Health Services Advisory Group

Health Services Advisory Group

Quality improvement network and external reviews

Overview

Health Services Advisory Group (HSAG) is a quality improvement organization serving as both a QIN-QIO (Quality Innovation Network-Quality Improvement Organization) and an external quality review organization (EQRO). It works to improve the effectiveness, efficiency, and quality of care for Medicare beneficiaries by supporting providers and health plans. It also conducts health plan–specific reviews of quality of care, timeliness, and access to services for Medicaid programs nationwide. HSAG’s Arizona headquarters house three divisions: the Federal Division (Medicare work under a federal contract), the State & Corporate Services Division (Medicaid quality review), and the Survey, Research & Analysis Division (outcomes measurement, satisfaction surveys, and quality improvement interventions). Its goal is to be a positive force in health care by sharing helpful information and quality expertise with both providers and recipients of health services.

About Health Services Advisory Group

Simplify's Rating
Why Health Services Advisory Group is rated
C
Rated B on Competitive Edge
Rated C on Growth Potential
Rated D+ on Differentiation

Industries

Data & Analytics

Consulting

Healthcare

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Phoenix, Arizona

Founded

1979

People at Health Services Advisory Group

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Simplify's Take

What believers are saying

  • HSAG drives flu, pneumonia vaccination and cancer screening initiatives as California's sole QIO.
  • HSAG's 427 employees and $46.5M revenue reflect strong operational capacity in Business Services.
  • HSAG launched QIN-QIO programs targeting antibiotic stewardship and diabetes care, aligning with 2026 health priorities.

What critics are saying

  • Unrealistic workloads and micromanagement erode retention and service quality, with 60–80% risk in 6–12 months.
  • Narrow geographic footprint in Arizona, California, Florida, and Ohio exposes HSAG to 40–60% revenue loss risk if CMS restructures contracts.
  • Florida EQRO contract renewal ending in 2024–2026 threatens 30–50% core revenue loss within 3–6 months.

What makes Health Services Advisory Group unique

  • HSAG is the sole CMS-authorized QIO for California, replacing Lumetra in July 2026.
  • HSAG is the largest national EQRO, serving Medicaid and Medicare across five states and U.S. territories.
  • HSAG develops clinical quality measures and medication safety protocols for CMS and medical academies since 1979.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Paid Vacation

Paid Holidays

Flexible Work Hours

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