how pharmacy's measure adequacy
DESCRIPTION
For pharmacy's looking to measure their networks for expansion and compliance using geoaccess.TRANSCRIPT
- 1. 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 S
2. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Here to Guide theWay Whats your Quest? Robert Smith, Regional Sales Director [email protected] Linda Borths, National Sales Director [email protected] Contact us at: 920.739.4552 3. BUILT withVISION 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. QUEST ANALYTICS SUITE ACCESS ANALYSIS Access Analysis I Access Comparison I Mapping ADEQUACY ANALYSIS Medicare Advantage I Medicaid I Dual Eligibles I Exchanges I Commercial GEOCODER & DATA STANDARDIZATION Address-Level Accuracy I Data Standardization I Zip Correction DISRUPTION ANALYSIS Transparency & Confidence I Provider Change Analysis PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 5. Quest Analytics THE QUEST CLIENT FAMILY Advantica Advicare Aetna AlwaysCare American Republic AmeriGroup AmeriHealth Mercy AmeriHealth NJ Ameritas Amida Arcadian Health Plan Archcare Argus Argus Dental Arkansas BCBS Assurant Health Atrio Health Plan Avesis AvMed Bay Care Physicians BeechStreet Benecard PBM BeneCare Blue Cross Idaho BCBS Arizona BCBS Michigan BCBS Nebraska BCBS North Carolina BCBS Tennessee Bluegrass BlueShield CA BMCHP Bravo Health Plan CalPERS Care 1st Careington 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 OnPoint PacificSource Palladian Parkview Health Plan PatientChoice Physicians Health Physicians United Plan Piedmont Community Premier Access Premier Eye Care Premiere Health Prime Therapeutics PrimeWest Principal Priority Health Regence/Cambia ReStat Revolv Sanford Health SCAN Scion Dental Scott & White SecureCare Dental Security Health Plan Sendero Health Plan ElserServe 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 Group Health Coop Guardian Harvard Pilgrim HFN HHH HSAG HealthNet HealthNow HealthPartners MN Health Partners PA Health Plan of MI HealthSpan Health Spring Health Velocity Heritage Health HEOPS Highmark Hometown/Renown 6. PBM Partners Argus BeneCard PBM CVS/Caremark Humana Pharmacy Navitus Prime Therapeutics ReStat ScriptGuide RX Serve You RX Univita CMS Part D PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 7. Standard RFP 1. Use the census data to identify the number of employees that reside in Urban, Suburban, and Rural zip codes. Each occurrence of a zip code represents one primary eligible and its covered eligible. 2. For those zip codes that fall into each category, identify the percentage of members with and without access to at least one in-network retail pharmacy within 1 mile in Urban areas, 3 miles within Suburban areas, and 5 miles within Rural areas. Example: 100 emp 85 within 1 mile (85% - 85/100), 5 within 3 mile (90% - 90/100), 3 within 5 mile (98% - 98/100), and 2 without coverage (2% - 2/100). All 12 boxes must be filled in, and press the complete button to continue. # of Employees % Within 1 Mile % Within 3 Mile % Within 5 Mile Urban Access Suburban Access Rural Access 8. OUTSIDE the BOX PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 9. Have You Ever Needed To PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Create Inset Maps? Show the Max Distance to a Pharmacy? Only show Areas without Access >25%? Run CMS Adequacy & Tables? Understand the Distance Between 2 Pharmacies? Run Time And/Or Distance Together? Compare Your Network to the NCPDP? Understand the Impact if you Carve Out Pharmacies? 10. Create Inset Maps PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Have you ever tried to create a map with Hawaii and Alaska? The zoom was so far out. now you can create Inset Maps! Do the same with a State and call out a County or CBSA. 11. Show the Max Distance to a Pharmacy PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 12. Areas >10 members without Access PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 13. CMS Part D Adequacy PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 14. Distance Between 2 Pharmacies PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 f_PHARMACY f_ADDRESS f_City f_State f_Zip t1_Distance t1_PHARMACY t1_ADDRESS t1_City t1_State t1_Zip CHAIN A 2491 W 24TH ST Yuma AZ 85364 139.4 CHAIN B 21087 W MAIN ST Buckeye AZ 85396 CHAIN A 2801 S 4TH AVE Yuma AZ 85364 138.3 CHAIN B 21087 W MAIN ST Buckeye AZ 85396 CHAIN A 1150 S 8TH AVE Yuma AZ 85364 137.6 CHAIN B 21087 W MAIN ST Buckeye AZ 85396 CHAIN A 2360 HWY 95 Bullhead City AZ 86442 128.6 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 25 LAKE HAVASU AVE S Lake Havasu City AZ 86403 108.8 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 5160 S WHITE MOUNTAIN RD Show Low AZ 85901 107 CHAIN B 325 W APACHE TRAIL Apache Junction AZ 85120 CHAIN A 3487 STOCKTON HILL RD Kingman AZ 86409 103 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 1995 W THATCHER BLVD Safford AZ 85546 81.7 CHAIN B 4748 E SUNRISE Tucson AZ 85718 CHAIN A 200 E STATE HWY 260 Payson AZ 85541 57.5 CHAIN B 32331 N SCOTTSDALE RD Scottsdale AZ 85266 CHAIN A 1959 N GRAND AVE Nogales AZ 85621 44.3 CHAIN B 2090 E FRY BLVD Sierra Vista AZ 85635 CHAIN A 550 S MAIN ST Cottonwood AZ 86326 34.5 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 1995 W HWY 89A Sedona AZ 86336 31.6 CHAIN B 3506 EAST ROUTE 66 Flagstaff AZ 86004 CHAIN A 375 W CONTINENTAL RD Green Valley AZ 85622 19.8 CHAIN B 1900 W VALENCIA RD Tucson AZ 85746 CHAIN A 313 W ESPERANZA BLVD Green Valley AZ 85614 18.6 CHAIN B 1900 W VALENCIA RD Tucson AZ 85746 CHAIN A 1575 N ARIZONA BLVD Coolidge AZ 85128 18.3 CHAIN B 1686 E FLORENCE BLVD Casa Grande AZ 85122 CHAIN A 18600 S NOGALES HWY Sahuarita AZ 85629 16.9 CHAIN B 1900 W VALENCIA RD Tucson AZ 85746 CHAIN A 1020 HIGHWAY 89 Chino Valley AZ 86323 14.6 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 3111 W HUNT HWY Queen Creek AZ 85142 11.8 CHAIN B 9950 E GUADALUPE RD Mesa AZ 85212 CHAIN A 13757 N FOUNTAIN HILLS BLVD Fountain Hills AZ 85268 11 CHAIN B 5954 E MCDOWELL RD Mesa AZ 85215 CHAIN A 2880 CENTRE COURT Prescott Valley AZ 86314 10 CHAIN B 506 N MILLER VALLEY RD Prescott AZ 86301 CHAIN A 6451 S KINGS RANCH RD Gold Canyon AZ 85118 9.4 CHAIN B 325 W APACHE TRAIL Apache Junction AZ 85120 CHAIN A 12965 N ORACLE RD Tucson AZ 85739 8.5 CHAIN B 6370 N CAMPBELL AVE 120 Tucson AZ 85718 CHAIN A 16749 E SHEA BLVD Fountain Hills AZ 85268 8.3 CHAIN B 5954 E MCDOWELL RD Mesa AZ 85215 CHAIN A 333 E HUNT HWY Queen Creek AZ 85242 8.1 CHAIN B 3170 S HIGLEY ROAD Gilbert AZ 85295 CHAIN A 8816 E PINNACLE PEAK RD Scottsdale AZ 85255 7.5 CHAIN B 32331 N SCOTTSDALE RD Scottsdale AZ 85266 CHAIN A 11951 N 1ST AVENUE Tucson AZ 85737 7.4 CHAIN B 6484 N ORACLE Tucson AZ 85704 CHAIN A 10929 E DYNAMITE BLVD Scottsdale AZ 85262 7.1 CHAIN B 32331 N SCOTTSDALE RD Scottsdale AZ 85266 CHAIN A 23477 W YUMA RD Buckeye AZ 85326 6.5 CHAIN B 21087 W MAIN ST Buckeye AZ 85396 CHAIN A 9184 E VALENCIA ROAD Tucson AZ 85747 6.3 CHAIN B 2601 S HOUGHTON RD Tucson AZ 85730 CHAIN A 10405 N LA CANADA DR Tucson AZ 85737 6 CHAIN B 6484 N ORACLE Tucson AZ 85704 CHAIN A 20631 N SCOTTSDALE RD Scottsdale AZ 85255 5.9 CHAIN B 4323 E BELL RD Phoenix AZ 85032 CHAIN A 1880 E IRVINGTON RD Tucson AZ 85714 5.7 CHAIN B 1900 W VALENCIA RD Tucson AZ 85746 CHAIN A 14858 N FRANK LLOYD WRIGHT BLVD Scottsdale AZ 85260 5.5 CHAIN B 10653 N SCOTTSDALE Scottsdale AZ 85254 CHAIN A 11323 E VIA LINDA Scottsdale AZ 85259 5.3 CHAIN B 10653 N SCOTTSDALE Scottsdale AZ 85254 CHAIN A 1025 S MILTON RD Flagstaff AZ 86001 5.2 CHAIN B 3506 EAST ROUTE 66 Flagstaff AZ 86004 CHAIN A 10503 W THYNDERBIRD RD STE 101B Sun City West AZ 85375 5.1 CHAIN B 15474 W GREENWAY RD Surprise AZ 85374 CHAIN A 21632 N 35TH AVE Glendale AZ 85308 4.9 CHAIN B 18591 N 59TH AVE Glendale AZ 85308 CHAIN A 6640 W HAPPY VALLEY Glendale AZ 85310 4.8 CHAIN B 18591 N 59TH AVE Glendale AZ 85308 CHAIN A 605 W AJO WAY Tucson AZ 85713 4.7 CHAIN B 1900 W VALENCIA RD Tucson AZ 85746 15. Run Time And/Or Distance Together PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 16. Run Time And/Or Distance Together PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 17. Sample RFP PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 18. Compare Your Network to the NCPDP PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 19. Impact with Carve Outs PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 20. Narrow Networks: Dont sacrifice access PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 21. Location! Location! Location! Do you have Invalid Addresses? Invalid Zip Codes = Providers NOT Counted Inaccurate Zip Codes = Providers in the wrong area The Quest Analytics Geocoder Gives You the Best Opportunity for Success. True City & County Assignment Based on Lat/Long Standardizing your data = Confidence in your data PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Address City State Zip CityfromZip CountyfromZip OriginalGeoInfo CLEANCity CLEANZip CLEANCounty NewGeoInfo Correct 15ParkPl Appleton WI 54914 Appleton Outagamie Address-Exact Appleton 54914 Outagamie Address-Exact InvalidZip 15ParkPl Appleton WI 54194 Ungeocoded-Invalidzipcode Appleton 54914 Outagamie Address-Relaxed-ZipMismatched InaccurateZip 15ParkPl Appleton WI 54119 Dunbar Marinette Address-Relaxed Appleton 54914 Outagamie Address-Relaxed-ZipMismatched 22. QUALITY UNDERSTANDING EVOLVING SUPPORT TEAM Network Adequacy Experts Providing SIMPLE I CONSISTENT I PROVEN Solutions 23. TRAINING & SUPPORT Onsite, Hands-on Training Regular Data Updates Feature Additions and/or Enhancements LinkedIn Support Group Whats New Web Overviews with New Releases Unlimited phone, email and web-based support - all US based. Annual User Conference 24. Quest Analytics Integration Options Desktop Edition Trained Users Server/Developer Edition Automate, Integrate with other dashboard solutions Cloud Edition Hands Free Integration & Dashboard Reports PROVIDING POWERFUL SOLUTIONS PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 25. PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2014 Questions? We have your answers. Whats your Quest? Robert Smith, Regional Sales Director [email protected] Linda Borths, National Sales Director [email protected] Contact us at: 920.739.4552