1. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Spin It To Win It

2. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 TODAYS QUEST PANEL Darren Huff Regional Sales Director East Region Darren.Huff@QuestAnalytics.com Linda Borths Director of Sales Linda.Borths@QuestAnalytics.com John Weis President & Co-Founder John.Weis@QuestAnalytics.com 3. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 BUILT with VISION QUEST ANALYTICS SUITE The industry's only software solution that has continued to evolve to meet the changing demands of Network Adequacy. The Quest Analytics Suite fully integrates; Access, Disruption, Network Adequacy (Medicare and Custom), Address-level Geocoding and Hospital Quality Analysis into one easy to use suite. 4. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 National Marketplace Presence 5. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 P R O V I D I N G P O W E R F U L S O L U T I O N SP R O V I D I N G P O W E R F U L S O L U T I O N S 6. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Understanding Disruption 7. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Disruptive innovation is not a tactic. It's a mindset. Disruptive innovation is not just about following a process. It represents a mindseta rebellious instinct to discard old business clichs and remake the market landscape. An eagerness to deliberately target situations where the competition is complacent and the customer has been consistently overlooked or under-served. ~ Luke Williams One has to passionately believe it is possible to change the industry, to turn it on its head, to make sure that it will never be the same again. ~ Richard Branson 8. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 The Goal with Disruption How to Move the Bubble From This To This! 9. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 The Evolution of Disruption 10. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 EVOLUTION OF DISRUPTION ANALYSIS Provide a disruption analysis using the attached providers and claims files (include summary of key areas/providers, % of providers in-network, % of claims in-network and detail by state, county and city). Identify if the provider is in network with a Y or N Each of the following criteria should be used to perform your disruption: Match 1 TIN & Name & Address Match 2 TIN & Name Match 3 Name & City Match 4 TIN Include a separate columns with a Y or N network indicator next to each provider in the claims file Along with an indicator on how the provider was matched - 1, 2, 3, 4. This type of RFP will add more value and credibility and will provide clear and concise network analysis. A WIN/WIN Scenario 11. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Transparency, Accountability & Defendable with DISRUPTION 12. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 DIFFERENTIATORS with DISRUPTION EXCLUSIVE confidence index metric FLEXIBLE data parameters-transparency FAST learning curve from Access Module ON-THE-FLY virtual joins: for ad hoc analysis, high productivity SYSTEMATIC manual match intervention INTEGRATED with Access reporting for additional capabilities (i.e. Disruption Impact reporting) 13. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Understanding Competitive Data 14. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Incumbent Data In All Shapes and Forms Claims Data and In and Out of Network Indicators are always a bonus so use them to your advantage! 15. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Add Additional Intel Advantage: Use Lat/Long as a best practice 16. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Confidence Levels 17. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Confidence Levels 18. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Lets Examine 19. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Full Name vs. Partial Name 20. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Full Name vs. Partial 21. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Microscopic Reporting With Geocoding 22. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Add Additional Intel 23. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Coordinate vs. Address 24. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Coordinate vs. Address 25. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 City vs. Zip Code Challenges with using zip over city A city contains multiple zip codes Zip Code City 60601 Chicago 60602 Chicago 60603 Chicago 60604 Chicago 60605 Chicago 60606 Chicago 60607 Chicago 26. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Matching Options 27. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Matching Options 28. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Filter Match Filter Match allows you to Match if a condition is met EXAMPLE: Name contains City of..or Out of Network = Yes or Claims = $0) 29. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Out of Network/$0 Claims 30. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Expression Match Expression Match You have a column in your data youd like to match on that is not part of the standard field mapping (Phone, Group Name, etc.) 31. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 PROVIDER MATCHES Match against multiple networks 32. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Leverage Your Competitors Data 33. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 PROVIDER CHANGE ANALYSIS 34. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 PROVIDER RECRUITMENT ANALYSIS 35. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Members to Providers 36. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 P R O V I D I N G P O W E R F U L S O L U T I O N SP R O V I D I N G P O W E R F U L S O L U T I O N S 37. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 P R O V I D I N G P O W E R F U L S O L U T I O N SP R O V I D I N G P O W E R F U L S O L U T I O N S Disruption Intelligence 38. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Up Coming Webinars Now Is The Time For Federal Programs: Medicare/Federal Exchanges Tuesday, August 12th Getting Pumped For State Programs: Medicaid/State Exchanges Wednesday, August 13th Finding The Providers That Fit: Narrow Network Strategies and Design: Thursday, August 14th 39. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Absolute Total Care AcariaHealth Adena Health Plan Advantica Advicare Aetna AgeWell AlwaysCare American Republic AmeriGroup AmeriHealth Mercy AmeriHealth NJ Ameritas Amida Arcadian Health Plan Archcare Argus Argus Dental Arkansas BCBS Assurant Health Atrio Health Plan Aultman Avesis AvMed Bay Care Physicians BeechStreet Benecard PBM BeneCare Blue Cross Idaho BCBS Arizona Mount Carmel MVP Health Care Navitus Neighborhood Rhode Island Network Health MA Network Health Plan of Wisconsin Nevada COOP New Mexico Health Connection NorthShore LIJ Health System NovaSys Health OnPoint OptiCare Managed Vision Oregon Health COOP PacificSource Palladian Parkview Health Plan PatientChoice Peach State Health Plan Physicians Health Physicians United Plan Piedmont Community Premier Access Premier Eye Care Premiere Health Presbyterian Health Plan Prime Therapeutics PrimeWest Elderplan ElderServe Encore Evolent Fallon Community FamilyCare-OR Family Health Network Fidelis Florida Combined Life Florida Health Care Plus Freedom Health Gateway Geisinger GemCare Glenridge Healthcare Gorman Granite State Health Plan Group Health Coop Guardian Harvard Pilgrim HFN HHH HSAG Health Alliance Medical Plans Healthfirst NY HealthNet HealthNow THE QUEST CLIENT FAMILY 40. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 QUEST TEAM Darren Huff Regional Sales Director East Region Darren.Huff@QuestAnalytics.com Linda Borths Director of Sales Linda.Borths@QuestAnalytics.com John Weis President & Co-Founder John.Weis@QuestAnalytics.com Robert Smith Regional Sales Director West Region Robert.Smith@QuestAnalytics.com