LexisNexis® Risk Solutions announced the launch of LexisNexis Provider Performance Monitor, a clinical data analytics solution that helps improve and optimize the quality and efficiency of provider networks through robust evaluation of performance using severity-adjusted scores. By measuring provider performance through Provider Performance Monitor, payers have a critical solution to deliver better outcomes, improve the patient experience and reduce costs, as well as an asset for creating provider networks that are effective and achieve optimal efficiencies.
LexisNexis Provider Performance Monitor leverages service and demographic data to generate severity-adjusted episode-based provider performance analytics and industry standard quality measure compliance rates in a single application. Both sets of analytics provide input into quality improvement programs and cost and utilization reduction efforts. Each provider’s severity-adjusted performance can be compared to a variety of benchmarks that are appropriate to the health care services delivered to the provider’s patients. The Provider Performance Monitor delivers these metrics through an intuitive web-based application and provides the capability to integrate these three key metrics into existing payer legacy applications.
In addition, an Accountable Care Organization, a health plan or an Integrated Delivery Network’s provider network team can use the data analytics to tailor messaging to an individual provider. The messaging is based on a holistic, fair and objective evaluation of efficiency performance metrics and quality measure compliance rates.
Source: LexisNexis Press Release