Navigation Links
Moving Beyond the Mysteries of Disruption Reporting

APPLETON, Wis., June 11 /PRNewswire/ -- Health plan transparency has gained an enormous amount of attention due to the ongoing "quest" to have better information to make informed health care decisions. While health plan transparency, provider cost or quality is often discussed in the form of better public information, there is an increasing need for transparency in reporting on member and claims disruption. The health care thought leaders in consulting firms, government agencies and large employers know that standardized reporting increases that transparency.

"The need to minimize disruption for customers when changing plans is a critical component," says Tom Dolatowski, Vice President Marketing & Communications, Delta Dental. Tom adds, "Our ability to provide transparency provides us with a competitive advantage." However, while the demand increases, the current methods of obtaining results can be misleading due to variations in the methodology used to determine if a provider is actually included in a health plan's network.

The Current State of Information Is Inadequate

Health plans are incented to create the appearance of minimal network disruption when responding to a proposal, and if not specifically instructed, may relax the method for determining a match to their network.

Consistent standards are not applied across various health plans, causing inconsistent results.

Data integrity is a challenge as it is often incomplete and does not reflect an accurate picture of the claims utilization over the previous year. Incumbent health plans, knowing they are "up for bid," deliver network provider data grudgingly, slowly, and in as cumbersome a format as possible, to hinder the analysis efforts of competing plans.

"Disruption analysis without transparency is of little value by itself," says Brett Apgood, Senior Associate, Mercer. "Simply having a list of providers with indicators reflecting network participation is of little value without information on how the health plan matched those providers," adds Brett.

Quest Analytics, a leader in health care analysis software, has evolved this process and is providing you with a complimentary white paper to create more value and to provide a competitive advantage. To obtain your complimentary white paper, visit us at

Quest Analytics provides software solutions to managed care plans, consultants and employers to evaluate health care provider access, network and claims dollar disruption, quality outcomes measures and member communications. Through its software solution, customers can generate analysis comparisons on any health plan in any U.S. market.


    John P. Weis
    Quest Analytics

This release was issued through eReleases(TM). For more information, visit

SOURCE Quest Analytics, L.L.C.
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Best Practices for Hospitals Moving to Electronic Medical Records
2. Removing Medical Device Preemption Impacts Jobs, Health Care Costs, Patient Access
3. National Long Term Care Leaders Praise Overall Baucus Health Reform Effort, Express Specific Concerns Moving Forward
4. Learning and Moving, a GeoFitness Solution for Preventing Obesity in Children and Increasing School Success
5. Weight Watchers(R) Kicks Off Spring by Urging People to Get Moving With The Momentum(TM) Walk-It Challenge
6. GeoFitness Launches Get Moving America Campaign to Improve Youth Health
7. National Multiple Sclerosis Society Commends President Obamas Initial Steps in Removing the Bans on Embryonic Stem Cell Research
8. What the Billion Dollar Beauty Industry Does Not Want Leaked: That One Can Actually Reverse Aging for Free by Moving Only to the Right. We Smell a Nobel.
9. Many Clinical Trials Moving Overseas
10. CrossTech Forums Announces Health IT Insight 2009 Moving to Arizona Grand Resort in Phoenix; Executive Summit to Take Place April 29-May 1
11. Remedy for Cracked Heels and Removing Calluses
Post Your Comments:
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users ... - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 ... Pro X . Simply select a ProHand generator and drag it above media or ...
(Date:6/25/2016)... , ... June 25, 2016 , ... Conventional wisdom preaches ... success. In terms of the latter, setting the bar too high can result in ... than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Scientific Sessions in Dallas that it will receive two significant new grants to ... came as PHA marked its 25th anniversary by recognizing patients, medical professionals and ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their ... Award, an essay contest in which patients and their families pay tribute to a ... the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm Slone Partners is ... sequencing and genomics experience, as Vice President of North American Capital Sales at ... for leading the sales team in the commercialization of the HTG EdgeSeq system and ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
(Date:6/24/2016)... OAKLAND, N.J. , June 24, 2016 /PRNewswire/ ... in the design, development and manufacturing of collagen ... and regeneration announced today that Bill Messer ... Sales and Marketing to further leverage the growing ... surgery medical devices. Bill joins the ...
(Date:6/24/2016)... Dublin - ... " Global Markets for Spectroscopy Equipment" report ... This report focuses on the global market of ... applications in various applications. The report deals with spectroscopy ... industries: pharmaceutical and biotechnology, food and beverage, and environmental ...
Breaking Medicine Technology: