AultCare Selects LexisNexis Risk Solutions for Benefits Administration and Population Health Management

The suite of clinical analytics solutions utilizes predictive science, aggregation and linking of medical and pharmacy claims, demographics, lab results, and public records to predict inpatient stays, emergency room visits, prescription costs and risk of non-compliance.

(Lobby of Aultman Hospital, Canton, Ohio, a provider facility of the Aultman Health Foundation.)

AultCare, a Canton, Ohio-based TPA processing health insurance and benefits claims and part of the Aultman Health Foundation not-for-profit health care organization, has selected a suite of LexisNexis Risk Solutions (Atlanta) clinical analytics solutions for supporting its 165,000 commercial, Medicare Advantage, individual and patient-centered medical home members improve care management by more accurately identifying and stratifying member risk and measuring provider performance, according to a vendor statement.

Bryan Woit, VP, Strategy & Data Reporting, AultCare Health Plans.

Bryan Woit, VP, Strategy & Data Reporting, AultCare Health Plans.

“By working with LexisNexis, we expect to more effectively realize the industry-wide goal of simultaneously improving the health of populations, improving individual experience of care and reducing the per capita costs of healthcare,” comments Bryan Woit, VP, Strategy & Data Reporting, AultCare Health Plans.

The LexisNexis suite of clinical analytics solutions being used by AultCare, including the LexisNexis Population Health Monitor solution, are designed to help organizations manage the health of their populations through predictive science, aggregation and linking of medical and pharmacy claims, demographics, lab results, and public records to predict inpatient stays, emergency room visits, prescription costs and risk of non-compliance, the vendor reports. LexisNexis also utilizes public records data to forecast total cost for members. Using what LexisNexis characterizes as the most accurate predictive analytics available for member stratification, AultCare will maximize case and care management efforts, focusing on areas where interventions and preventative care will be most useful.

(Related: LexisNexis Reinforces Commitment to Telematics with Wunelli Acquisition)

“LexisNexis appreciates the opportunity to support AultCare with our innovative population health management solutions,” comments Lee Rivas, CEO, Public Sector and Health Care, LexisNexis Risk Solutions. “Our predictive analytics combine the power of multiple data sources with our public records and provider data capabilities to drive significant value for AultCare and their patient population.”

 

Anthony R. O’Donnell // Anthony O'Donnell is Executive Editor of Insurance Innovation Reporter. For nearly two decades, he has been an observer and commentator on the use of information technology in the insurance industry, following industry trends and writing about the use of IT across all sectors of the insurance industry. He can be reached at [email protected] or (503) 936-2803.

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