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PODCAST

The Totally Adequate Podcast

Quest Analytics

Initiating conversations on the latest trends, network adequacy and provider data accuracy policy updates, and healthcare provider network management innovations.

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All Episodes

52:03

Smarter Healthcare Networks With Affiliation...

The Totally Adequate Podcast ·

2025/11/14

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

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57:29

Navigating Texas Network Adequacy Requirements

The Totally Adequate Podcast ·

2025/11/11

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

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10:14

Bonus Episode: Why Vision Quest Took a Break And...

The Totally Adequate Podcast ·

2025/10/30

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

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37:21

Insights and Strategies for Achieving High Quality...

The Totally Adequate Podcast ·

2025/06/16

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

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31:59

Driving Network Adequacy for Dual Eligibles:...

The Totally Adequate Podcast ·

2025/05/07

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

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08:25

The REAL Health Providers Act: What Health Plans Need...

The Totally Adequate Podcast ·

2025/04/22

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

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10:01

Executive Order on Healthcare Price Transparency:...

The Totally Adequate Podcast ·

2025/04/08

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

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09:21

Proposed Medicare Advantage Rule & California...

The Totally Adequate Podcast ·

2025/03/04

In this episode of The Totally Adequate Podcast, we delve into the proposed rules for Medicare Advantage organizations and the new California Assembly Bill. Join Kate Deiters and Zach Snyder as they discuss the key aspects of these policies and their potential impact on healthcare provider network management. Proposed Rule for Medicare Advantage Organizations: Gain insights into what updates could be coming to network adequacy and provider directory requirements. California Assembly Bill:

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09:18

The Final 2026 Payment Notice: Network Adequacy...

The Totally Adequate Podcast ·

2025/02/18

The Final Notice of Benefit and Payment Parameters for 2026 is out, and we’re here to break it down for you. Kate Deiters and Zach Snyder discuss the key changes in network adequacy requirements. Tune in to learn how these changes will impact Qualified Health Plans (QHPs) Certification for issuers on the federal and state exchanges. Topics Covered New Network Adequacy Calculations: Learn about the shift to using geographic distance for network adequacy evaluations. Implications for

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28:27

Health Policy Updates: Proposed Payment 2026, MCO...

The Totally Adequate Podcast ·

2024/11/13

Get ready for 2025 with the latest insights on major health policy changes! Join Kate Deiters and Zach Snyder as they break down federal policy updates related to network adequacy and provider directory accuracy. Discover what’s changing and how you can start preparing for the new requirements. Highlights: Proposed Notice of Benefit and Payment Parameters for Plan Year 2026: Learn about the new Geographic Distance measurement and rollover changes from last year. Managed Care Final Rule:

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15:43

Bonus Episode: Vision Quest 2024 Preview with April...

The Totally Adequate Podcast ·

2024/07/30

Get an Exclusive Preview of Vision Quest 2024 with April Beane! In this episode, guest host Kate Deiters, sits down with April Beane, VP of Marketing at Quest Analytics, to discuss what makes Vision Quest the premier forum for professional development in healthcare provider network management and performance. Key Highlights: - How Vision Quest fosters an inclusive, collaborative atmosphere for professionals at all career stages. - Insights into multi-track sessions designed to enhance your skills

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11:47

Health Policy Updates: Talking Medicare Advantage and...

The Totally Adequate Podcast ·

2024/07/12

Big changes are coming to Medicare Advantage and Marketplace policies! April Beane and health policy expert Kate Deiters dig into the CMS Contract Year 2025 Medicare Advantage and Part D Final Rule and HHS Notice of Benefit and Payment Parameters for 2025 Final Rule. Discover what these updates mean for network adequacy and provider accuracy at both federal and state levels. Get ahead with key trends and actionable insights that every healthcare professional and policymaker needs to know. Resources

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38:27

The Art of the Possible: Next Generation Structured...

The Totally Adequate Podcast ·

2024/04/05

Leaders from Quest Analytics and Highmark Health join April Beane to discuss the future of provider network performance. As strategies evolve, how we build networks is critical in achieving member and payer outcomes that drive business success. Finding the path to “right-sized” networks is also vital to providing quality and equitable care to all members. And, as our guest will tell you, connecting benefit design and network structuring is the goal we should all have the courage to achieve.

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37:47

The Role of Health Networks in Shaping Healthcare

The Totally Adequate Podcast ·

2024/04/05

The national talk track in healthcare tends to focus on cost, utilization management, serving underserved and high-cost populations, benefit design, and consumer engagement. Underappreciated, or even ignored, is the underlying platform on which everything rides: the health network. In this episode, two Healthcare IT executives who have spent decades in healthcare around financial management, cost analytics, and provider performance share their takeaways on understanding provider network management

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23:32

THE LAST DECADE IN HEALTHCARE PROVIDER NETWORK...

The Totally Adequate Podcast ·

2023/09/25

What a difference 10 years makes! In this episode, host Kate Deiters talks with Eliza Hoffman, VP of Regional Payers at Quest Analytics, about the last decade in healthcare provider network management. From what’s changed to aha moments to the current hot topics, Eliza shares her perspective on the evolution of provider network management and what she’s most excited about for the future. Sit back, relax and enjoy this episode!

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24:48

KEEPING UP WITH THE HEALTH INSURANCE INDUSTRY

The Totally Adequate Podcast ·

2023/09/20

Host Kate Deiters sits down with Anita Shields, Director of Client Support & Training at Quest Analytics. We talk about Anita’s experience in the insurance industry and how she got her start at Quest Analytics. Anita shares some tips for keeping up with the industry and what it takes to stay on top of your game in this ever-changing landscape. She also talks about her excitement about the advancement of technology in the insurance software space and how that is helping to make things easier for

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26:17

TALKIN’ TELEHEALTH

The Totally Adequate Podcast ·

2023/09/14

Our first episode! Hooray! Host Kate Deiters picks the brain of her super-smart co-host Zach Snyder on the current state of telehealth. The crystal ball is glowing bright as Zach and Kate peek into the future of telehealth credits and how states could be impacted.

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17 results

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