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Executive Report: Health Plan Cybersecurity Trends and Risk Management Response Preparations
LexisNexis Risk Solutions

Business is booming for cybercrooks. The frequency of breaches continues to rise every year across all industry sectors. So does the cost for each company that suffers a cyberattack. Healthcare sits at the top of the victim list. This report, sponsored by LexisNexis Risk Solutions, examines the impact of the growing number of cyberattacks and reflects on the current state of healthcare cybersecurity concerns among health plans and other key healthcare stakeholders.

White Paper: Payers: Launch growth and innovation strategies with competitive claims intelligence
LexisNexis Risk Solutions

Decisions demand data. Healthcare payers invest heavily in the decisions they make about entering new markets, devising smart network development strategies, and innovating through competitive product designs. They need detailed data on individual providers and institutions, and their real-world relationships with each other, to make focused decisions that move their businesses forward. The impact of a global pandemic on healthcare organizations’ behavior – and the referral relationships they make and unmake – will emerge over time. Payers require robust insights on entities in the healthcare landscape.

Executive Brief: Addressing the Iron Triangle of Healthcare With Clinical AI: Protecting Revenue While Improving Health Outcomes
Jvion

Unlike other technologies, prescriptive artificial intelligence (AI) offers tremendous potential to positively impact cost, quality, and access - referred to as the Iron Triangle of healthcare. According to Accenture analysis, when combined, key clinical health AI applications can potentially create $150 billion in annual savings for the US healthcare economy by 2026. Experts from Microsoft and Jvion convened with an audience of healthcare stakeholders for a webinar discussion of how clinical AI differs from traditional predictive analytics and explored ways in which AI can improve patient risk trajectories while having positive impact on revenue, and identified key steps to implement adoption across organizations.

Executive Brief: Putting the ethical guidelines for the use of SDOH into practice
LexisNexis Risk Solutions

Over the last several years we’ve heard increased discussion on how factors like education, economic status, social networks, food insecurity, as well as where we live and work influence health outcomes. These factors are now widely recognized as social determinants of health (SDOH). LexisNexis Risk Solutions collaborated with the eHI Initiative to convene executives from across the spectrum of healthcare to develop Guiding Principles for the Ethical Use of Social Determinants of Health. In August, experts from LexisNexis Risk Solutions and the eHI initiative met with an audience of healthcare stakeholders to shared insights on how SDOH can and should be leveraged to help patients achieve optimal health outcomes and wellness.

Executive Brief: Cybersecurity: Balancing Risk and Member Engagement
LexisNexis Risk Solutions

The rise in digital health initiatives present more vulnerabilities than ever before in security of patient data. As a result, healthcare organizations are experiencing a record number of data breaches and suffering millions of dollars in fines, settlements and operational losses. Experts from LexisNexis® Risk Solutions Health Care met with an audience of healthcare stakeholders to discuss ways to reduce the risk of a data breach, explain the necessary steps to validate and verify member information, and identify the ingredients for a strong multi-factor authentication strategy.

Executive Brief: The Future of Provider Data Exchange
LexisNexis Risk Solutions

Maintaining and facilitating exchange of accurate provider data is a critical component to payers being able to operate effectively and ensure their members have access to the care they need. But a key challenge remains: inaccurate provider data. Technology promises to transform provider data exchange, with use of artificial intelligence, machine learning, APIs, and blockchain to seamlessly enable health care organizations to transparently maintain and share information.

Executive Brief: Social Determinants of Health - Turning Potential Into Actual Value
LexisNexis Risk Solutions

Up until somewhat recently, socioeconomic data wasn’t part of the conversation on how best to improve health outcomes. Where people live, learn, work and play – commonly known as social determinants of health (SDOH), are today, considered essential factors for gaining a more complete picture of members – revealing how members’ daily lives impact their mental and physical health.

Consumer Tools Regarding Healthcare Costs/Quality e-POLL
MCOL/Keenan

Survey results from an e-poll of healthcare business stakeholders regarding their opinion on consumer tools involved with healthcare costs or quality. Key questions were asked regarding consumer healthcare cost and quality tools; and ranking of applicable items with respect to overall effectiveness.

Managing Prescription Costs E-poll
MCOL/Keenan

Survey results from an e-poll of healthcare business stakeholders regarding managing prescription costs, asking key questions regarding prospects and priorities for managing these costs in the future; and ranking of applicable items with respect to influence over controlling costs, contribution towards cost increases and potential to manage these costs.