“LexisNexis Risk Solutions announced that in December 2018 it met the requirements to become a Certified Qualified Entity (QE) under the Centers for Medicare & Medicaid Services’ (CMS) Qualified Entity Certification Program. Based on the volume of LexisNexis Risk Solutions’ claims data and other requirements, LexisNexis is recognized as a QE for the 50 states of the US and the District of Columbia.”
“The CMS Qualified Entity Program (also known as the Medicare Data Sharing for Performance Measurement Program) enables organizations to receive Medicare Parts A and B medical claims data and Part D prescription drug claims data for use in evaluating provider performance. Organizations approved as QEs are required to use the Medicare data to produce and publicly disseminate CMS-approved reports on provider performance…”
“LexisNexis Risk Solutions offers health plans, providers, life sciences organizations, Pharmacy Benefit Management companies and pharmacies a robust suite of solutions that combine trusted provider data sources, claims data and patient insights to drive better outcomes, efficiency and compliance. The ability to integrate Medicare Parts A and B claims data and Part D prescription drug event data from CMS will help accelerate innovation to drive better provider performance and patient analytics…” Read the full press release here.
Source: LexisNexis® Risk Solutions Receives CMS Qualified Entity Status, January 16, 2018. PR Newswire.
