar As clinicians and payers take on increasing risk for patient outcomes, it is essential that leaders consider the effectiveness of their networks as well as the accuracy of their clinician directories to ensure they are adequately serving their members. Modern Healthcare and Quest Analytics partnered together to host a panel… Read more »

Health Plan Best Practices to Comply with SB-137

Hands on a keyboard

When we say the strictest provider compliance law in the country, we’re not kidding. Although other state and federal regulators, the Centers for Medicare & Medicaid Services (CMS) for example, are starting to incorporate rules around provider directory data, SB-137 requires health plans to reach out to all contracted providers on a quarterly basis to… Read more »