LexisNexis® Risk Solutions today announced its inclusion in America's Health Insurance Plans' (AHIP) 2012 Select program. As an AHIP Select Member, LexisNexis is the designated provider of solutions that identify and prevent health care fraud, waste and abuse.
Health care fraud and abuse is a national problem, prevalent in commercial, managed care and federal and state government programs, skyrocketing over the last decade with billions of dollars being paid on improper claims. In addition, the implementation of health care reform is significantly increasing the number of participants in the health care system, along with the potential for fraudulent activities and exploitation of the system. Payers are proactively looking for the best analytics to leverage in their fight against the rising costs associated with fraud, waste and abuse.
"Our designation as an AHIP Select member represents the industry's trust in LexisNexis as a provider of unique solutions that help our clients operate efficiently while fighting fraud, waste and abuse," said Harry Jordan, vice president of health care for LexisNexis. "LexisNexis is committed to continuing our work in the health care industry by expanding our capabilities in health care fraud detection and prevention via data and analytics, identity management and claims review."
Representing nearly 1,300 health plans, AHIP provides organizations with a greater understanding of the current industry trends that affect their business from an administrative and safety perspective. Its Select program is designed to identify leading companies like LexisNexis which offer best-of-breed products and services that are critical in the battle to bend the cost curve and supply high quality care to more Americans.
LexisNexis provides solutions to government and commercial payers, providers and health information technology integrators. These solutions leverage our HPCC platform, predictive and social network analytics, and unrivaled identity management to help organizations reduce fraud in real-time. The LexisNexis multi-layer, enterprise approach to detecting and fighting health care fraud addresses fraud in both pre- and post-payment environments.
America's Health Insurance Plans (AHIP) is the national trade association representing the health insurance industry. AHIP's members provide health and supplemental benefits to more than 200 million Americans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality and innovation.
About LexisNexis Risk Solutions
LexisNexis® Risk Solutions (lexisnexis.com/risk) is a leader in providing essential information that helps customers across all industries and government predict, assess and manage risk. Combining cutting-edge technology, unique data and advanced scoring analytics, we provide products and services that address evolving client needs in the risk sector while upholding the highest standards of security and privacy. LexisNexis Risk Solutions is part of Reed Elsevier, a leading publisher and information provider that serves customers in more than 100 countries with more than 30,000 employees worldwide.
Our health care solutions assist payers, providers and integrators with ensuring appropriate access to health care data and programs, enhancing disease management contact ratios, improving operational processes, and proactively combating fraud, waste and abuse across the continuum.