#United States #Las Vegas #Quest Analytics #QES Affiliation Insights #Network Design

Quest Analytics Launches a Game-Changer in Network Design

On June 17, 2025, Quest Analytics, renowned for its innovative solutions in provider network design and management, introduced the QES Affiliation Insights tool at the AHIP 2025 conference in Las Vegas. This cutting-edge feature is part of their Quest Enterprise Services® (QES®) Performance Suite, specifically designed to empower health organizations by providing a comprehensive understanding of provider affiliations and contract entities.

As healthcare systems evolve, organizations often face the complexities of navigating provider affiliations, which can significantly impact network design and contracting. The QES Affiliation Insights tool addresses this challenge directly. By offering a clear visualization of how individual providers are organized and contracted, it enhances health plans' ability to make informed decisions quickly regarding network design and performance optimization.

One of the standout features of QES Affiliation Insights is its capability to map out the intricate relationships between providers and the facilities where they render care. This includes hospitals and Ambulatory Surgery Centers (ASCs). Such insights are invaluable for health plans seeking to establish beneficial contracts with providers, as they indicate both the professional practice patterns and the facilities most aligned with the providers' operations.

Steve Levin, CEO of Quest Analytics, expressed the transformative potential of this new tool, stating, "With QES Affiliation Insights, health plans operate from a high-fidelity database that connects contracting, care management, and performance strategy. Understanding provider affiliations in both clinical and contracting contexts allows executives to improve their Medical Loss Ratio (MLR), streamline operational efficiencies, and make confident decisions that align with business goals and member needs. Given recent trends in health system consolidation, these insights couldn’t be more timely."

The launch at AHIP 2025 was not just an unveiling; it was a demonstration of how performance intelligence can drive better strategies in provider network management. During their presentation titled "Insights to Transform Provider Network Strategy for Improved Performance," Quest Analytics showcased the strategic advantages health plans can gain by leveraging these insights, underscoring the urgency and relevance in today’s complex healthcare landscape.

Quest Analytics has built a reputation for reliability, with over 400 clients— including all eight of the nation’s largest health plans, numerous leading health systems, and various state regulatory agencies. They effectively manage, monitor, and model networks composed of over 7,000 providers. Processing a staggering 150 billion provider records monthly, their platform supports more than 700,000 healthcare professionals attesting to their data across 360,000 locations, ultimately improving access to quality care for around 90% of Americans.

With the introduction of QES Affiliation Insights, Quest Analytics reaffirms its commitment to delivering innovative solutions that empower healthcare organizations to make smart, data-driven decisions. In a world where healthcare landscapes are continually shifting due to consolidation and the increasing need for efficiency, this tool stands out as an essential asset for organizations aiming to thrive in the future.

For more details about Quest Analytics and their robust solutions, visit Quest Analytics.