Leading the Way in Provider Network Management

The right healthcare starts with the right network. The right network starts with Quest Analytics.

Why Quest Analytics®?

At Quest Analytics we understand that healthcare is more than just a visit to the doctor—it’s about knowing you have the right team behind you, ready when you need them. That’s why we’re dedicated to providing health plans, health systems, and regulators with advanced solutions and comprehensive data to help design and manage networks that not only meet the interconnected challenges of complying with regulatory standards and delivering high quality care but are also efficient to build, operate and ensure member satisfaction.

We are the leader in network analytics with over 20 years at the forefront of network measurement and management. We offer the only provider network decisioning platform scalable for enterprise applications, across all lines of business and specialties. Our platform supports the entire network lifecycle – from strategy to execution and ongoing optimization -ensuring both adherence to compliance standards and business performance over time.

Our Mission

Our job is to enable access to healthcare for every American. We believe that the journey to health begins with the confidence that comes from access to an exceptional network of health care providers. At Quest Analytics, we’re committed to providing better data to build better networks, creating superior member experiences every step of the way.

Our Legacy

We are the standard setter. Since our founding over two decades ago, we have led the industry in measuring networks. We invented many of today’s accepted measures including Network Adequacy, Network Access, Network Disruption, and Network Accuracy. Today, we work with the largest state and federal regulators as well as 90% of health plans, impacting 90% of Americans. Our expertise is not just recognized — it’s relied upon.

Our Approach

We guide you through the complexities of network design with tools that measure, manage, monitor, and model provider networks with unparalleled precision and insights. Our solutions:

Network Compliance:

The industry standard for network adequacy assessment, offering clear insight on network compliance to regulator standards; serving all lines of business with proven templates to address existing and emerging standards like network health equity. We are the preferred tool for regulators and healthcare professionals.

Network Performance:

Elevate business performance by integrating provider and facility quality and efficiency data, market information, and member content to analyze, benchmark, and optimize your network. Your proprietary content can be added for even deeper insights, ensuring a seamless connection between data analysis and strategic decision-making.

Data Integrity:

Ensure the integrity of your provider networks through a robust, multi-step interrogation and verification process, leveraging our exclusive BetterDoctor® portal for provider and group attestations, proprietary nationwide network information, and integrated public source content to maintain the most current network information and comply with regulatory requirements, such as the No Surprises Act and Medicare Advantage Provider Directory Accuracy.

Sales Efficiency:

Streamline RFP responses for Employer Groups by enabling sales specialists to craft customized access reports quickly, enhance sales efficiency, reduce turnaround times, and free up specialist network design teams.

Advanced Decision Applications:

Enhance the network management team’s modeling capabilities by providing insights into network performance and scenarios including features for provider impact projection, exception management, cross network impact; workflow options include API integration and notifications.

OUR DATA DIFFERENCE

What sets our data apart is not just what it contains, but where it originates. Our foundational data comes directly from network files submitted by payers for the purpose of complying with regulatory requirements. Our proprietary, direct from the source, access is not dependent on publicly available machine-readable files or selectively presented information from online directories. Our data is submitted to, and validated by, regulators and represents a true reflection of the network. When we enrich that data with elements such as BetterDoctor’s attestation and verification processes, affiliation, and claims information we unlock insights by leveraging unfiltered data available only through Quest Analytics. We use this same data advantage to train our machine learning models, ensuring our artificial intelligence is grounded in authentic, real-world data and delivers uniquely valuable insights.

The Power of Community

We partner with over 400 organizations, ranging in size, type, specialty, and line of business. From this community we actively solicit feedback, insights, and challenges. This wealth of knowledge is leveraged and shared among our client community, strengthening the entire healthcare ecosystem.

Trusted Partner of CMS and States

We’ve worked closely with CMS for nearly 15 years to improve the quality of Medicare Advantage and Qualified Health Plan networks nationwide. We’re a trusted resource for more than 30 state regulatory departments and independent review organizations across multiple lines of business, including the largest departments in the nation.

Our Client Services Advantage

Our Client Services team is an extension of your team. They work alongside you to support regulatory compliance, provide years of industry expertise, assist with quality reviews, provide submission support, reporting and audit preparation. It is part of the reason our health plan partners consistently give us one of the top Net Promotor Scores in the industry.

Working together to improve member experiences and outcomes, one network at a time.