The Totally Adequate Podcast

Quest Analytics®
  • 5.0 (1)
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The Totally Adequate Podcast Podcast

Initiating conversations on the latest trends, network adequacy and provider data accuracy policy updates, and healthcare provider network management innovations.

Episodes

  1. JUL 30

    Bonus Episode: Vision Quest 2024 Preview with April Beane

    Get an Exclusive Preview of Vision Quest 2024 with April Beane! In this episode, guest host Kate Deiters, sits down with April Beane, VP of Marketing at Quest Analytics, to discuss what makes Vision Quest the premier forum for professional development in healthcare provider network management and performance. Key Highlights:  - How Vision Quest fosters an inclusive, collaborative atmosphere for professionals at all career stages. - Insights into multi-track sessions designed to enhance your skills and knowledge. - Unique networking opportunities that drive innovation within your organization. - Expert-driven learning experiences that broaden your understanding and capabilities. Event Details: 📅 Dates: September 10-12, 2024 📍 Location: Austin, TX  Learn More About Vision Quest: https://visionquest.questanalytics.com/ Learn More About Quest Analytics: https://questanalytics.com/

    16 min

  2. JUL 12

    Health Policy Updates: Talking Medicare Advantage and Marketplace Final Rules

    Big changes are coming to Medicare Advantage and Marketplace policies! April Beane and health policy expert Kate Deiters dig into the CMS Contract Year 2025 Medicare Advantage and Part D Final Rule and HHS Notice of Benefit and Payment Parameters for 2025 Final Rule. Discover what these updates mean for network adequacy and provider accuracy at both federal and state levels. Get ahead with key trends and actionable insights that every healthcare professional and policymaker needs to know. Resources Mentioned CMS Contract Year 2025 Medicare Advantage and Part D Final Rule Policy Brief: https://questanalytics.com/cms-mao-medicaid-resource-hub/medicare-advantage-final-rule/ HHS Notice of Benefit and Payment Parameters for 2025 Final Rule Policy Brief: https://questanalytics.com/qhp-marketplace-resources/qhp-legislative-brief/

    12 min
  3. The Art of the Possible: Next Generation Structured Provider Network Strategies

    APR 5

    The Art of the Possible: Next Generation Structured Provider Network Strategies

    Leaders from Quest Analytics and Highmark Health join April Beane to discuss the future of provider network performance. As strategies evolve, how we build networks is critical in achieving member and payer outcomes that drive business success. Finding the path to “right-sized” networks is also vital to providing quality and equitable care to all members. And, as our guest will tell you, connecting benefit design and network structuring is the goal we should all have the courage to achieve.  Panelists:  Steve Levin, CEO, Quest Analytics Jim Brown, Vice President for WPA Markets Operations and Strategy, Highmark Health  Hosted by April Beane, VP Marketing, Quest Analytics    Enjoyed this episode? Help spread the word by leaving a review and rating.

    38 min
  4. The Role of Health Networks in Shaping Healthcare

    APR 5

    The Role of Health Networks in Shaping Healthcare

    The national talk track in healthcare tends to focus on cost, utilization management, serving underserved and high-cost populations, benefit design, and consumer engagement. Underappreciated, or even ignored, is the underlying platform on which everything rides: the health network. In this episode, two Healthcare IT executives who have spent decades in healthcare around financial management, cost analytics, and provider performance share their takeaways on understanding provider network management since joining Quest Analytics®. Both have been astounded by the sophistication of network development and the opportunities to bring the network into the current national debate. Join us for a fireside chat between these experts as they reflect on their past knowledge and explore the future of provider network management. Panelists:  Steve Levin, CEO, Quest Analytics  Subhash Seelam, SVP, Applied Network Analytics, Quest Analytics  Host:   April Beane, VP Marketing, Quest Analytics

    38 min
  5. The Last Decade in Healthcare Provider Network Management

    09/25/2023

    The Last Decade in Healthcare Provider Network Management

    What a difference 10 years makes! In this episode, host Kate Deiters talks with Eliza Hoffman, VP of Regional Payers at Quest Analytics, about the last decade in healthcare provider network management. From what’s changed to aha moments to the current hot topics, Eliza shares her perspective on the evolution of provider network management and what she’s most excited about for the future. Sit back, relax and enjoy this episode!

    24 min
  6. Keeping Up With The Health Insurance Industry

    09/20/2023

    Keeping Up With The Health Insurance Industry

    Host Kate Deiters sits down with Anita Shields, Director of Client Support & Training at Quest Analytics. We talk about Anita’s experience in the insurance industry and how she got her start at Quest Analytics. Anita shares some tips for keeping up with the industry and what it takes to stay on top of your game in this ever-changing landscape. She also talks about her excitement about the advancement of technology in the insurance software space and how that is helping to make things easier for clients who are looking for new ways to streamline their operations.

    25 min
  7. Talkin’ Telehealth

    09/01/2023

    Talkin’ Telehealth

    Kate Deiters and Zach Snyder discuss the current state of telehealth. The crystal ball is glowing bright as Zach and Kate peek into the future of telehealth credits and how states could be impacted.  Guest: Zach Snyder, VP of Government Affairs, Quest Analytics Host: Kate Deiters, Marketing Specialist, Quest Analytics

    26 min
  • 7 Episodes

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Initiating conversations on the latest trends, network adequacy and provider data accuracy policy updates, and healthcare provider network management innovations.

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