Building on top of the Quest Analytics Suite’s industry-leading Access Analysis capabilities, we’ve taken the industry to a whole new level with the Adequacy Analysis Module.
The Quest Analytics Suite’s Adequacy Analysis Module combines dynamic time and distance-based access standards with minimum provider standards for dozens of individual specialties and specific services performed at a facility. It has also revolutionized the way servicing providers are identified by allowing all network providers within the desired proximity of a Medicare beneficiary to be considered in the analysis regardless of geographic boundaries.
With the Adequacy Analysis Module, you can be sure that your health plan meets the Medicare Advantage Network Adequacy requirements by using the same toolset that’s utilized by CMS to approve service area expansions (SAE).
The Adequacy Analysis Module includes standard templates with all of the MA Part-C and Part-D requirements preprogrammed for you, so you can just feed in your data and run a report to see how you will score prior to submitting your data to CMS. In addition, you can drill down into your results with features such as:
- Flexible Adequacy Detail Reports by Various Levels of Geography
- Robust Mapping Capabilities to Identify Gap Areas
- Standardized Data Elements such as County SSA Code
- Quick Identification of Potential Invalid Addresses
- Easy Specialty Translation to CMS Standards
- Hospital Service Line Data to Augment your Database
In addition, the Adequacy Analysis Module also provides you with the ability to export MA Provider and MA Facility tables (a.k.a. HSD Tables) directly from your provider groups in the required format for upload to HPMS – with many of the required columns pre-populated and the providers filtered to include all potential servicing providers. You can rest assured that your data is as complete and accurate as possible.
While the Adequacy Analysis Module’s roots began with the Medicare Advantage program, this same functionality can be leveraged to meet other Federal, State and commercial needs such as:
- Measuring Qualified Health Plans (QHPs) for State-based Exchanges
- Adopting Medicaid specific requirements for Network Adequacy
- Meeting Accreditation Standards for an Adequate Network
Contact us today at contact@questanalytics.com or
920.739.4552 for more information, to schedule a free web demonstration or to find out how you
can elevate your analytics abilities with the Quest Analytics Suite.