Provider Network Management & Targeting

Provider network management and targeting solutions from LexisNexis Risk Solutions can help healthcare organizations analyze the healthcare market and streamline a number of processes, including:

Every type of business across the healthcare ecosystem can benefit from claims analytics, network, and data management.

With LexisNexis MarketView, healthcare businesses can leverage claims intelligence to gain a 360 degree understanding of physician practicing behaviors. Through MarketView’s claims intelligence, sales reps are able to quickly gather field intelligence to enhance provider outreach, accelerating the sales process. Access to LexisNexis data help organizations operate more efficiently, insuring that sales and marketing achieve success through data and insights.

Healthcare organizations can gain an additional layer of intelligence by adding claims volume insights to IDN, ACO, and GPO relationship hierarchies. This combined intelligence helps provide an additional layer of accuracy to quickly evaluate the overall value of these healthcare organizations.

MarketView connects data from multiple claims sources to provide unparalleled insights into provider relationships, physician referral patterns, market influencers, patient care teams, and the quality of clinically integrated networks.

As a result, customers are able to focus outreach efforts on high-value providers and gain a better understanding of the physician relationships that influence referrals in and out of network. MarketView can provide actionable insights into how high-volume providers split their time across facilities.

This analysis enables healthcare organizations to identify the prime candidates for expansion. Understanding where patient leakage happens can help organizations as they identify and implement strategies to minimize out-of-network referrals.

LexisNexis provider network management and targeting solutions provide insights into opportunities to expand provider networks and diversify product offerings. Patient volume, provider network and reimbursement insights empower healthcare organizations as they assess new markets for expansion. As organizations seek to bring new practitioners within network, MarketView can identify high value providers for network acquisition, give insights into key provider specialties for product expansion, and evaluate provider presence in new geographies under consideration.

When claims intelligence from MarketView is used together with LexisNexis Provider Data MasterFile, healthcare organizations can achieve commercial success by enhancing their provider network management and targeting. Contact us today to find out more.