LexisNexis® Risk Solutions announced its entrance into the health care market with identity management and data analytics solutions to help health care payors (such as commercial health plan providers and government agencies) ensure appropriate access to personal health information and eliminate fraud. The solutions provide identity verification and authentication, and on-going monitoring of a patient’s and provider’s identity via a knowledge-based authentication system. This will help health care providers, patients and payors to prevent fraud at the beginning of the health care cycle, before care is given.
“LexisNexis Risk Solutions is working with all parts of the health care ecosystem, including payors and providers, to deliver actionable insight and analytics that enhances their ability to meet the challenges of health care reform,” said Harry Jordan, vice president of health care for LexisNexis Risk Solutions. “This represents a transformational shift in the way the health care industry can leverage data to improve patient outcomes, combat fraud and enhance operational profitability.”
To support identity management, LexisNexis Risk Solutions is applying its verification and authentication solutions and advanced identity analytics to help public sector health organisations, commercial payors, state HIEs, EMR vendors, and others ensure secure access to health programs and networks. By improving access to information via identity verification and authentication, LexisNexis Risk Solutions is able to ensure secure and appropriate access to EMRs, provide timely intelligence to provider and beneficiary enrollment programs, ensure appropriate access to electronic records, and successfully comply with data access regulations.
LexisNexis Risk Solutions is also helping commercial payors, public sector agencies, claims processing vendors and investigative agencies enhance their ability to combat health care fraud, waste and abuse, by leveraging predictive modeling and pre- and post-claim analytics capabilities, as well as other investigative tools. As a result, health care organisations can implement an appropriate fraud risk control environment across the payment workflow utilising a multi-layered approach to proactively identify and prevent fraud, leading to cost savings and enhanced operational efficiency.
Finally, LexisNexis Risk Solutions is enhancing the ability of disease management organisations, payors and public health care agencies to manage health and disease outreach and increase participation rates in wellness programs by leveraging public data and analytics to identify and target receptive individuals. By providing enhanced population intelligence for health care programs, LexisNexis is reducing the costs of recruiting patients and ensuring the accuracy of data used to develop tailored prevention and wellness programs.**
If you are buying technology, RFPConnect is the place to meet the companies
that are selling it. RFPConnect provides templates for buyers to issue Requests
for Information (RFIs), Reguests for Proposals (RFPs) and Requests for Quotations
(RFQs). The site also provides a searchable directory and database of technology
vendors across the full range of industrial, commercial, financial and public sectors.
If you are selling technology, RFPConnect is the place to showcase your applications
or consultancy skills in searchable directories and product databases. The site
also provides technology vendors with the opportunity to publish news releases about
version upgrades, mandates won and other news about the company. Last but not least,
the RFP Exchange is a source of new business opportunities in the private and public
sectors.
To register your organization and its products, click the Register Now
link on the right hand side of this page and follow the registration procedure.
It will only take a few minutes - but it could lead to millions of dollars.
PriceMetrix is a software firm that helps retail wealth management firms and their advisors optimize selling efforts, manage clients, identify growth opportunit ...
Steve Husk, CEO of FRSGlobal, discusses the factors financial institutions are faced with in order to equip themselves against the current regulatory environment.
The adoption of IFRS for Canadian companies is in full swing. As of January 1, 2010, Canadian companies are required to file financial statements under IFRS. Although Canadian GAAP and IFRS are similar, there are three main differences that have posed a challenge for companies: effectiveness testing, hedge accounting eligibility, and fair value measurement. While not an exhaustive list, these issues have posed the greatest challenge for Canadian corporations during the first quarter of 2010. The following paper clarifies some of the differences in hedge accounting between Canadian GAAP and IFRS and shares best practices for hedge accounting to help Canadian corporations navigate through the transition.
With this Spring 2010 Edition of the Phone System Comparison Chart quickly see differences between brands like Avaya, Mitel, Cisco, ShoreTel, 8x8, Panasonic, etc and compare over 94 phone systems by 52 brands for small to big business.
PriceMetrix is a software firm that helps retail wealth management firms and their advisors optimize selling efforts, manage clients, identify growth opportunit ...
