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Quest Analytics Forms Strategic Partnership with Arcadia

Quest Analytics, a leader in provider network management solutions, has recently announced a significant collaboration with Arcadia, a prominent healthcare data platform. This strategic partnership promises to enhance the capabilities of Quest Analytics’ flagship platform by integrating advanced data insights, thereby enabling clients to make more informed decisions when building and managing their provider networks.

The Integrative Solution

At the heart of this partnership lies the Quest Enterprise Services® (QES®), an innovative data-driven Software as a Service (SaaS) platform designed to assist health plans in making clinically informed decisions. By incorporating elements of Arcadia's CareJourney Provider Performance Index (PPI) within the QES Provider Claims Insights (PCI) module, Quest Analytics is poised to deliver a powerful tool that provides insights into physician performance, including metrics on claims activity, quality, and cost-effectiveness. This integration allows health plans to evaluate the overall performance of providers on over 250 episodes derived from extensive Medicare fee-for-service claims data.

Elevating Healthcare Decision-Making

Steve Levin, CEO of Quest Analytics, articulated the essence of this collaboration, stating, “This partnership with Arcadia reinforces our commitment to embedding care delivery intelligence directly into QES, where network decisions are made.” With the addition of Arcadia's rich data insights, health plans can now access comprehensive provider performance data including cost and quality scores. This empowers them to not only evaluate potential providers for inclusion in their networks but also to refine existing partnerships to focus on improving care and the member experience.

This strategic collaboration also aims to enhance operational efficiency by improving communication between clinical teams and member support functions. By streamlining workflows and utilizing integrated provider performance data, healthcare organizations can better allocate resources and improve service delivery.

Key Outcomes of the Partnership

1. Smart Network Building: The integration allows health plans to prioritize high-performing providers, ultimately leading to improved care quality and member satisfaction.
2. Data-Driven Decisions: Clients of Quest Analytics can leverage actionable intelligence provided by the integrated platform to lower costs and drive better health outcomes.
3. Efficiency Boost: Improved collaboration between various teams leads to faster decision-making and better resource management, crucial for effective healthcare administration.

Additionally, during the upcoming AHIP 2025 conference, Quest Analytics will be presenting insights on their survey conducted with health plan executives, examining critical data issues in network management that impact organizational priorities.

About the Companies

Quest Analytics' solutions are utilized by over 400 clients, including the nation's largest health plans and systems. Their platform processes more than 150 billion provider records each month, ensuring that health networks maintain attentive oversight of over 700,000 healthcare professionals. Meanwhile, Arcadia is known for helping organizations convert healthcare data into predictive insights, enhancing revenue and quality of care by operationalizing extensive data across the healthcare landscape.

As this partnership unfolds, Quest Analytics and Arcadia are set to revolutionize the way healthcare networks are designed and managed, ensuring that quality care remains a paramount priority in the ever-evolving healthcare industry.

To learn more about this partnership and its implications for healthcare data integration, consider visiting Quest Analytics at booth #1307 during AHIP 2025 or checking their website for more information on their network performance solutions.