CMS Renews Quest Analytics Contract for Medicare Advantage Network Adequacy

Quest Analytics has secured a five-year contract renewal with the Centers for Medicare & Medicaid Services (CMS), continuing a partnership that began in 2007 focused on Medicare Advantage network adequacy reviews. Quest Analytics provides advanced software solutions that support CMS in assessing healthcare provider networks based on geographic and specialty criteria, ensuring they meet mandated access standards. These tools utilize geocoding and proximity mapping to evaluate plan submissions against CMS's time and distance requirements for network adequacy, a critical component of compliance for Medicare Advantage plans. The company's platform manages data across more than 40 specialties and facility types, playing a key role in CMS’s triennial network reviews and service area expansion evaluations. Quest Analytics also supports CMS in identifying compliance issues, enhancing regulatory oversight of Medicare Advantage networks. With a client base that includes major health plans and regulatory agencies, Quest Analytics processes extensive provider data to facilitate network design, management, and monitoring that align with regulatory standards. This contract renewal underscores the ongoing reliance on data-driven solutions to improve healthcare network accuracy and beneficiary access within federally regulated programs.