Member Data Management Bolsters Health Plan Performance

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Explore the myriad of benefits when leveraging augmented patient data for optimal health plan performance.

Health plan performance is fueled by the veracity of its member data in every work stream, from enrollment, to billing, marketing and quality ratings maintenance.  As a result of the Affordable Care Act, more individuals are covered than ever before, which presents an even greater population of individuals whose data needs to be effectively managed for optimal health plan performance. There are such high volumes of new data cascading over health plans’ existing information technology infrastructures.  The quality of health plan data has always been difficult to maintain and millions of new health plan members have exacerbated the problem for health plan performance. 

Health plan performance is contingent upon many factors such as compliance with HEDIS mandates which requires accurate clinical data and accurate member demographic information.  Hence, there is a great need to constantly refresh health plans’ member data with details from public records and other information for health plan performance. 

LexisNexis Risk Solutions, the industry leader in maximizing the value of member data, offers products and services for to link disparate data into usable information for health plan performance.  It is a $1.5 billion business section of a $10 billion company; its customers already include more than 400 health plans and more than 800 hospitals, as well as more than 2,500 post-acute care organizations and 90% of the top pharmacies in the country. Indeed, LexisNexis offers the most correct, current and comprehensive member data solutions for health plan performance, leveraging the most comprehensive sources of identity data -- including billions of public records.  


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