LexisNexis Adds Health Care and Fraud Expertise to HIMSS G7

LexisNexis® Risk Solutions today announced its participation in HIMSS G7, a thought leadership and industry action platform focused on issues of vital interest that impact the future design of the health care financial network. LexisNexis will bring its health care fraud, waste and abuse, and identity management expertise to the HIMSS G7 Roundtable Series, a revolving panel of seven health care thought leaders who are working to shape how the health care industry will process payments and data in the future.

Health care fraud and abuse is a national problem that has skyrocketed over the last decade with billions of dollars paid on improper claims. In addition, increasing the number of participants in the health care system and changing reimbursement scenarios are creating issues for the current system of data processing and financial accounting. Through HIMSS G7, LexisNexis and fellow members of the health care industry are proactively developing best practices in financial management, including addressing the rising costs associated with medical identity theft and fraud, waste and abuse.

“Being part of HIMSS G7 is an honor and represents our commitment to bettering the health care system by engaging in discussions with thought leaders at the forefront of creating solutions to the industry’s challenges,” said Harry Jordan, vice president of health care for LexisNexis. “LexisNexis is committed to continuing our work in the health care industry, including introducing solutions focused on receivables management and expanding our capabilities in health care fraud detection and prevention.”

The HIMSS G7 supports the following guiding principles:

• Making data available across the network (data liquidity)
• Assuming regulations can be questioned when they are a barrier to the network
• Providing thought leadership recommendations to inform industry policies
• Engaging a multi-stakeholder perspective
• Testing the infrastructure models through “use cases” (e.g., Accountable Care Organizations (ACO), episodes of care, Patient-Centered Medical Home (PCMH), Fee-for-service (FFS))

LexisNexis provides solutions to government and commercial payers, providers and health information technology integrators. These solutions leverage our HPCC Systems(TM) open source computing platform, predictive and social network analytics, and unrivaled identity management to help organizations reduce fraud in real-time.

HIMSS is a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Founded 50 years ago, HIMSS and its related organizations are headquartered in Chicago with additional offices in the United States, Europe and Asia. HIMSS represents more than 38,000 individual members, of which more than two thirds work in healthcare provider, governmental and not-for-profit organizations. HIMSS also includes over 540 corporate members and more than 120 not-for-profit organizations that share our mission of transforming healthcare through the effective use of information technology and management systems. HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care.

LexisNexis® Risk Solutions 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.