CMS Qualified Entity for Provider Performance Analysis

As a CMS Qualified Entity, LexisNexis will now receive Medicare Parts A and B medical claims data and Part D prescription drug claims from CMS to combine with its existing claims data assets. The resulting data set will be leveraged to calculate standard or alternative provider performance measures which will be reported publicly. As a CMS Qualified Entity, LexisNexis will help increase transparency in healthcare provider performance. This analysis provides information for employers and consumer groups to assist them in making more informed healthcare decisions and spurs innovation in the area of performance measurement.

The ability to integrate Medicare Parts A and B claims data and Part D prescription drug event data from CMS helps accelerate innovation to drive better provider performance and patient analytics. The goal of integrating this data into existing data assets is to achieve better health outcomes across the United States. LexisNexis analysis of provider performance will lead to better health outcomes, reduced costs, increased efficiency and patient safety.