Quest Member Insights pre-enrollment data

Get the latest insights into your new members’ health

Jumpstart new member initiatives sooner with lab data

Serving more than 90% of insured lives, Quest Diagnostics is a trusted company. We can help you get your new member initiatives underway as soon as possible. With our Member Insights pre-enrollment data, we enable payers to get to know their new members even before the first claim comes in. Payers can access 2 years of historical lab test results for their newly enrolled members. Use this data to get a head start on new member initiatives, including risk assessment and adjustment, and care coordination.

Our Member Insights pre-enrollment data can help

	Provide insights into disease history and future risk through lab test results
	Inform disease diagnosis codes (ie, ICD-10) to better reflect hierarchical condition category (HCC) coding and risk adjusted factor (RAF) scores, which may lead to appropriate payments for healthcare coverage
	Personalize care based on a member’s specific needs; a focus on prevention and early intervention can reduce long-term healthcare costs and improve quality of life
	Identify and fill in gaps in care for new members to improve HEDIS^® measure scores and STAR ratings
	Deliver better member experiences by understanding your members’ health status and supporting them sooner, potentially leading to higher CAHPS^® scores

Let’s connect

Fill out the form below and a representative will reach out to discuss how our lab data can help your new member initiatives.

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Know the health status of your new members sooner

Without clinical data from before a new member joins, payers could wait 2 to 3 months after the members’ eligibility date before a claim begins to paint a picture of a member’s health—and even then, it may not provide a comprehensive view into their health status. With our pre-enrollment data, we offer the insights you need to start providing your new members with a great experience from the start.

*Based on internal Quest data 2024.

Pre-enrollment data is a part of Quest Member Insights. Click here to learn more.

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