SynerMed Advances Its Network Services, Giving Provider Networks an Automated Solution for Monitoring State and Federal Reporting Requirements

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- SynerMed, a leading Management Service Organization (MSO) in the United States, announced that it is adopting Quest Analytics Suite™ to boost its network management services (see also SynerMed).

Health plans in today's marketplace are challenged with controlling costs and driving efficiency with narrower networks. However, this raises concerns for state and federal regulators who are charged with monitoring network adequacy and protecting consumer access to care. Quest Analytics Suite™ provides analysis and reporting solutions that are capable of meeting the ever-changing demands of the industry.

"Quest Analytics gives SynerMed and our customers a competitive advantage," said Eddie Calles, SynerMed Vice President of Strategic Development. "This automated system helps monitor network adequacy requirements by using the same tools utilized by the Centers for Medicare & Medicaid Services."

Optimal provider networks are required to maintain a sufficient number of physicians and specialists, assuring that all services are accessible to enrolled beneficiaries without unreasonable delay and within a specific geographic area. Medi-Cal populations are hit hardest by disparities in access to healthcare. According to a recent study by UCLA Center for Health Policy Research and California HealthCare Foundation, 6% of adult Medi-Cal patients experienced problems finding a doctor who would accept them as a patient compared to 2% of people with employer-based coverage. While this may not seem like a big difference, Medi-Cal patients tend to have more health problems and rely on emergency departments as a primary source of healthcare, according to Shana Alex Charles, Director of Health Insurance Studies for the UCLA Center for Health Policy Research.1 "Quest Analytics enhances our ability to build successful provider networks and meet market-specific requirements for network adequacy," said James Mason, SynerMed President and Chief Executive Officer. "As new standards evolve in measuring provider network access, Quest Analytics Suite™ offers greater flexibility to adapt to state and federal requirements, which is invaluable to our customers' growing needs."

Quest Analytics meets new proposed requirements for the health insurance marketplace, and provides better reporting efficiency and agility compared to old self-reporting standards. Combined with SynerMed's suite of advanced technology and services, provider networks now have even more resources at their disposal to keep up with industry standards and practices.

______________________ 1 Studies Show Access to Care Still a Problem for Medi-Cal Patients; HealthFax; Vol.22, Number 29; July 27, 2015 About Quest Analytics Quest Analytics provides industry-leading software solutions to commercial and Medicare Advantage health plans, government agencies, consultants, brokers and employers to evaluate health care provider network adequacy. To learn more about Quest Analytics, visit www.questanalytics.com. About SynerMed SynerMed is a market-leading healthcare organization specializing in government-sponsored programs that is headquartered in Monterey Park, California. SynerMed is dedicated to innovating healthcare through an integrated system of tools, purpose-built web platforms and professional services that connects physicians, members, hospitals and health plans. SynerMed's mission is to transform the healthcare delivery system by rewarding high-quality and cost-effective care. For more information about SynerMed, visit www.synermed.com and www.synermedconnect.com. Follow SynerMed on: TwitterYouTubeLinkedIn View source version on businesswire.com: http://www.businesswire.com/news/home/20161122005854/en/

Keywords for this news article include: Medicare, SynerMed, Legislation, Health Policy, Health Insurance, Network Services.

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