In today's evolving health care environment, health insurers are expected to meet their own business goals while complying with the mandates of the three pillars of the Affordable Care Act (ACA):
- Improving outcomes
- Managing access
- Reducing costs
To support the needs of health insurers, LexisNexis offers broad portfolio of solutions that leverage our industry-leading repository of provider and consumer data, claims data and world-class analytics and technology. Combining these assets our solutions help:
- Improve and maintain member and provider data
- Predict health risks and outcomes in the absence of clinical history data
- Bolster marketing, outreach and patient engagement efforts by providing current demographic data
- Reduce fraud risk by identifying complex and hidden relationships across individuals and care settings
- Comply with mounting regulation by providing automated and seamless data technology solutions
- LexisNexis Motivation Index Produces Substantial Lift in HealthSmart’s Care Plan Engagement
- Leveraging Social Network Analytics to Prevent Fraud and Improper Payments
- Lovelace Health Plan Looks to Make Significant Recoveries From Fraud, Waste and Abuse Activities with LexisNexis Anti-Fraud Services and Technology
- National Health Plan Leverages LexisNexis Data Solutions to Improve HEDIS Scores
- Emerging Health Care Trends and the Effects on Payers
Remaining competitive in the new care delivery landscape with analytics and predictive modeling - Five Factors for Payers to Consider as U.S. Health Care Delivery Evolves
The role of technology in meeting the challenges of new care constructs - The Real Cost of Health Care Fraud - And New Ways to Fight It
Stopping the Flow of Health Care Fraud with Technology, Data and Analytics - The Rise of Organized Crime in Health Care
Experience the power of data, linking and analytics
- Accurint® for Health Care
- Protect against fraudulent claims and identity fraud
- Bridger Insight® XG for Health Care
- Conduct due diligence, comply with global regulations and reduce fraud risks
- LexisNexis® InstantID® for Healthcare
- Identify fraud risks across exchanges and broker communities
- Instant Authenticate for Health Care
- Verify identities and provide secure enrollment to online portals
- Instant Verify for Health Care
- Accelerate identity verifications with a solution customized to fit your workflow
- Intelligent Investigator™
- Pinpoint fraud with confidence
- Multi-Factor Authentication for Health Care
- Authenticate members and providers
- PrePayment Manager™
- Identify improper payments before disbursement
- Provider Data Enhancements
- Standardize, cleanse and augment provider information
- Provider Data Intelligence Suite
- Optimize health care data insights
- Provider Data MasterFile™
- Empowering health care organizations with complete, current, and comprehensive provider data
- Provider Data Validation
- Real-time access to accurate, complete, and comprehensive provider information
- Provider of Interest Score
- Identify aberrant patterns in provider behavior
- ProviderPoint®
- Ensure the integrity of your provider data
- Socioeconomic Health Attributes
- Augment clinical analytics with hundreds of uniquely packaged and tested public records
- Socioeconomic Health Score
- Predict health risks more precisely without claims data
- Trail Tracker™
- Track cases and improve recovery
- VerifyHCP
- Maintain provider data and directory accuracy
- Virtual SIU™
- Grow your investigative capabilities

