Case Studies Consortium Health Plans: A Complete Network Database For Network Compare

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	Consortium Health Plans: A Complete Network Database For Network Compare

Consortium Health Plans: A Complete Network Database For Network Compare

Technology Category	Analytics & Modeling - Data-as-a-Service Platform as a Service (PaaS) - Data Management Platforms
Applicable Industries	Healthcare & Hospitals
Applicable Functions	Business Operation
Services	Data Science Services System Integration
Challenge	Consortium needed a master file to match reliably against the Provider Data Repository and third parties, as well as determine market penetration among all practicing providers. Consortium set out to find an outside source to overcome these challenges. They tested data samples and manually validated the information to determine which vendor provided the most complete and accurate view of providers across the U.S. Read More
About Customer	Consortium Health Plans (Consortium) is a coalition of 21 leading Blue Cross® and Blue Shield® Plans. The organization is dedicated to positioning Blue Plans as the carriers of choice in the national accounts marketplace. One of their flagship services, Network Compare, enables users to assess and compare relative network size and composition between Blue providers and other competitors’ networks based on geography, provider type, and product. Consortium's mission is to provide comprehensive and accurate data to support sales and account management executives in the marketplace. Read More
Solution	Network Compare has transformed the conversations that sales and account management executives have in the marketplace around the strength of BCBS networks. LexisNexis’ Provider MasterFile™ is a foundational component of this capability. Consortium found, on average, a 25 percent lift in coverage and data accuracy. LexisNexis was a clear leader among the vendors reviewed and continues to receive regular updates to remain in step with the market. Read More Log in to view content
Contents

Technology Category

Analytics & Modeling - Data-as-a-Service

Platform as a Service (PaaS) - Data Management Platforms

Applicable Industries

Healthcare & Hospitals

Applicable Functions

Business Operation

Services

Data Science Services

System Integration

Challenge

Consortium needed a master file to match reliably against the Provider Data Repository and third parties, as well as determine market penetration among all practicing providers. Consortium set out to find an outside source to overcome these challenges. They tested data samples and manually validated the information to determine which vendor provided the most complete and accurate view of providers across the U.S.

About Customer

Consortium Health Plans (Consortium) is a coalition of 21 leading Blue Cross® and Blue Shield® Plans. The organization is dedicated to positioning Blue Plans as the carriers of choice in the national accounts marketplace. One of their flagship services, Network Compare, enables users to assess and compare relative network size and composition between Blue providers and other competitors’ networks based on geography, provider type, and product. Consortium's mission is to provide comprehensive and accurate data to support sales and account management executives in the marketplace.

Solution

Network Compare has transformed the conversations that sales and account management executives have in the marketplace around the strength of BCBS networks. LexisNexis’ Provider MasterFile™ is a foundational component of this capability. Consortium found, on average, a 25 percent lift in coverage and data accuracy. LexisNexis was a clear leader among the vendors reviewed and continues to receive regular updates to remain in step with the market.

Impact #1	Network Compare has significantly improved the quality of conversations that sales and account management executives have in the marketplace.
Impact #2	The use of LexisNexis’ Provider MasterFile™ has provided a more complete and accurate view of providers across the U.S.
Impact #3	Consortium continues to receive regular updates from LexisNexis to ensure data remains current and relevant.

Impact #1

Network Compare has significantly improved the quality of conversations that sales and account management executives have in the marketplace.

Impact #2

The use of LexisNexis’ Provider MasterFile™ has provided a more complete and accurate view of providers across the U.S.

Impact #3

Consortium continues to receive regular updates from LexisNexis to ensure data remains current and relevant.

Benefit #1	25% lift in coverage and data accuracy.

Benefit #1

25% lift in coverage and data accuracy.

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Overview

Consortium Health Plans: A Complete Network Database For Network Compare

Operational Impact

Quantitative Benefit