ATLANTA, GA – LexisNexis® Risk Solutions today announced the company has been selected to provide clinical analytics support to AultCare, a third-party administrator that processes health insurance and benefits claims. AultCare will use a diverse suite of LexisNexis clinical analytics solutions to help its 165,000 commercial, Medicare Advantage, individual and patient-centered medical home members improve care management by more accurately identifying and stratifying member risk and measuring provider performance.
“By working with LexisNexis, we expect to more effectively realize the industry-wide goal of simultaneously improving the health of populations, improving individual experience of care and reducing the per capita costs of healthcare,” said Bryan Woit, Vice President, Strategy & Data Reporting, AultCare Health Plans.
The LexisNexis suite of clinical analytics solutions being used by AultCare, including the LexisNexis Population Health Monitor solution, helps organizations to manage the health of their populations by leveraging the industry’s leading predictive science, aggregating and linking medical and pharmacy claims, demographics, lab results, and public records to predict inpatient stays, emergency room visits, prescription costs and risk of non-compliance. In addition, LexisNexis utilizes public records data to forecast total cost for members. Using the most accurate predictive analytics available for member stratification, AultCare will maximize case and care management efforts, focusing on areas where interventions and preventative care will be most useful.
“LexisNexis appreciates the opportunity to support AultCare with our innovative population health management solutions,” said Lee Rivas, CEO, Public Sector and Health Care, LexisNexis Risk Solutions. “Our predictive analytics combine the power of multiple data sources with our public records and provider data capabilities to drive significant value for AultCare and their patient population.”
About LexisNexis Risk Solutions
LexisNexis Risk Solutions harnesses the power of data and advanced analytics to provide insights that help businesses and governmental entities reduce risk and improve decisions to benefit people around the globe. We provide data and technology solutions for a wide range of industries including insurance, financial services, healthcare and government. Headquartered in metro Atlanta, Georgia, we have offices throughout the world and are part of RELX Group (LSE: REL/NYSE: RELX), a global provider of information and analytics for professional and business customers across industries. For more information, please visit www.risk.lexisnexis.com and www.relx.com.
About RELX Group:
RELX Group plc (www.relxgroup.com) is a world-leading provider of information solutions for professional customers across industries. The group employs about 28,000 people of whom half are in North America.
Reed Elsevier PLC is the London Stock Exchange listed vehicle for holding shares in RELX Group. Shareholders in Reed Elsevier PLC own a 52.9% economic interest in RELX Group. Reed Elsevier NV is the Amsterdam Stock Exchange listed vehicle for holding shares in RELX Group. External shareholders in Reed Elsevier NV own a 47.1% economic interest in RELX Group. The combined market capitalisation of the two parent companies is approximately £24bn/€32bn. Its shares are traded on the London, Amsterdam and New York Stock Exchanges using the following ticker symbols: London: REL; Amsterdam: REN; New York: RUK and ENL.