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LexisNexis® Combines MEDai into Health Care Business To Help Health Care Industry Fight Fraud

LexisNexis® Risk Solutions have announced it has completed an agreement with its sister company Elsevier to transfer MEDai, its clinical-analytics-focused business unit, to the LexisNexis health care business. LexisNexis Risk Solutions and Elsevier are both part of Reed Elsevier Group plc. The combined organization will allow LexisNexis to offer a more comprehensive set of cost-containment solutions to curtail wasteful spending, help coordinate better care, improve population health management, enhance clinical outcomes and reduce exposure to fraud, waste and abuse (FWA).

This announcement comes as health care organizations strive to accomplish three critical goals driven by the Affordable Care Act (ACA): improve access to health care, improve outcomes and reduce overall costs. In order to achieve progress against these priorities, many payer and provider organizations are deploying technology at an enterprise level to address and align the needs of various operational workflows.

"This transfer of businesses underscores our commitment to provide—and continuously improve—our health care solutions, especially in the areas of fraud, identity and clinical analytics," said Lee Rivas, CEO Public Sector and Health Care. "Our member, provider and claims management solutions, alongside MEDai's expertise in analyzing the clinical implications of providers delivering care to members provides customers a distinct advantage. Our combined group offers customers the right solutions to make critical, confident decisions that align with the ACA and improve the health of their customers."

This transfer follows LexisNexis' fall 2012 acquisition of EDIWatch, a provider of fraud, waste and abuse (FWA) technology solutions exclusively for the health care payer industry. Through that acquisition, LexisNexis added products to address FWA detection, recovery, and prevention while leveraging automated business fraud rules and analytics and adding user-friendly case management workflow tools and investigatory services.

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