Fill data gaps with member-focused actionable analytics
From addressing gaps in care to improving HEDIS® and Medicare Advantage Star Ratings, Quest Diagnostics understands the challenges you face. We scale our member-focused, actionable analytics offerings to meet your specific business needs.
Assistance in complying effectively with reporting requirements
Our Quality Reporting Data offering provides you with access to the member data you may need to help effectively comply with reporting requirements.
- Dataset that captures the claims Quest has on a specific member
- Custom reporting that lets you analyze test data by member, practice, physician, test code, or date of service across a period of time
- HEDIS report templates that speed up the reporting process and allow swift access to lab test data related to HEDIS measures
- Report retrieval that allows users to access and print a CLIA-compliant report for a member
Get help identifying chronic conditions for better care coordination and health plan performance
Member Insights is a comprehensive lab report that offers a 2-year historical look-back of new members prior to coverage under your plan. This can help you support care coordination strategies, allowing you to act much earlier when an intervention often has the most impact.
- Assess individual member risk prior to receiving the first claim
- Promote appropriate, guideline-based testing
- Support risk adjustment to inform coding and disease management once a new member visits his or her doctor
- Delivery via secure file transfer (SFTP)