QHP MARKETPLACE RESOURCES
Essential resources for issuers applying for QHP Certification to participate in the Marketplaces. Explore our growing library to find the latest news, tips, and support.
New Health Policy Episode
In this episode of The Totally Adequate Podcast, we dive into the proposed rules for Medicare Advantage organizations and California Assembly Bill 280. Join Kate Deiters and Zach Snyder as they discuss the key aspects of these policies and their potential impact on healthcare provider network management.
Final 2026 Payment Notice
The Final Notice of Benefit and Payment Parameters for 2026 is out, and we’re here to break it down for you. In this episode, Zach Snyder and Kate Deiters discuss the key changes in network adequacy requirements. Tune in to learn how these changes will impact Qualified Health Plans (QHPs) Certification for issuers on the federal and state exchanges.
Featured Marketplace Resources
Policy Brief: PY2026 QHP Certification Marketplace Final Rule
Policy Brief on the Final HHS Notice of Benefit and Payment Parameters for 2026 Discover the latest Network Adequacy and Provider Directory Accuracy Requirements for Health Issuers on the Federal...
Executive Summary: New Rules for PY2026 QHP Certification
Quick Insights for PY2026 QHP Certification Understanding the Updated Network Adequacy Requirements Are you prepared for the Plan Year 2026 Qualified Health Plan (QHP) certification and its evolving network adequacy...
QHP Certification and Network Adequacy Review Timeline
Who doesn’t love a good calendar? We know we do. Whether you’re deep into network adequacy updates or juggling deadlines left and right, we’ve got your back. Our handy calendar...
Executive Summary: QHP Certification Data Validation Best Practices
Achieve Your Qualified Health Plan (QHP) Certification Best Practices for a Successful QHP Application Dive straight into the heart of what matters for your Qualified Health Plan (QHP) Application with...
Watch Now: The Role of Adequate Health Networks in the Marketplace
The Role of Adequate Health Networks in the Marketplace Quest Analytics® is hosting leadership from The CMS Center for Consumer Information and Insurance Oversight (CCIIO) for a conversation about network...
CMS Provider Directory Pilot: What You Need to Know
CMS Qualified Health Plan (QHP) Directory Pilot The Centers for Medicare & Medicaid Services (CMS) launched a new provider directory pilot program with the Oklahoma Insurance Department (OID). Kate Deiters...
Ghost Networks
Ghost Networks in Healthcare: What They Are and How To Address Them
Ghost networks have increasingly become a central topic in discussions within the healthcare sector and legislative circles. As this issue gains attention, it is crucial to understand the implications of...
The 5 Hidden Costs of Ghost Networks
Effective cost management is paramount for healthcare organizations, yet the issue of ghost providers remains a significant contributor to avoidable expenses. Through an analysis of the financial implications associated with...
Tips to Avoid the Ghost Network Trap
Ghost Networks are a significant challenge in the healthcare industry. By adopting a standard operating procedure that helps you understand which providers are truly clinically active, you can increase the...
Network Performance
The Role of Health Networks in Shaping Healthcare
Listen on: Spotify Apple Youtube Episode: The Role of Health Networks in Shaping Healthcare Date: April 3, 2024 Guests: Steve Levin, CEO, Quest Analytics | Connect on LinkedIn Subhash Seelam,...
Episode: Benchmarking for Better Networks: Optimizing Health Plan Performance
Guest on: Becker’s Healthcare Podcast Benchmarking for Better Networks: Optimizing Health Plan Performance Health plans rely on complex networks of providers to deliver care to their members. But how do...
Addressing the Top 10 Questions on Healthcare Provider Network Benchmarking
Network benchmarking and competitive analysis are essential for healthcare organizations seeking to enhance network performance, improve patient outcomes, and drive sustainable growth. As healthcare organizations confront increasing demands to deliver...
Find provider data accuracy resources, webinars, guides, and expert advice to help you stay compliant and performant.
Provider Data Management Tips & Resources
Success Stories
Webinar Breaking Silos, Leveraging Efficiencies and Reducing Risk
BREAKING SILOS, LEVERAGING EFFICIENCIES AND REDUCING RISK Seeking scalability and visibility across all of Molina’s networks, one of their new SVPs started putting a plan in motion that has led...
Meeting Medicaid Network Adequacy With Advanced Network Management Solutions
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
Case Study Network Adequacy Exceptions
Reducing, Expediting and Enhancing Network Adequacy Exception Requests The client was having trouble meeting network adequacy requirements in certain counties, and every year this happened, they had to file exception...
Schedule Your 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.
