Quest Enterprise Services® (QES®)

Provider Network Volume Targeting

Streamline Your Provider Recruitment Analysis

Volume Targeting Includes:

• Scenario-Based Simulations
• Simple Three-Step Process
• Comprehensive Analysis Reports

Modernizing Provider Targeting to Support Scalable

Your Current Provider Targeting Process

You are charged with balancing operational efficiency, regulatory compliance, and competitive differentiation. Yet, targeting providers one at a time presents logistical hurdles that stifle scalability—particularly when managing multiple lines of business. Additionally, understanding the broader impact of provider facility gaps on your network’s adequacy poses a significant challenge.

To maintain compliance and market advantage, a shift in strategy is required—one that empowers leadership teams to address gaps at scale while ensuring the integrity of your networks.

Advancing Provider Targeting with QES®

A Smarter Approach to Recruitment and Network Alignment

QES Volume Targeting provides the tools to:

• Maintain compliance confidence by identifying gaps
• Optimize all of your provider networks
• Utilize targeting scenario results in your competitive analyses
• Gain insight for provider negotiations
• Perform “what-if” analyses

Create your report

Upload a list of Providers by location and specialty

Select the Projects

YOUR VOLUME TARGETING ANALYSES SIMPLIFIED

Running QES Volume Targeting is a simple three-step process

Actionable Insights Through Automated Analysis

Comprehensive Analytics and Reporting for Collaboration

QES Volume Targeting includes in-depth reporting to help you collaborate with your team and determine strategic next steps. Automated reports help eliminate the need for manual research.

Report outputs include:

Provider Upload Summary

Provides details about the uploaded providers and which projects they were found or not found in for targeting

Volume Target Project Details

Shows which projects were or were not affected and counts of gaps closed due to targeting

Targeted Service Area Changed Gaps

Details of the specific specialty/county gap closures

Targeted Service Area Providers

Shows all providers that were targeted and the specialties/counties those providers are considered servicing

Targeted Service Area Specialty Summary Comparison

Provides a full specialty summary comparison between the current and targeted results

Bonus:

Your Quest Analytics consultants are there for you as an excellent resource to help guide your team. Learn More

DELIVER ON TOMORROW’S GOALS BY PLANNING TODAY

We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.

Schedule a consultative session with one of our network management experts to discuss and determine your strategy.

Start a Conversation Today!