On showcase at AHIP 2025: The integrated solution delivers advanced provider performance intelligence within Quest Analytics’ Quest Enterprise Services® (QES®) network management technology platform.
Las Vegas, NV, June 16, 2025 – Quest Analytics®, the leader in provider network design and management solutions, announced today a strategic data integration partnership with Arcadia, a leading healthcare data platform and supplier of provider performance insights. This collaboration gives Quest Analytics clients enhanced physician-level intelligence within a single platform to build high-quality, competitive networks.
Quest Enterprise Services® (QES®) enables clients to combine proprietary and third-party data for smarter, clinically informed network decisions. Its Provider Claims Insights (PCI) solution delivers metrics on claims activity, procedures, conditions treated, efficiency, effectiveness, and payer mix — key data for evaluating provider quality and cost.
By integrating elements of Arcadia’s CareJourney Provider Performance Index (PPI) solution into QES PCI, Quest Analytics’ clients gain a more comprehensive view of physician performance, including cost and quality performance insights on over 250 episodes derived from Arcadia’s Medicare fee-for-service claims data asset. This empowers health plans to make more informed network decisions when building and refining provider networks focused on care improvement.
“This partnership with Arcadia reinforces our commitment to embedding care delivery intelligence directly into QES, where network decisions are made,” said Steve Levin, CEO of Quest Analytics. “With Arcadia’s rich provider performance insights, we’re helping clients make smarter, data-driven decisions that elevate care and member experiences.”
The integration also enhances collaboration between clinical and member steerage teams, streamlining workflows and boosting efficiency. Quest Analytics clients can now access Arcadia’s provider cost scores, quality scores, and episode information within QES to identify top-performing providers across all specialties.
“By augmenting Quest Analytics’ platform with elements of Arcadia’s CareJourney Provider Performance Index solution, we’re arming health plans with actionable intelligence to design smarter networks, lower costs, and drive better outcomes,” said Michael Meucci, Arcadia’s President and CEO. “Together, we’re building a more connected, intelligent healthcare ecosystem that enables payers to prioritize quality and efficiency when developing and optimizing networks.”
In addition, at AHIP 2025, Quest Analytics will lead the session Better Networks Require Better Data: Insights from a Survey of Health Plan Executives, on June 17, 2025, at 12:25 p.m. The presentation will explore findings from a survey of 100 health plan executives, highlighting pervasive data issues and their impact on organizational priorities. Learn More
Learn more about Quest Analytics’ Network Performance solutions and available third-party data integrations, or visit booth #1307 at AHIP 2025.
About Arcadia
Arcadia helps providers, payers, and government organizations transform healthcare data into predictive insights that drive better outcomes, increase revenue, and reduce costs. Our industry-leading platform amasses data from across the healthcare ecosystem and converts it into actionable analytics, AI-driven intelligence, and performance benchmarks, enabling smarter decisions and accelerating impact across the enterprise. National and regional health systems and payers, along with governmental organizations – including Aetna, Cigna, Highmark Blue Cross Blue Shield, Intermountain Health, Ochsner Health, and the State of California – trust Arcadia to operationalize their data and lead the way in data-driven healthcare. Visit booth #1620 at AHIP 2025 or arcadia.io for more information.
Quest Enterprise Services® (QES®) Provider Claims Insights now integrates Arcadia’s CareJourney performance and cost measures, giving you deeper visibility into provider value across Medicare Fee-for-Service (FFS) Parts A, B, and D. Identify high-performing providers, support smarter contracting, and streamline network development—all within one powerful platform.
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.
