PRESS RELEASES
July 8, 2010
Glenridge HealthCare Solutions and Quest Analytics Announce Partnership
Glenridge HealthCare Solutions Partners with Quest Analytics
To Optimize Network Development Capabilities
BALTIMORE, July 8, 2010 – Glenridge HealthCare Solutions, a professional services and data management firm specializing in managed care network development, and Quest Analytics, L.L.C., a health care software analytics company, has announced a strategic partnership that enhances Glenridge’s ability to assist health plan clients in building and managing provider networks.
Quest Analytics provides software solutions that enable commercial, Medicaid and Medicare Advantage health plans to build and maintain provider networks that meet the unique network adequacy requirements specific to the product and market. Glenridge works with health plan clients on network development and network management initiatives. With this partnership, Glenridge has new and valuable tools to bring to health plan clients. The Quest tools enhance Glenridge ability to scope a prospective provider network build, monitor progress to goal while resolving network gaps during the building stage, and assure appropriate adequacy and distribution as networks and markets evolve.
“As new standards have evolved in measuring member access to care, utilizing the Quest Analytics Suite to fulfill this need is invaluable to our customers,” said Terry Spoleti, Co-founder of Glenridge. “We are particularly excited about the competitive advantage this gives our Medicare Advantage health plan clients. Quest’s Medicare Advantage Module enables us to offer real time reporting and resourcing to address network adequacy based on the actual and specific CMS-HPMS network requirements for the counties in development – a game changer for MA network development. With this tool, our ability to manage project resources, data exchange and aggressive project timelines is greatly enhanced.”
“Health plans need to understand the impact that the new network adequacy requirements have on both their existing networks as well as when targeting expansion areas,” said John Weis, co-founder of Quest Analytics. “Our technology, combined with Glenridge’s experience, significantly streamlines the process that includes measuring adequacy and preparing standardized provider data for submission.”
About Quest Analytics
Quest Analytics, L.L.C., provides industry-leading software solutions to commercial and Medicare Advantage health plans, government agencies, consultants, brokers and employers to evaluate health care provider network access, adequacy and disruption. Quest Analytics was formed in 2003 and continues to lead the industry with groundbreaking software and services designed to address the full spectrum of health plan analysis and reporting – including technologies serving commercial, Medicare Advantage, dental, pharmacy, vision and behavioral health networks. For more information, visit www.questanalytics.com or call Robert Smith at (816) 352-8294.
About Glenridge HealthCare Solutions
Glenridge HealthCare Solutions is a professional services and data management firm specializing in provider network development, managed care contracting and health plan operations for regional and national healthplan clients. In addition to an impressive team of managed care professionals, we have proprietary project and data management systems specifically developed to manage projects and data for medium and large scale network development projects throughout the country. We have offices in the DC-Baltimore area and a team of professionals around the country, including managed care contractors, IT professionals and financial / data analysts, as well as a call center and document processing center to support the administrative needs of national contracting initiatives. For more information, contact Terry Spoleti at (410) 560-9955 or visit www.glenridgehealth.com for more information about Glenridge services and capabilities.
June 10, 2010
Portico Systems and Glenridge HealthCare Solutions Announce Partnership
Streamlining Health Plan Provider Network Development for Accelerated Geographic Expansion and New Provider Network Creation
Portico Systems (Portico), the leader in Integrated Provider Management (IPM) solutions, and Glenridge HealthCare Solutions (Glenridge), a professional services and data management firm specializing in provider network development, managed care contracting and health plan operations, are announcing a new partnership. This partnership integrates Portico’s Provider Management Platform with Glenridge’s provider network development and provider contract services. The integration enables health plans to reduce their administration costs, while accelerating their growth into new geographic markets and/or rapidly creating new provider networks.
This partnership provides health plans with two distinct advantages: 1) it enables health plans to use Glenridge’s provider network development and contracting services to quickly engage and gather the necessary provider information for geographic expansion and/or new network development, 2) the integration enables health plans to seamlessly add updated provider and contract information to Portico’s provider source of truth and maintain this information through automated workflows.
“When our clients are looking for ways to quickly stand-up, serve and maintain new products and networks for a new market, the Portico and Glenridge partnership supply those capabilities,” said Nanci Ziegler, Executive Vice President, Market Strategy and Business Development, Portico Systems. Our partnership has proven itself at our mutual clients, through an integrated provider management strategy; our clients can reduce their administrative costs and increase their efficiency in creating new products and networks for geographic expansion.”
“We are looking forward to continuing to work with Portico,” said Terry Spoleti, Principal, Glenridge HealthCare Solutions. “Our organizations provide complementary software and services to our health plan clients. We are excited by the opportunity to help our clients streamline administrative processes and enhance provider and contract data management, while helping them to build the provider networks they need to compete in the market.”
About Glenridge HealthCare Solutions
Glenridge HealthCare Solutions (www.glenridgehealth.com) is a professional services and data management firm specializing in provider network development, managed care contracting and health plan operations. We are currently engaged by several regional and national health plan clients to assist in network development initiatives. In addition to an impressive team of managed care professionals, we have proprietary project and data management systems specifically developed to manage projects and data for medium and large scale network development projects. We have offices in the DC-Baltimore area, a team of managed care contractors throughout the country, as well as a call center and document processing center to support the administrative needs of national contracting initiatives.