About this Episode:

Provider data accuracy and network strategy are strategic priorities for health plans to consider. With heightened regulatory scrutiny, evolving network adequacy standards, and rapid AI adoption, data integrity sits at the center of compliance, member experience, and innovation. Steve Levin and Scott Westover deliver a high-level, executive-focused discussion on the forces reshaping provider data and network strategy. They break down:

• Key regulatory and market trends that are influencing provider data and network management

• The growing role of AI in provider data management

• How government perspectives around consumer-facing data are changing

• Strategies for leadership teams focused on aligning systems with modern member expectations in 2026 and beyond

Guests:

Steve Levin, CEO of Quest Analytics

Scott Westover, Chief Network Solutions Officer, Quest Analytics

April Beane, VP of Marketing, Quest Analytics

About This Episode

Join a candid conversation about the realities of navigating healthcare today. Hear how system-level gaps can delay care, and how industry innovators are using AI and technology to improve the patient experience. Shanna's journey brings the stakes to life, showing why care before crisis must become the new standard.

Guests:

Shanna Adamic, Director, Oracle Health Executive Content and Oracle Video

Executive @ Oracle | Oracle TV Co-Anchor, AI World | Keynote Speaker | Published Author of Audacious Optimism | Former NFL KC Chiefs Cheerleader

Barbara Dumery, Chief Product Officer, Quest Analytics®

An engineer by training, Barbara has more than 20 years of experience bringing innovative technology solutions to the market that address key challenges in healthcare. She has a track record of driving value to customers and clients that drive exceptional growth to the business. At Quest Analytics®, Barbara helps drive the expansion of current solutions as well as new innovations off of Quest Analytics' core offerings. Previously, she has served in leadership roles in companies across all facets of healthcare – from population health analytics, medical devices, speech recognition, and radiology imaging. Barbara holds Bachelor's and Master's Degrees in Electrical Engineering from Tufts University.

April Beane, VP Marketing, Quest Analytics

About This Episode

In this episode, we share a technical-to-operational playbook that covers data quality issues and AI-driven network design. Join our guests as they break down a data-first approach that enables success.

• How to identify and fix data issues that break analytics and ML.

• How to use real-world data to inform design and contracting.

• How executives evaluate AI proposals and the artifacts that accelerate approval.

Guests:

April Beane, VP Marketing, Quest Analytics

Stephen Gold, Senior Advisor at Vestar Capital Partners and former Chief Information Officer (CIO)

James Lamb, Vice President of National Payers at Quest Analytics®

Guests:

Bob Tavernier, Solutions Executive, Quest Analytics | Connect on LinkedIn

Joshua Abraham, Director of Network Strategy, CommonSpirit Health

Host: April Beane, VP of Marketing, Quest Analytics | Connect on LinkedIn

About This Episode

Affiliation intelligence is transforming the development and optimization of healthcare networks, offering payers new pathways to enhance operational performance and member outcomes. April Beane sits down with industry leaders Bob Tavernier and Joshua Abraham to discuss how payers are using affiliation data to build high-performing and sustainable networks. Hear about practical, data-driven approaches to overcoming complex network challenges, including:

• Identifying hidden contracting relationships that influence network performance.

• Uncovering strategic opportunities for market growth and expansion.

• Recognizing entities that can address multiple network adequacy gaps.

• Aligning provider and facility participation to reduce out-of-network costs.

About This Episode

Texas has introduced some of the most stringent network adequacy requirements in the country that reshapes how health plans design, monitor, and report on provider networks. Join expert Stephanie Stephens, a former Texas regulator, as she sits down with the Quest Analytics team to unpack HB 3359, explore compliance best practices, and look forward to national trends and the changing landscape to evaluate network sufficiency.

Guests:

April Beane, VP Marketing, Quest Analytics | Connect on LinkedIn

Zach Snyder, JD, MPA, VP Government Affairs, Quest Analytics | Connect on LinkedIn

Stephanie Stephens, Former Texas Regulator, Stephens Consulting, LLC

In this special bonus episode, Sophia Timmermeyer sits down with April Beane, VP of Marketing at Quest Analytics, to share an exclusive behind-the-scenes look at Vision Quest 2026. Hear the story about the strategic pause in 2025 and learn how that time was used to refine and redesign the experience for even greater impact.

Vision Quest has always been a favorite among attendees, and we're excited to deliver an even more tailored event that brings you the insights, connections, and value you love.

Key Highlights:

• The intentional break and how it shaped a more focused, community-driven event

• New small-group formats designed to deepen learning and foster meaningful connections

• Fresh networking opportunities that spark innovation and collaboration

• Expert-led sessions tailored to elevate your skills and expand your influence

Event Details:

📅 Dates: May 19–21, 2026

📍 Location: Chicago, IL

🔗 Learn More: https://visionquest.questanalytics.com

In this episode host April Beane, VP of Marketing at Quest Analytics, is joined by Bob Tavernier, Sales Solution Executive at Quest Analytics, and Dr. Luke Hansen, Chief Medical Officer for Arcadia. Together, they discuss strategies and insights for improving healthcare provider network performance through data intelligence. The conversation highlights key factors driving network development, the growing influence of member consumerism, and the impact of regulatory pressures on payer-provider relationships.

Discover the intricate world of network adequacy for dual eligible populations—those who qualify for both Medicare and Medicaid—and the unique challenges they face in accessing comprehensive care. Join experts Zach Snyder, JD, MPA (Quest Analytics), Tricia Beckmann, JD (Faegre Drinker), Kacey Dugan, MPA (Faegre Drinker), and our host, April Beane, as they delve into this crucial topic.

On the Docket:

• Overview of Network Adequacy
• Defining Network Adequacy for Dual-Eligible Beneficiaries
• What Do Requirements and Unique State Practices Mean for Plans Serving Dual-Eligibles?
• Current and Future Trends in Network Adequacy
• Strategies for Navigating Network Adequacy Compliance

YouTube Link: https://youtu.be/a7Z9XASbkc8

Are health plans prepared for the sweeping changes proposed under the REAL Health Providers Act? In this episode, Kate Deiters and Zach Snyder break down the legislation's key provisions and explore how it could transform the way Medicare Advantage Organizations manage provider directories, verify provider information, and report on provider data accuracy.

Discover how the Act builds on elements of the No Surprises Act and introduces compliance requirements like removing unverified providers from the directory, conducting annual accuracy assessments, and maintaining a public Accuracy Score.

Related Articles

The Requiring Enhanced & Accurate Lists of Health Providers Act https://questanalytics.com/news/requiring-enhanced-accurate-lists-of-health-providers-act/

In this episode, host Kate Deiters sits down with Zack Snyder, VP of Government Affairs at Quest Analytics, to discuss the Executive Order Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information. Tune into this episode, to hear:

• What the Executive Order means for health systems and health plans

• How this could lead to further amendments under the No Surprises Act

• What future network adequacy and provider directory requirements may be impacted

• Actionable tips for staying compliant with new regulations

Don't forget to subscribe and hit the notification bell so you're the first to know when we release a new episode.

Webpage: https://questanalytics.com/the-totally-adequate-podcast/health-policy-updates/april-2025/

YouTube: https://youtu.be/qMqYpGFNb3g?si=INCnrw-6hLNcXbjU