LexisNexis Risk Solutions has been selected by America's Health Insurance Plans' (AHIP) 2012 Select program to provide solutions that identify and prevent health care fraud, waste and abuse.
According to LexisNexis, 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.
LexisNexis provides solutions to government and commercial payers, providers and health information technology integrators. These solutions leverage HPCC platform, predictive and social network analytics, and unrivaled identity management to help organizations reduce fraud in real-time.
LexisNexis vice president of health care Harry Jordan said the 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.