Guest on: Bright Spots in Healthcare Podcast
Differentiating Your Health Plan: Reimagining Your Provider Network Strategy
Steve Levin, CEO of Quest Analytics®, joined the Bright Spots in Healthcare Podcast to unpack why provider network strategy has become a defining differentiator for health plans. Provider directory inaccuracy is one of the top complaints from members — a signal that data integrity, not just compliance, is central to network strategy.
To meet evolving member needs, health plans are reevaluating their strategies around:
- Compliance
- Network adequacy
- Data integrity
- Performance metrics & goals
Getting these right helps plans deliver better outcomes, better experiences, and better prices for members — while also meeting regulatory requirements.
In this episode, Levin and fellow panelists explore:
- Why provider directory inaccuracy is a top member complaint — and what it signals about the state of network data
- How network adequacy and provider data accuracy intersect with compliance requirements
- What performance metrics reveal about network design and member access
- How health plans can move from a compliance mindset to a competitive, member-centered network strategy
Panelists:
- Steve Anderson, Vice President, Hospital Contracting & Network Administration, Blue Cross Blue Shield of Michigan
- Jim Brown, Vice President, Western Pennsylvania Operations and Strategic Priorities, Highmark Health
- Steve Levin, CEO, Quest Analytics
Listen on:
Additional Resources:
- How to Improve Provider Network Performance Read Now
- Episode Executive Summary Read Now
- Subscribe to the Bright Spots in Healthcare Podcast
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.