Rick Ingraham

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Healthcare | Advanced Analytics, Compliance, Data Management, Fraud, Identity
Rick Ingraham

Vertical Market Director, Payer and Provider Markets, Health Care, LexisNexis Risk Solutions

Rick Ingraham is responsible for developing strategy and product innovations that leverage LexisNexis Health Care’s data assets to serve the needs of the Payer and Provider markets. A 36+ year veteran of the healthcare market, he is a leader in delivering the healthcare industry insights on data and analytics. He leverages his industry experience and understanding of market drivers by serving as a conduit for market intelligence and thought leadership with the product development organization, the sales team and the market planning organization.

Topics of Interest

Mr. Ingraham brings a special focus on health care delivery and payment sectors to LexisNexis Health Care. He is especially focused on the merging required disciplines of the sectors traditionally known as Payer and Provider and the unique new insights required for financial sustainability to thrive over the coming years. An accomplished public speaker and proven executive relationship builder, he presents senior management experience in the health care, insurance, analytic software and regulatory industries.

Mr. Ingraham can speak to and provide examples of the following:

  1. Consumerism in healthcare/patient engagement, including how to better align information; services; and activity to focus on the needs of consumer health care services, as well as the payer of those services when different.
  2. Evolving care delivery models, such as Accountable Care Organizations, Patient-Centered Medical Homes, Retail Point-of-Care centers, Digital Physician Diagnosis Pods and Walk-in Clinics for non-critical care.
  3. Evolving care payment models, often referred to as the shift from Fee-for-Service to Fee for Value-Based Reimbursements, and emerging performance incentives and penalties within the quality of care, cost and process improvement arenas.
  4. Health system performance, which includes, but is not limited to, patient engagement; actual care processes; care coordination across multiple providers on behalf of the patient; quality care provided in-patient and out-patient; post-discharge transfer of care; “360 degree” view of care outcomes and care payment across all spectrums of care.
  5. Potentially avoidable health conditions, or the recognition that many health conditions or procedures may have been avoidable if proper care protocols, coordination, engagement and timing of intervention had been followed.
  6. Integrating mental, behavioral and personal health, creating a “360 degree” view of a patient care profile crossing traditional personal medical care to include mental and behavioral care intersections.

He joined LexisNexis Health Care in May 2016. Mr. Ingraham earned a Bachelor of Science degree in Accounting from Florida State University. He is a member of AcademyHealth and most recently served on the advisory councils for the Health Data Consortium and the Duke Fuqua School of Business Health Sector Management Program.
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