Our History

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For more than three decades, Qsource has strived to ensure the highest quality of healthcare possible through provider and healthcare consumer education and advocacy. Our growth and progress are based on a history of collaborating and enhancing programs and services, particularly for those who are a part of government healthcare programs:

2010-

Awarded the contract to continue serving as the External Quality Review Organization (EQRO) for TennCare, the state’s Medicaid managed care program. 

Served as a member of the State Health Plan Quality Goal Team.

Granted no-compete contract to serve as the EQRO for the state Children’s Health Insurance Program in Tennessee.

Selected by the Tennessee Department of Finance and Administration to provide data aggregation, analyses and technical writing for a county-level report card on diabetes and hypertension.

2000-2009

Conducted the evaluation of the Get with the Guidelines and Critical Access Hospital programs for the Tennessee Hospital Association.2008, 09—Conducted the evaluation of the Delta States Stroke Network Telestroke Pilot Project and the Tennessee Department of Health’s Heart Disease and Stroke Prevention program. 

2008—Expands geographic reach, opening the subsidiary Qsource-Arkansas to provide therapy review and prior authorization services for Arkansas Medicaid recipients under the age of 21.

Began conducting, out of Qsource-Arkansas, the Management for Medicaid Quality Initiatives and Technical Support contract management and evaluation of the pilot program that ensures health management services for high-risk Arkansas Medicaid-eligible pregnant women and infants up to one year of age, including coordination of all activities between the Specialty Disease Management
Services, Inc., BirthWait® program and the Arkansas Department of Health Services.

Began providing, for the EDS Arkansas Medicaid ePrescribing Initiative, technical expertise in adopting and using electronic clinical information, including facilitating and coordinating intra-/inter- office workflow design to maximize health information exchange among providers for continuity of treatment, quality improvement and patient safety.

Initiated data aggregation services, firstly to the Healthy Memphis Common Table to develop a community-based physician performance measurement and public reporting system based on pooling administrative data across health plans.

Started to provide administrative and technical assistance for ePrescribing in conducting (2008-10) the HIT Grant Administration for TennCare, managing applications, awards and distributions of funds on behalf of the State to physicians and treatment sites.

Joined a statewide disease management workgroup via EQRO Division, collaborating with TennCare, its health plans, the Tennessee Department of Health and other stakeholders. The group’s focus has been maternity management, with specialized attention given to low birth weight and smoking cessation for pregnant women.

1990-1999

Served as the national Disadvantaged Populations Support PRO, later the Underserved Quality Improvement Organization Support Center (UQIOSC) until privatized in 2008, assisting 53 QIOs nationally with the identification of underserved populations and efforts to reduce healthcare disparities.

1980-1989

1986—Contracted by the state of Tennessee to oversee the state’s Medicaid program until Dec. 31, 1993, when the state enacted a Medicaid managed care program (TennCare).

1984—Commission of the Peer Review Improvement Act of 1982 dismantles the PSRO structure and authorized the utilization and quality control Peer Review Organization (PRO) program. MSFMC becomes the PRO for Tennessee

1973-1979

1973—As the Mid-South Foundation for Medical Care, we were contracted by the CMS to serve as the Medicare Professional Standards Review Organization (PSRO) for West Tennessee.