Helping solve healthcare’s toughest challenges regarding fraud, compliance, patient engagement, and beyond
Accurate information on patients is a must-have for all of healthcare’s stakeholders. It is essential to have a way to securely authenticate patients, match, and link disparate patient records, and enhance patient profiles with up-to-date and more accurate information, while mitigating cyber threats. These industry needs drive the core of The Health Care business of LexisNexis® Risk Solutions.
Serving customers across the payer, provider, pharmacy, life sciences, and health IT markets, LexisNexis Risk Solutions better enables organizations to solve a range of challenges like patient engagement, identity access management, data de-identification and linking, and compliance. They address these challenges by leveraging industry-leading consumer, medical claims, provider, and social determinants of health (SDoH) data to deliver meaningful insights that improve patient outcomes and create healthier communities.
“We use our big data technology, advanced linking capabilities, patented algorithms, and data modeling to deliver industry-specific expertise and customer-focused solutions that help organizations accomplish their goals,” says Jeff Diamond, president and general manager of the Health Care business of LexisNexis Risk Solutions. “We are the data and analytics layer supporting the industry’s compliance standards, and we are the engine powering many of the industry’s critical operations.”
Next-generation Tokenization Technology
With approximately 30% of the world’s data coming from the healthcare industry, LexisNexis Risk Solutions harnesses that data, contextualizes it, and converts it into meaningful insights. Next-generation tokenization technology is just one of the key developments they have created.
“Not only can we help with the data management, standardization, and regulation, but we can also tokenize data and link it to other data sources in a de-identified manner. By layering in multiple datasets, such as identity and SDoH data, we can create a more complete, accurate and current view of patients’ health,” explains Jeff. “Our referential data matching is used to create a better master patient identifier that links the right patient files together, which can help ensure patient safety and inform care programs and research, improve operational efficiency and meet privacy and compliance standards.”
Real-world data (RWD) can help generate real-world evidence (RWE) that is used to provide appropriate and effective care to patients and support clinical research by recruiting qualified trial participants, assessing real-world efficacy, and measuring long-term outcomes. However, today’s RWE-generation tools can securely de-identify healthcare data and link datasets but fall short of creating a complete picture of every patient’s journey. The technology is only as good as the data that informs it, and healthcare organizations often have limited views of their patients, which could create significant challenges.
On the flip side, the LexisNexis® Gravitas™ Token enables the opportunity to combine information to follow a patient’s longitudinal healthcare journey. By leveraging a referential data layer, this next generation tokenization technology moves beyond the limitations of simple deterministic or probabilistic matching to distinguish more confidently between individuals and provide a more comprehensive view of patients. It is no secret that the healthcare industry requires a high degree of precision and accuracy and confidence in the reliability of properly matched records, and this is where the Gravitas Token surpasses current options on the market.
“We all deserve better health, and tokenization has an instrumental role in making that happen,” shared Jeff.
Unlocking the potential of Social Determinants of Health Data (SDoH)
Providing high-quality care —enabled by a personalized approach, efficient workflow, and data-driven decision-making at the point of service— continues to be a top objective for healthcare stakeholders. Improved treatment outcomes tomorrow originate with a deeper understanding of what the data is telling care providers today.
By layering in more than 440 clinically validated data points associated with social determinants of health (SDoH), LexisNexis Risk Solutions can provide care teams with a more complete picture of a patient’s health, which can uncover critical insights needed to make the best decisions possible. Early detection and intervention can have a greater impact for patients in the rising risk category and using this SDoH data can help healthcare organizations better stratify and target patients in need. These data-driven insights can help ensure organizations are strategically prepared to care for the whole patient, not just the clinical patient.
“We are helping our customers get a better understanding of their patients, members and communities,” said Jeff. “We’re enabling more precise and inclusive clinical research, we’re enhancing patient engagement and outreach strategies, and delivering insights that support personalized care delivery, optimize care coordination, and improve health outcomes,” said Jeff.
Serving Clients Flawlessly
Doximity, the leading digital platform for U.S. medical professionals had launched a product helping physicians and health systems build and nurture professional referral relationships. A more interconnected community of regional physicians could better direct patients to expert care best suited to their needs.
Doximity wanted to empower its hospital partners with measurable return on investment (ROI) information on the effectiveness of these programs and their strengthened physician-to-physician networks. They sought to do this by identifying the referring network before the marketing program, then comparing this to the referral network following the program. Doximity sought comprehensive and near real-time medical claims data to achieve this.
Their search led them to LexisNexis Risk Solutions, which helped address this challenge with its de-identified medical claims-based intelligence, LexisNexis® MarketView™.
The expanded relationship gave Doximity increased access to the MarketView data and enabled them to create automated and customized reports to better serve its hospital partners.
Doximity can now provide ROI report-outs to their hospital partners and share the tangible value they deliver.
A Destination for Healthcare Data
This is just one of the myriad of examples where LexisNexis Risk Solutions assisted a customer in achieving greater heights. As a company, they continue to invest in de-identified real-world data, expanding its footprint to solve healthcare’s toughest challenges regarding fraud, compliance, and patient engagement.
“Now that we have developed a next generation token, we are bringing together the right data sources into the Gravitas Network,” adds Jeff. “This will be the primary destination for healthcare data. When people think of healthcare data, they will think of us.”
Interested in learning how we can help solve your business and clinical challenges?
This article was originally published by Tech Industry Insights.