Building and maintaining a healthcare provider network is a cornerstone of operational success for healthcare organizations. Each provider you bring into your network has the potential to impact multiple business lines and healthcare delivery channels, making evaluation a critical yet often complex process.
Traditional, manual approaches to analyzing provider impact come with challenges. From sifting through massive amounts of data to piecing together how each provider fits into the larger picture, these methods demand significant time, resources, and effort—all of which can slow progress and increase costs.
If you’re looking to streamline this process and make more informed decisions with greater efficiency, Quest Enterprise Services® (QES®) Volume Targeting provides new ways for you to approach provider network management.
Why You Should Use QES Volume Targeting
Provider network modeling is a valuable approach when you’re looking to achieve growth and efficiency. Pursuing providers on a whim isn’t always the most effective way to reach your goals. With this QES Volume Targeting, you can simultaneously analyze potential providers across all lines of business to quickly understand their impact on your various networks.
Here are three reasons to use QES Volume Targeting:
- Save Time Analyzing Providers
- Ensure Value With Each Provider
- Maintain Compliance With Network Adequacy Requirements
Save Time Analyzing Providers
Recruiting a provider is a significant investment and manually analyzing each potential provider can be tedious and time-consuming. With QES Volume Targeting, you can analyze how one or multiple providers will impact your networks simultaneously, saving valuable time and resources.
Ensure Value with Each Provider
It’s not enough to simply add providers to your network. You want to make sure that each provider you add helps you move the needle and brings value to your network. You want to ensure that each addition helps your business grow. QES Volume Targeting enables you to quickly analyze potential providers and determine that they are the right fit for your business.
Maintain Compliance with Network Adequacy Requirements
Maintaining compliance with network adequacy requirements is essential for your success. Failure to comply can result in sanctions such as heavy fines and contract terminations. With QES Volume Targeting, you can analyze your network and ensure that each provider you add to your network meets compliance standards, saving you from any legal or financial repercussions.
How to Analyze Your Provider Network in 3 Easy Steps
Here’s how to analyze potential providers for your networks with QES Volume Targeting, in three simple steps.
Step #1: Select Your Networks
Start by selecting the provider networks you want to analyze with QES Volume Targeting.
Step #2: Upload Your List of Providers
Next, upload a list of providers you’re considering adding to your network.
Step #3: Create Your Report
Finally, create your report to get instant insights into how each provider will affect your network.
Discover the Power of QES Volume Targeting
Take the time-consuming manual efforts out of provider targeting processes and see how QES Volume Targeting can help your network management. With its automated targeting process, you can remain compliant and competitive in your marketplace. Start using QES Volume Targeting today and simplify your provider targeting process.
Learn More about QES Scenario Modeling
Proven Solutions for Your Provider Network Management
Looking to simplify your workload? Let Quest Analytics take on the heavy lifting! Our solutions and dedicated team specialize in provider data accuracy and provider network adequacy for various lines of businesses, including Medicare Advantage, Medicaid and Commercial. Schedule a strategy session today and see how we can help you every step of the way.
