© Copyright 2019 Quest Analytics. All Rights Reserved.

BETTER DATA, BETTER NETWORKS, BETTER EXPERIENCE

Cari Lee, Vice President of Government Affairs

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Who is Quest Analytics?WE’VE BEEN THE INNOVATORS IN PROVIDER NETWORK DATA MANAGEMENT FOR 30 YEARS!

to measurenetwork access,

quantify disruption, & publish online directories

1st

Access

1st to measure,monitor, and

manage network adequacy

Adequacy

1st to measure, monitor, and

manage network accuracy

Accuracy

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What we know.

Provider directories are woefully inaccurate

>50%30-60%MA PLANS

inaccurate

20%provider dataCHANGESANNUALLY

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What we know.

CMS and states auditing & enforcing penalties

THREE 36 STATESFederal Programs Directory Requirements

100% MA Plansundergo audit & 47% penalized

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ADEQUACY AND ACCURACY ARE INEXTRICABLY LINKED…

Adequacy informs accuracy…

DeceasedRetiredOIG

CMS preclusion listMedicare opt-out

No longer at locationNot in network

20 addresses

16 addresses

10 addresses

6 addresses

…and accuracy

informs adequacy

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Solving the Problem: Quest Enterprise Services

Network adequacy and accuracy in a single

platform

Network Platform

Network adequacy and accuracy across all market

segments

Enterprise

Accurate actionable data and insights integrated

within plan workflow

Workflow