Qsource provides services through our various business lines/divisions designed to best meet the needs of our clients and partners:
Our Quality Improvement Organization (QIO) Division — coordinated as the atom Alliance — focuses efforts in Tennessee, Kentucky, Indiana, Mississippi and Alabama on Medicare publicly reported quality measures, provider collaboratives and national initiatives as implemented by the Centers for Medicare & Medicaid Services (CMS).
The Qsource EQRO Division evaluates the quality, timeliness of and access to services provided by Tennessee to Medicaid members and Children’s Health Insurance Program (CHIP) participants. Based in Nashville, staff provides technical support, on-site reviews, data analyses, and outcomes reporting for Managed Care provided through TennCare (Medicaid) and CoverKids (CHIP).
Staff members at Qsource-Arkansas, an affiliate in Little Rock, Ark., perform prior authorization and therapy review (retrospective utilization and medical necessity) for Arkansas Medicaid recipients under the age of 21, and assist Arkansas physicians with ePrescribing. Qsource-Arkansas staff also assists with contract management, quality initiative evaluations and Medical Director/health policy technical support.
Qsource’s Practice Solutions Division helps physician practices, hospitals and other healthcare service providers transform their organizations through the use of health information technology (HIT). Having served as a HIT Regional Extension Center (REC), staff understands the processes and systems it takes to prepare for state and federal incentive programs for HIT and value based purchasing initiatives such as Accountable Care Organizations (ACOs) and Medical Home.