Access to healthcare providers continues to be a key issue for the industry, but the dynamics of measuring access have evolved and the Quest Analytics Suite™ now represents the industry-standard for measuring provider network access.
In the early days of managed healthcare, network coverage was measured by matching zip codes of members to zip codes of providers. Then, as software tools started to evolve, zip code matching gave way to measuring distances between members and general groupings of providers – such as PCPs, Specialists and Hospitals. Now, the market demands a more sophisticated solution capable of measuring access to individual provider specialties with dynamic access standards that can vary by zip code or county classification.
The Access Analysis Module is that solution, with functionality such as:
And, as with all of our software modules, the Access Analysis Module is fully integrated within the Quest Analytics Suite to facilitate cross-module functionality such as factoring quality into your access analyses and measuring the access component of any Medicare Adequacy Analysis.
The Access Analysis Module is best suited for clients who need to respond to RFPs for traditional "Geo" reports and for the consultants and brokers who construct those RFPs. This module provides geographic network analysis functionality used by hundreds of healthcare networks nationwide.
Examples: Health Plans, Dental, Vision, Pharmacy, Behavioral Health, TPAs, PPOs, ...
Having access to the tools provided by Quest Analytics provides us with an invaluable asset in understanding how our network will perform within the new requirements from CMS for Network Adequacy and HSD reporting.