Quest Diagnostics | Powering Better Outcomes
Member Insights with Healthcare Analytics SolutionsTM
Robust lab data and analytics can set your plan apart by helping you identify services faster to help reduce overall member costs
When it comes to your members’ health, quality shouldn’t be a trade-off, service shouldn’t be a sacrifice, and cost shouldn’t be a barrier. Quest Diagnostics is powering the promise of affordable care and better outcomes through smarter, faster member insights.
Get ahead of risk and transform the way you care for members
Member Insights with Healthcare Analytics Solutions from Quest Diagnostics combines rich laboratory data and predictive analytics to help you proactively identify health risks and inequities for new and current members, so you can act earlier when outreach and intervention often have the most impact.
The power of data
David Freeman, general manager of Healthcare Analytics Solutions at Quest Diagnostics, and Hayes Abrams of Blue Cross and Blue Shield of Illinois recently spoke to the Modern Healthcare audience about the role of data in healthcare, how it’s used, and its effectiveness for physicians, clinicians, and patients.
Image of a tablet
Our innovative and flexible Member Insights with Healthcare Analytics Solutions can help you:
UNDERSTAND disease history and future risk through test results and predictive analytics
FILL IN GAPS in care for new and existing members to improve population health
DECREASE THE COST of care by identifying at-risk members sooner
IDENTIFY specific program eligibility for new and existing members to inform care coordination strategies
ENGAGE MEMBERS in their care and provide the right interventions at the right time
DELIVER OVERALL BETTER EXPERIENCES by understanding your members’ health status and supporting them sooner, leading to higher Consumer Assessment of Healthcare Providers and Systems (CAHPS®) scores
Redefining member experiences starts with better information
Our plans provide:   
  • Longitudinal patient data including up to 2 years of new member historical lab results that predates membership to your plan
  • Predictive member cost score that helps your teams support the right interventions, for the right patients, at the right time
  • Member lab data from indirect care sources (inpatient, retail locations, etc) for a more complete picture
  • Predictive patient-based inferred disease list that can help identify needed services earlier—critical in Chronic Kidney Disease (CKD), high-risk pregnancies, diabetes, and cancer
  • Highly specific prediction for CKD to provide timely interventions that can help prevent acute exacerbations and costly care
  • Access to comprehensive data and customized reporting when you need it
  • An intuitive, searchable portal to give your team the information they need to intervene earlier
Image of a lab technician viewing data
IS TOO LONG TO WAIT FOR INSIGHTS

Some regional plans are challenged with member-level insight, learning about health status up to 60 days after members join.1

Member Insights with Healthcare Analytics Solutions helps you understand members’ health status sooner to help:
• Optimize lab spend
• Establish a baseline for member health
• Mitigate risk
• Manage cost
• Individualize care delivery
According to the US Renal Data System, the total medical cost for CKD in 2013 was $50.4 billion among fee-for-service Medicare patients.2
Predictive insights can help with prioritization
Our extensive lab data can help your plan managers:

of plans prioritize the patients that need
the most care, helping to drive efficiency1
ACT EARLIER to support and inform care coordination strategies and specific program eligibility for new members
ASSESS MEMBER RISK prior to receiving the first claim
PROMOTE APPROPRIATE, guideline-based testing
SUPPORT RISK ADJUSTMENT to inform coding and disease management once a member visits his or her doctor
OPTIMIZE STARS AND/OR HEDIS® quality ratings
PRIORITIZE HRA SPEND on the qualified healthcare expenses that will have the biggest impact on members
As a diagnostics leader with access to billions of lab data points and groundbreaking analytics, Quest is committed to bringing you closer to a 5-star rating.
INSIGHTS POWER EVERYTHING  
Learn more about Member Insights with Healthcare Analytics Solutions to deliver better member experiences and outcomes.

Contact us today to learn more

* Indicates a required field.
References
  1. Data on file. Quest Diagnostics; 2021.
  2. Golestaneh L, Alvarez PJ, Reaven NL, et al. All-cause costs increase exponentially with increased Chronic Kidney Disease stage. Am J Manag Care. 2017;23(10-Suppl):S163-S172. https://www.ajmc.com/view/all-cause-costs-increase-exponentially-with-increased-chronic-kidney-disease-stage-article