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The 3 keys driving pharmacy and PBM performance and opportunity

3/25/2016

Layers of rules, requirements and regulations are making it increasingly difficult for retail pharmacies and PBMs to operate efficiently. The challenges of the prescriber compliance environment coupled with conducting effective member and patient engagement, accentuate the need for access to complete, current and accurate data. 


 


As a recognized industry leader, LexisNexis® Health Care (formerly Health Market Science) has assumed a leading role in designing solutions aimed specifically at solving the challenges of retail pharmacies and PBMs. These challenges can be overcome through the adoption of a data strategy that encompasses these key components. 


 



  1. Prescriber and Member Data — Access to comprehensive, accurate prescriber and patient data offers more reliable verifications, deeper analytics and more revealing insights. LexisNexis Provider Data MasterFileTM, which is leveraged by VerifyRxTM for prescription verification, is the most complete and comprehensive source of prescriber information available. And MemberPoint® is the foundation for your patient initiatives.

     


  2. Data Management — While access to comprehensive data is a baseline requirement, its value, quality and accuracy deteriorates if not properly cleansed and updated to ensure it is complete and current. MemberPoint enhances your member/patient data, while Provider Data Enhancements keeps your prescriber data in perfect condition.

     


  3. Actionable Data Analytics — The true value of data is realized through the latest analytic models, which are powered by HPCC Systems® capable of processing billions of records in seconds and extracting a wide range of actionable intelligence.




  • VerifyRx performs reliable, real-time prescription claim verification.


  • Socioeconomic Health Attributes and Scores enhances analytics by providing unique patient insight.


  • Payment Protection prevents and detects fraud, waste and abuse via sophisticated algorithms and relationship identification.



With industry-leading data assets and management, visualization and analytics, LexisNexis offers a full spectrum of solutions and services to enable this holistic data strategy. Learn more about the 3 keys to peak pharmacy and PBM performance and opportunity.


 

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