The Totally Adequate Podcast

A Guide to AI-Driven Network Design

1 h 3 min · 23 dec 2025
aflevering A Guide to AI-Driven Network Design artwork

Beschrijving

About This Episode In this episode, we share a technical-to-operational playbook that covers data quality issues and AI-driven network design. Join our guests as they break down a data-first approach that enables success. * How to identify and fix data issues that break analytics and ML. * How to use real-world data to inform design and contracting. * How executives evaluate AI proposals and the artifacts that accelerate approval. Guests: April Beane, VP Marketing, Quest Analytics Stephen Gold, Senior Advisor at Vestar Capital Partners and former Chief Information Officer (CIO) James Lamb, Vice President of National Payers at Quest Analytics®

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Alle afleveringen

23 afleveringen

aflevering The Human Stakes Behind the Data artwork

The Human Stakes Behind the Data

About this Episode Recorded live at Quest Analytics® Vision Quest 26 in Chicago, this episode brings together a patient and a clinician for a candid conversation about what provider networks mean at the human level. Shanna Adamic — author, speaker, and six-year patient navigating misdiagnosis, fragmented care, and a life-saving brain surgery — interviews Dr. Luke Hansen, Chief Medical Officer at Arcadia, on why the work of building networks is mission-driven work. Topics Covered * Shanna's six-year patient journey — and what it taught her about fragmentation, misdiagnosis, and the importance of connected care * Dr. Hansen on why clinical medicine defaults to the most common diagnosis, and what it takes to get to the right answer * Why a "contracted network" and an "accessible network" are not the same thing — and what health plan professionals can do about it * How the networks our clients build create real-world access for real people * Why both guests believe we may be entering the first truly intelligent era of healthcare Guests: Shanna Adamic — Author, Audacious Optimism; Director, Oracle Health Executive Content & Oracle TV Dr. Luke Hansen, MD, MHS — Chief Medical Officer, Arcadia Host: April Beane, VP of Marketing, Quest Analytics®

Gisteren10 min
aflevering The Network Promise Starts with Data artwork

The Network Promise Starts with Data

About this Episode Provider data plays a central role in delivering on the promise health plans make to their members. Its accuracy and reliability strengthen trust with patients and partners, meet regulatory requirements, and drive opportunities to leverage AI innovations. In this episode, we talk with industry experts about why reliable provider data is foundational to network strategies and using AI responsibly. We walk through practical steps healthcare leaders can take to strengthen their data, protect trust, and support better outcomes—for members, providers, and the business. Guests: Robert Holzer, Strategy & Innovation Leader, Next Horizon Innovations LLC Bob Tavernier, Solution Executive, Quest Analytics® Martin Luethi, Chief Technology Officer, Quest Analytics® Host: April Beane, VP of Marketing, Quest Analytics®

28 mei 202648 min
aflevering You Can Buy Software, You Can't Buy Partnership artwork

You Can Buy Software, You Can't Buy Partnership

About this Episode: Success in provider network management starts with the right partners by your side. In this episode of The Totally Adequate Podcast, host April Beane sits down with Meghan Harrison and Eun Perry from Quest Analytics' Client Services team for an honest and engaging conversation about how authentic partnerships lead to powerful results. From supporting Medicare Advantage, Marketplace, and Medicaid network submissions to strategizing network expansions and uncovering hidden opportunities in data, Harrison and Perry have seen it all. They share their experiences, lessons learned, and advice for success in network management. Offering a behind-the-scenes perspective, they reveal how working hand-in-hand with Quest Analytics' clients streamlines complex processes, improves efficiency, and reduces the risk of costly missteps for teams managing provider networks. Discover how meaningful partnerships can make all the difference. Guests: Eun Perry, Client Services Consultant, Quest Analytics® Meghan Harrison, Client Services Manager, Quest Analytics®

17 apr 202646 min
aflevering Provider Data Accuracy and Network Strategy: What Health Plan Executives Need to Know for 2026 artwork

Provider Data Accuracy and Network Strategy: What Health Plan Executives Need to Know for 2026

About this Episode: Provider data accuracy [https://questanalytics.com/provider-data-accuracy-resource-hub/] and network strategy are strategic priorities for health plans to consider. With heightened regulatory scrutiny, evolving network adequacy standards, and rapid AI adoption, data integrity sits at the center of compliance, member experience, and innovation. Steve Levin and Scott Westover deliver a high-level, executive-focused discussion on the forces reshaping provider data and network strategy. They break down: * Key regulatory and market trends that are influencing provider data and network management * The growing role of AI in provider data management * How government perspectives around consumer-facing data are changing * Strategies for leadership teams focused on aligning systems with modern member expectations in 2026 and beyond Guests: Steve Levin, CEO of Quest Analytics Scott Westover, Chief Network Solutions Officer, Quest Analytics April Beane, VP of Marketing, Quest Analytics

20 jan 202659 min
aflevering From Crisis Response to Proactive Care: Improving the Patient Journey with AI and Innovation artwork

From Crisis Response to Proactive Care: Improving the Patient Journey with AI and Innovation

About This Episode Join a candid conversation about the realities of navigating healthcare today. Hear how system-level gaps can delay care, and how industry innovators are using AI and technology to improve the patient experience. Shanna's journey brings the stakes to life, showing why care before crisis must become the new standard. Guests: Shanna Adamic, Director, Oracle Health Executive Content and Oracle Video Executive @ Oracle | Oracle TV Co-Anchor, AI World | Keynote Speaker | Published Author of Audacious Optimism | Former NFL KC Chiefs Cheerleader Barbara Dumery, Chief Product Officer, Quest Analytics® An engineer by training, Barbara has more than 20 years of experience bringing innovative technology solutions to the market that address key challenges in healthcare. She has a track record of driving value to customers and clients that drive exceptional growth to the business. At Quest Analytics®, Barbara helps drive the expansion of current solutions as well as new innovations off of Quest Analytics' core offerings. Previously, she has served in leadership roles in companies across all facets of healthcare – from population health analytics, medical devices, speech recognition, and radiology imaging. Barbara holds Bachelor's and Master's Degrees in Electrical Engineering from Tufts University. April Beane, VP Marketing, Quest Analytics

12 jan 202644 min