Proven Provider Network Management for Qualified Health Plan Certification

Save Time, Stay Compliant

As the healthcare landscape continues to change, you may find that you’re being asked to have more provider data, and you need it fast. Then, there are the new compliance requirements to keep up with, including knowing which network will be regulated by CMS and which network will be regulated by the state. Oh, and don’t forget about making sure the provider file that you’re using to analyze the network has been properly updated and that you send the report by end of the day Friday.  All in all, it’s enough to make your head spin.

Compliance Confident

At Quest Analytics we understand how important it is to stay on top of your regulatory requirements. That’s why we deliver peace of mind by showing you what regulators will see when they evaluate your network. We streamline your compliance monitoring for network adequacy and provider data accuracy so that you can identify deficiencies in your provider network and understand what is right, wrong and missing in your provider data.

Meet Compliance for QHP Certification

Our CCIIO QHP Network Adequacy template is built according to the federal requirements for specialty type, time and distance standards set forth by CMS. Not only will the template save you time, but it will also allow you to:

• Continuously monitor your network to ensure network adequacy compliance
• Quickly identify deficiencies in your provider network
• Easily understand what is right, wrong, and missing in your provider data
• Streamline you provider recruitment efforts