Case Study Sub Title

by Jane Doe Smith, Data Analyst Specialist, LexisNexis

Case Study: VGM & Associates (VGM) and LexisNexis Risk Solutions

LexisNexis® MarketView and Provider Reimbursement Insights
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VGM & Associates (VGM) and Its Members Increase Market Share and Improve Sales Targeting

How leveraging medical claims-based intelligence and provider reimbursement insights From LexisNexis® Risk Solutions benefits VGM and its members

goals  VGM Goals
  • Enable VGM members to see detailed volumetrics on physician prescribing behavior for DME, identify physicians referring to DMEs for specific products and identify market share by DME for specific products.
  • Provide membership with more geographic options to narrow data relevant to their business’s area of focus.
  • Understand what providers are being reimbursed from commercial payers.
star  Key Benefits Experienced
  • VGM and its members have access to near-real time claims data updates to analyze such information to inform business decisions.
  • Claims data went from only national level, down to state and county to better meet company needs based on geographic footprint and focus.
  • Gained a more complete view for market assessments by adding Provider Reimbursement Insights (PRI) to the claims-based intelligence.

VGM & Associates (VGM), the nation’s largest and most comprehensive member service organization (MSO) for post-acute healthcare including durable medical equipment (DME) and home medical equipment (HME) was seeking a solution provider to continue to meet what its membership needed.

These needs included finding and evaluating potential new markets by product volume, gaining market intelligence on high-volume physicians by product, quantifying market potential with national, state-or county-based market share analysis and accessing commercial reimbursement intelligence data.

VGM provides its members exclusive access to the largest and most comprehensive durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claims database in the U.S. with its product, VGM Market Data, powered by LexisNexis® MarketView™, a claims-based intelligence solution. Back in 2012, these membership needs led VGM to MarketView™ — which continues to be its medical claims data provider today.

Access to such complete and comprehensive medical claims data enables sales teams in the field to better understand where physicians are located and what hospital or facility they are associated with.

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