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LexisNexis Risk Healthcare Solutions Steve Pawlak

Health Care Provider Solutions Specialist

Delivering data and analytics that enable better health care decisions

What Makes Us Unique

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LexisNexis Risk Solutions is a $1.5B business division of a ~$10B company

Reed Elsevier Revenue Snapshot

LexisNexis Legal & Professional

26% 14%

11%

15% 34%

Elsevier

Reed Business Information

Reed Exhibitions

LexisNexis Risk Solutions

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We provide insight to customers across multiple industries

• Decades of experience in managing identity risk in Insurance, Finance and Government

• Solutions combine LexisNexis Data, Customer Data and Scoring/Analytics to reduce Identity Fraud

• Secure, proven contributory solutions and technology

• All 50 U.S. States

• 80% of U.S. Federal Agencies

• 70% of Local Governments

• 100% of U.S. P&C Carriers

• 100% of the top 50 U.S. Banks

• 90% of the Fortune 500

customers

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Our proprietary technologies allow us to aggregate, link, analyze, and manage vast sources of data to deliver answers to critical business questions

The ingredient behind our products that turns disparate information into meaningful insights. This technology enables customers using our products to identify, link and organize information quickly with a high degree of accuracy.

Data-intensive processing and delivery platform developed that incorporates a software architecture implemented on commodity shared-nothing computing clusters to provide high-performance, data-parallel processing and delivery for applications utilizing Big Data.

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LexisNexis solutions leverage data about people, businesses, and assets to assess risk and opportunity associated with industry-specific problems

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Identity Authentication and Risk Assessment

Contributory Data

Public Records

Credit Headers

Phone Listings Insurance

Financial Services

Collections

Legal

Government

Health Care

Assess underwriting risk and verify applicant data; identify and intercept fraud; improve policy administration and client retention

Prevent/investigate money laundering and comply with laws Prevent/investigate identity fraud

Assist collections by locating delinquent debtors Assess collectability of debts and prioritize collection efforts

Locate/vet witnesses, assess assets/associations of parties in legal actions; Perform diligence on prospective clients (KYC)

Locate missing children/suspects; research/document cases; reduce entitlement fraud; accelerate revenue collection

Verify patient identity, eligibility, and ability to pay Validate provider credentials; prevent/investigate fraud

Retail Protect revenue and maximize operational efficiencies Predict and prevent retail fraud

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8.9 Billion unique

name/address combinations

4 Billion

property records

3.7 Billion

motor vehicle registrations

37 Million unique

businesses

417 Million criminal records

269 Million

auto and home claim

records

188.5 Million unique

cell phones

Partial snapshot of US data sets as of 07/25/14

LexisNexis maintains over two petabytes of unique data comprising billions of public and proprietary records, with the capacity to scale up easily and cost effectively

60 million more

unbanked individuals than traditional credit

bureaus

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The LexisNexis Health Care portfolio has grown as a result of acquisitions that have further built our ability to support the needs of the segments we serve

End-to-end fraud, waste and abuse solutions.

Clinical analytics

focused on population

health management and provider performance.

Provider data and analytics

solutions.

Health care data,

information and

technology solutions.

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Our unique coupling of key assets help transform the way health care is coordinated, delivered and administered

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Data Mining

Predictive Science

Linking Analytics Identity Analytics

Identity Analytics

Master Data Management

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Our broad portfolio of health care solutions are underpinned by unique datasets, powerful processing power, and industry-leading analytics

Solutions

driven by

HPCC Technology

LexID®, MEDai Science, AccuSync®, MDM platform, and more…

Leading Analytics

Provider Pharmacy Life Sciences

Public Records

Provider Referential

Data

Medical Claims

Affiliation Data

Pharmacy POS

Unique Data Assets

Payer

Payment Protection

Clinical Solutions

Identity Analytics

Provider Data Management

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We help our customers meet current challenges and demands

11 Presentation Title

Manage provider relations more effectively

Engage members and improve member health

Manage data complexities

Meet mounting regulatory requirements

Curb wasteful spending

Focus sales and marketing outreach

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Our data and analytics fuel solutions that reduce fraud, manage identities, improve health outcomes, and increase efficiency tied to data management

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Provider Pharmacy Life Sciences Payer

o Fraud, Waste & Abuse

o Population Health Management

o Provider Performance Management

o Identity authentication

o Provider and Member Data Management

o Population Health Management

o Provider Performance Management

o Knowledge-based Authentication

o Patient Data Hygiene

o Provider Data Management

o Expense remediation

o Expense standardization

o Master data management

o Data cleansing

o Record Linkage and merging

o Data access and integration

o Data profiling o Parsing o Standardization o Identity

resolution o Record Linkage

and merging o Data cleansing o Data

enhancement o Geo-coding