Health Care

Provider data is at the center of almost every health plan workflow. The quality, currency and availability of it impacts health outcomes, member satisfaction, compliance and exposure to risk and escalating operational costs.

LexisNexis is the industry leader in provider data and data management. Our Provider Data Intelligence continuum is built on:

• 1.6 Billion Medical Claims
• 190 Million Unique Practitioner Relationships
• 8.5 Million Health Care Professionals
• 1.75 Million Prescribers
• >2.7M HCP-HCO Affiliations
• 1.5K Integrated Delivery Networks
• 800 ACOs with >4K relationships to HCOs and IDNs

Our proprietary linking and computing technology allows us to seamlessly aggregate, link and analyze these vast sources of data to deliver insight and intelligence health plans can act on. Customers benefit from:

• Provider directory accuracy
• Improved provider outreach
• Faster provider verification and authentication

1. Blue Plan Yields 76% Error Reduction in Provider Data Using ProviderPoint®
2. Email Append is Saving Health Care Companies Hundreds of Thousands of Dollars
3. Provider Data Solutions Improve Aggregate Spend, Reporting and Sales Performance for Large Pharmaceutical Company
4. ProviderPoint® Helps Large National PPO Increase Claims Processing Efficiency and Customer Satisfaction While Decreasing Operational Costs
5. Technology Helps Covered California Improve Provider Directory Integrity and Member Satisfaction
   

1. How to Select an Information Solution Provider
   Partnering to reduce costs, improve margins and enhance member and provider relationships.
   Key factors in choosing an information solutions vendor
2. A Business Case for Fixing Provider Data Issues
   Save money, reduce waste and improve member services.
   Proactive provider data management
3. Analysis of Health Insurer Manual Collection of Provider Data
   It costs more to have poor provider data than to fix it.
   A case for an automated process of continuous data validation and update
4. Health Insurance Exchanges and Provider Directory Data Challenges
   Empowering exchange members to make smarter health care decisions.
   Advanced tools for a powerful, customer-friendly HIX portal

1. EveryMove Validates LexisNexis Socioeconomic Health Score as a Predictor of Health Risk across Marketplace Exchanges