Oregon Buys #S-44300-00018219

Oregon Health Authority seeks Quest Analytics provider-network oversight platform access

The Oregon Health Authority is seeking sole-source access to Quest Analytics’ provider-network oversight platform for Medicaid oversight. - Government buyer: Oregon Health Authority (OHA), Medicaid Division, CCO Operations Quality Assurance; based in Salem, Oregon. - OEM and vendor: Quest Analytics, LLC is the named platform manufacturer and sole-source vendor. No other vendors are named in the procurement materials. - Requested product: One access item for Quest Enterprise Services Advanced Compliance Oversight, with capacity for up to 40 network reviews per year; no part number is provided. - Platform capabilities: Provider-network adequacy reviews using regulatory-aligned and customizable standards, dashboards and reporting, exception workflows with approval tracking, network scenario modeling, membership and census data integration, geographic maps, network comparisons, and claims-based analysis of provider status, specialty, and performance. - Notable requirement and rationale: OHA seeks to support Medicaid regulatory oversight and address staffing constraints and federal compliance risks. - Estimated value and term: $1,007,034.50 estimated over five years. Specific start and end dates and option periods are not stated.

Description

Oregon Health Authority is seeking sole-source access to Quest Analytics' Quest Enterprise Services platform, specifically Advanced Compliance Oversight with up to 40 network reviews per year. The software will support evaluation, management, and monitoring of CCO provider networks, including network adequacy analysis, reporting, workflow management, scenario modeling, and claims-based analysis. The sole-source determination states an estimated five-year spend of $1,007,0341.50. The notice lists a response deadline of October 26, 2026, at 12:00 PM.

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