QHP MARKETPLACE RESOURCES
Stay up-to-date on the latest network adequacy requirements and best practices for Qualified Health Plans (QHPs). Explore our growing library of blogs, briefs, videos and more!
Health Equity and Network Adequacy
Four Ways Regulators Are Prioritizing Health Equity into Network Adequacy
Discover what’s driving the conversation on health equity and network adequacy standards. Explore our blog post to uncover valuable insights from industry leaders Michael Conway, Colorado Insurance Commissioner, Grace Arnold, Minnesota Department of Commerce Commissioner, and Scott Westover, SVP of Network and Regulatory Strategy at Quest Analytics.
Policy Brief
Final Rule Notice of Benefit and Payment Parameters for 2024 and the Letter to Issuers in the Federally-facilitated Exchanges
File this under, MUST-READ. The network adequacy standards have changed! Understand what’s in store for the QHP Certification Network Adequacy standards.
QHP Network Submission Calendar
Key Dates for QHP Data Submission and Certification
This snazzy timeline highlights the major milestones for issuers offering a Qualified Health Plan (QHP) in a Federal Exchange state. Best yet, we’ll keep it updated as time goes on so you can stay on top of your game. Go ahead and download it, save it as your background, print it – or share it with a colleague.
Provider Data Accuracy
The Essential Planner
Knowledge is power. Using this assessment you and your team can prepare for the Provider Directory Verification mandate by gaining a deeper understanding of your current provider data accuracy processes. By identifying key answers and targets, we can ensure that our provider directories stay accurate and compliant. Don’t wait, check out our Essential Planner today!
Solving Provider Suppression
Dealing with provider suppression challenges? James Lamb, VP of National Payers at Quest Analytics, shares his expert insights on resolving this persistent issue. See how national health plans are using provider accuracy information and layering in key insights, such as provider claims data, to distinguish which providers to suppress and which to retain in their directories. Hear how using these insights can help reduce member abrasion, enhance directory information, and unlock a superior member experience. Tune in for valuable tips and actionable strategies!
News & Insights on Provider Network Management
Infographics on Provider Data Accuracy and Network Adequacy
On-Demand Webinar: MHPA & Quest Analytics Present
Aligning Health Equity, Network Adequacy and Policy
Join the discussion as we explore policy proposals incorporating health equity considerations into health plan network adequacy standards. Each panelist brings a unique regulatory perspective as we seek to better understand the questions, the challenges and the strategies being put into place to better meet the needs of consumers.
Complimentary Strategy Session
Compliance isn’t our name, but it sure is our game! Learn how we can assist your efforts to make your provider data accurate and network adequate. Book a complimentary strategy session with a Quest Analytics expert to get started on your quest for success.