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LexisNexis Addresses Trends in Predictive Analytics and How to Prevent Health Care Fraud, Waste and Abuse at WEDI National Conference

Experts Discuss How Data, Technology and Analytics are Changing Health Care, Saving Millions


ATLANTA – LexisNexis® Risk Solutions announced today that several of its leading health care experts will speak at the 23rd Annual Workgroup for Electronic Data Interchange (WEDI) National Conference being held May 12–15 at the Loews Hollywood Hotel in Hollywood, California.  LexisNexis experts will address the role of new data sources and analytics in improving health care outcomes and bringing greater efficiencies to the health care industry and how to combat identity-based health care fraud.

LexisNexis experts will participate in the following sessions:

What: “What’s in a Name?  Finding Fraud in Government Health Care Programs”
The cost of health care fraud is exorbitant.  Improper payments in Medicare alone totaled $44 billion in 2012.  Fraud often begins with stolen identity information to apply for health care benefits online, however identity management solutions are now being used to verify and authenticate customers.  The Florida Department of Children and Families has saved more than $12 million with its statewide identity analytics program.  Massachusetts Health Insurance Connector Authority is leveraging data analytics and linking technology solutions to verify the residency information of individuals seeking to participate in the exchange.  Both case studies represent viable, proven initiatives to detect and prevent health care fraud.
Who: Alisoun Moore, Senior Director, Government Health Care Strategy and Development, LexisNexis Risk Solutions
When: Monday, May 12, 2014
11:10am – 12:10pm
Ms. Moore, a former CIO with the State of Maryland, brings insight on identity fraud being perpetrated throughout the U.S. related to health care and Medicaid benefits; and advice on how to fight it; as well as highlights on how other states are fighting the fraudsters whether they are beneficiaries or providers.

What: Predicting What’s Next: Predictive Analysis”
Predictive analytics enables providers to identify patients in need of intervention or different care measures more accurately by incorporating complex statistical and analytical techniques along with various meaningful clinical factors to identify trending patterns and effective predictive risk scores.  These predictions can be used as powerful tools in guiding health care providers to focus clinical attention and resources on specific inpatients who are truly at higher or growing risk to prevent an unwanted clinical event or outcome.
Who: Kim Jayhan, Senior Director, Transformation Advisory Group, LexisNexis Risk Solutions
When: Tuesday, May 13, 2014
3:45pm – 4:45pm
Ms. Jayhan is responsible for advising the health care community on health care analytics to transform their organizations and assisting them in experiencing reductions in costs and improvements in health.  She has more than 32 years of experience in health care information technology and nearly 10 years in analytics.

Members of the media interested in scheduling a briefing with any of these subject matter experts are invited to contact Mary Alice Johnson at (571) 323-2585, ext. 2140, or by email at

About LexisNexis Risk Solutions
LexisNexis® Risk Solutions harnesses the power of data, sophisticated analytics platforms and technology solutions to provide insights that help businesses across multiple industries and governmental entities reduce risk and improve decisions to benefit people around the globe. Headquartered in metro Atlanta, Georgia, we have offices throughout the world and are part of RELX (LSE: REL/NYSE: RELX), a global provider of information-based analytics and decision tools for professional and business customers. For more information, please visit LexisNexis Risk Solutions and RELX.

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