Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
Description
LexisNexis Health Equity and Inclusion Insights offers an extensive and actionable dataset focused on the social determinants of health (SDoH) at the individual level. This valuable information empowers healthcare organizations to enhance population health, advance clinical research, and pursue initiatives aimed at promoting health equity. By highlighting obstacles to care, the solution aids in refining care delivery and fostering more equitable healthcare choices, alongside developing diverse clinical research programs. It supplies de-identified datasets that can be integrated with other such datasets through LexisNexis Gravitas, a tokenization tool that utilizes a referential data layer for accurately matching de-identified records from various sources. Achieving health equity hinges on the ability to pinpoint health barriers and predictors of adverse health outcomes, allowing for targeted interventions that can positively impact individual patients. Ultimately, this focus on precision and actionable insights can lead to improved health outcomes across entire communities.
API Access
Has API
No
API Access
Has API
No
Integrations
XML
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Vendor Details
Company Name
LexisNexis
Country
United States
Website
risk.lexisnexis.com/products/health-equity
Product Features
Product Features
Clinical Trial Management
21 CFR Part 11 Compliance
No
Document Management
No
Electronic Data Capture
No
Enrollment Management
No
HIPAA Compliant
No
Monitoring
No
Patient Database
No
Recruiting Management
No
Scheduling
No
Study Planning
No
Population Health Management (PHM)
Analytics
No
Cost-of-Care Analysis
No
Data Storage
No
EMR/EHR Integration
No
Patient Engagement
No
Patient Identification
No
Patient Risk Stratification
No
Patient-Reported Outcomes
No
Payment Bundling
No
Predictive Alerts
No
Test & Treatment Reminders
No
Utilization Tracking
No