The Role of Adequate Health Networks in the Marketplace
About this Webinar
Quest Analytics® is hosting leadership from The CMS Center for Consumer Information and Insurance Oversight (CCIIO) to discuss network adequacy requirements and standards. CCIIO develops and implements the provider network standards that health insurance plans must meet in order to participate in the Federally-facilitated Exchanges (FFEs). This discussion will address various topics focusing on requirements introduced for Plan Year 2025.
Meet the Presenters
Scott Westover, Chief Network Solutions Officer, Quest Analytics®
Scott is a seasoned healthcare executive with deep experience across the payer, provider, and regulatory space. In his role, he works directly with state and federal regulators to navigate rapidly changing market and policy needs and oversees the Regulatory and Network Analytics teams. Prior to Quest Analytics, he served as market president for AmeriHealth Caritas New Hampshire, where he was responsible for the plan’s strategic direction, growth, and leadership. His prior experience includes working at Anthem, Inc. as a vice president of provider joint ventures and national accounts, and he has also held senior roles within leading healthcare providers and driving national health strategy for multiple Fortune 50 corporations.
Deborah J. Hunter (she/her), JD, MHS, Technical Advisor, Centers for Medicare & Medicaid Services, Center for Consumer Information & Insurance Oversight, Marketplace Plan Management Group
Debbie Hunter serves as a Technical Advisor for the Marketplace Plan Management Group’s Division of Issuer Management and Operations within the Center for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare and Medicaid Services (CMS). She has worked at CMS since 2002 in a variety of capacities across Medicare, Medicaid, and the Marketplace. Prior to joining CCIIO, she served as a Brookings Institution Congressional Legis Fellow for the U.S. Senate Committee on Veterans’ Affairs, sponsored by the Department of Health and Human Services. She received a JD from the University of Iowa College of Law, an MHS from the Johns Hopkins Bloomberg School of Public Health, and a BA in English from the University of Alabama.
Complimentary Consultation
Compliance isn’t our name, but it sure is our game! Learn how we can assist you in 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.
