ATLANTA, Jan. 16, 2019 /PRNewswire/ -- LexisNexis
Risk Solutions announced that in December
2018 it met the requirements to become a Certified Qualified
Entity (QE) under the Centers for Medicare & Medicaid Services'
(CMS) Qualified Entity Certification Program. Based on the volume
of LexisNexis Risk Solutions' claims data and other requirements,
LexisNexis is recognized as a QE for the 50 states of the US and
the District of Columbia.
The CMS Qualified Entity Program (also known as the Medicare
Data Sharing for Performance Measurement Program) enables
organizations to receive Medicare Parts A and B medical claims data
and Part D prescription drug claims data for use in evaluating
provider performance. Organizations approved as QEs are required to
use the Medicare data to produce and publicly disseminate
CMS-approved reports on provider performance.
"We are excited to have been granted a QE status validating our
experience combining multiple claims data sources, rigorous data
security and privacy programs. Collaborating with the CMS will
advance our efforts in accurately measuring and improving the
quality, efficiency, and effectiveness of provider performance in
the U.S. healthcare system," said Josh
Schoeller, senior vice president and General Manager of
LexisNexis Risk Solutions, Health Care. "We look forward to working
with CMS to support its charter through the QE program to improve
the quality of provider performance, increase transparency in
healthcare performance, provide information for employers and
consumer groups to assist them in making more informed healthcare
decisions, and spur innovation in the area of performance
measurement," he added.
LexisNexis Risk Solutions offers health plans, providers, life
sciences organizations, Pharmacy Benefit Management companies and
pharmacies a robust suite of solutions that combine trusted
provider data sources, claims data and patient insights to drive
better outcomes, efficiency and compliance. The ability to
integrate Medicare Parts A and B claims data and Part D
prescription drug event data from CMS will help accelerate
innovation to drive better provider performance and patient
analytics.
For additional information, please visit the LexisNexis
website.
About LexisNexis Risk Solutions
LexisNexis® Risk
Solutions harnesses the power of data and advanced analytics to
provide insights that help businesses and governmental entities
reduce risk and improve decisions to benefit people around the
globe. We provide data and technology solutions for a wide range of
industries including insurance, financial services, healthcare and
government. Headquartered in metro Atlanta, Georgia, we have offices throughout
the world and are part of RELX Group (LSE: REL/NYSE: RELX), a
global provider of information and analytics for professional and
business customers across industries. For more information, please
visit www.risk.lexisnexis.com, and www.relx.com.
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SOURCE LexisNexis Risk Solutions