Competitive Intelligence for Healthcare Provider Networks

QES® Competitive Insights

Formally known as Network Benchmarking

Your Solution for Network Comparative Insights

Understanding the strengths and opportunities of your provider network is fundamental to sustaining success. QES® Competitive Insights serves as a pivotal tool for both strategic market entry and refining existing networks to achieve your business goals. Our solution leverages proprietary data sourced directly from payers and validated by regulators, ensuring a true and comprehensive representation of available networks. By integrating this data with provider claims and public information, we deliver the most powerful provider network benchmarking comparative insights available, enabling you to quickly assess your competitive position and make data-driven decisions with confidence to build a higher-performing provider network.

Build Differentiated Networks

Before market entry, gain an in-depth understanding of market landscapes to architect networks superior in quality and cost-efficiency, setting your offerings apart from competitors.

Refine Networks with Competitive Insights

Bolster network performance by engaging in critical benchmarking practices and identifying key areas for improvement and differentiation.

Align Network Design with Market Dynamics

Align product strategy with network design to navigate market competition effectively and help ensure cost-efficient care.

Understand Provider Gap Landscape

Identify areas where competitor networks meet or lack in provider adequacy and strategically enhance network capabilities to improve member access.

Enhance Sales & Marketing Strategies

Gain actionable insights to understand the uniqueness of a market position and communicate a compelling value proposition.

Popular Features

Discover the most popular features of QES® Competitive Insights – your essential tools for understanding and utilizing competitive data to build and optimize high-performing provider networks.

Customizable Competitor Comparisons

Effortlessly compare your networks to key competitors in the market. Choose the specific competitors you want to analyze for focused and actionable insights.

Understand Competitive Landscape

Explore all competitor networks in a market to analyze membership, market share, and star ratings, empowering strategic decision-making.

Compare Networks and Providers

Easily review providers within competing networks, with filters for line of business, specialty, and county. Compare networks at a high level, including provider counts and average efficiency and effectiveness. Dive deeper to access detailed lists of individual providers and the networks they are part of.

Leverage Proprietary Data with Demonstrated Fidelity

Access proprietary data that comes directly from payers and is submitted to and validated by regulators, providing a true reflection of each selected network for more accurate comparative data.

QES® Competitive Insights In Action

Health plans and regulators increasingly use our QES Competitive Insights to improve provider network management, design, and performance. This powerful tool offers actionable insights, enabling organizations to craft high-performing provider networks that stand out in the competitive healthcare market. With our comprehensive insights, you can refine your strategies and ensure provider network adequacy — leading to improved healthcare outcomes for members.

Select Relevant Competitors

Utilize network adequacy and data-driven provider selection to deliver higher-quality care, leading to better patient outcomes and increased member loyalty.

Demonstrate and Promote Market Leadership

Establish your position as a leader in the healthcare market by offering innovative and well-structured networks that provide exceptional care compared to competing plans.

Strategic Network Optimization

Compare networks against market peers and understand payer network participation by significant health systems through an interactive dashboard, enabling strategic enhancements at various levels.

Difficult to Fill Gap Resolution

Fill gaps quickly by identifying high-quality, cost-effective providers, enhancing network adequacy and member care.

Related Solutions

Strengthen your provider network at every stage by combining QES® Competitive Insights with additional tools. By taking an integrated approach to network design and network management, you can improve network performance, gain valuable insights, and streamline operations — ultimately delivering greater value to your organization and your members.

QES Adequacy

Combine QES Competitive Insights with QES Adequacy to achieve effortless measurement, management, monitoring, and modeling of your network adequacy, supporting compliance while helping ensure your members can access the right providers for their unique needs.

QES Accuracy

Pair QES Competitive Insights with QES Accuracy to drive impactful decisions across the provider network lifecycle. QES Accuracy provides insights on provider attestations, while QES Competitive Insights offers strategic market intelligence. Together, these data insights help you enhance network performance, improve member satisfaction, and deliver long-term value to your organization.

QES Provider Claims Insights

Leverage QES Competitive Insights in combination with QES PCI data to gain a thorough understanding of your network compared to that of your competitors. By assessing provider costs, quality, and clinical activity, you can pinpoint areas for improvement, make informed strategic decisions, and ultimately enhance provider network performance and member satisfaction.

Network Configuration

Let Quest Analytics® assist you in designing a network tailored to your exact needs, with the right mix of providers and specialties to meet both your and your members’ requirements.