Define, contract, collaborate.
It's all in here.
TrustHub enables plans, providers, states, and employers to focus on what matters. Better value, better data, better care. Healthcare is challenging enough, technology must reduce the administrative burden associated with transformation not increase it. Our revolutionary, industry-leading TrustHub platform-as-a-service solution is a go-to-market differentiator that, coupled with our people and processes, delivers a comprehensive “service bureau” approach for launching and scaling value-based reimbursement programs, driving maximum ROI.
WHAT IS VALUE-BASED REIMBURSEMENT?
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Meet us in the middle.
As a neutral third party, the TrustHub platform is built on three core ideas: trust, transparency, and collaboration. Establishing a new “handshake” between payers and providers by pioneering thoughtful solutions that deliver efficiency, predictability and consistency in value-based care programs while creating an ecosystem that aligns payers’ and providers’ financial goals with patient outcomes.
Enables value based contract management, review and adjustment of streamlined, performance monitoring and payment. Enables speed to market and scalable support.
NETWORK MANAGEMENT & PROVIDER RELATIONS
Provider module is extendible to house various types of affiliations which can augment the health plan’s provider system of record.
Rating module enables health plans to define the various rating parameters and integrates the payment execution via its payment processor.
FFS TO VBR CONVERTER
Allow your providers to submit claims per the usual process. This module supports the Plan’s legacy systems for FFS and creates to “ghost” claims for clean financing.
Robust services to assist providers with their enrollment and management of their VBR Contracts. Ongoing support for technical assistance and practice enrollment/monitoring.
Reports and Dashboards that provide you the YTD status on your practice performance and cash flow modeling and projections.
Tools for modeling and network design to facilitate contact optimization. Allows for tunable parameters including gain/loss share, stop loss, quality scorecard impact, and more.
Analyze network referral patterns and performance for gain share disbursement and transparency, scorecard metrics and drill-downs.
TrustHub: an overview.
The TrustHub Platform is your go-to-market differentiator that delivers a comprehensive “service bureau” approach for administering and facilitating value-based reimbursement, driving maximum ROI for each stakeholder. TrustHub eliminates your administrative burden and aligns your financial goals with improved patient outcomes -- reducing the gap between health and healthcare.
The TrustHub Engine analyzes claims data to create an episode-of-care that includes all covered services bundled across all providers (hospital, physicians, laboratory, pharmacy, etc.) that would typically treat a patient for a given condition, illness or injury. The episodes-of-care can then be converted into a prospective budget that is adjusted for the severity and complexity of the patient’s condition. MORE LESS
The TrustHub Software Suite provides modeling and actionable capabilities across the APM contract lifecycle, from ideation to implementation. Apps enable stakeholders to build VBP models, evaluate provider performance, identify care variations, improve network efficiency, and much more. Additional custom capabilities can be added to help analyze the impact associated to transitioning from the traditional FFS/MCO contracts to a VBP contracting model.
Power the platform.
Healthcare claims data is one of the fastest growing, most complex areas of big data. It’s also one of the most undervalued assets, containing a definitive record of services delivered to patients, provider network relationships, payer contracting, fraudulent activity, price transparency, and more. Making use of claims data is hard. It’s structured but fraught with issues. Data is incomplete. Common fields are used differently by each organization and sometimes multiple ways inside one organization. Billing codes are not applied uniformly across the delivery system. This makes it difficult to fit into pre-defined schemas. Organizations are challenged to ingest, process, and analyze data using traditional Fee-For-Service contracting software for Value-Based Contracts. Traditional Fee-For-Service solutions require manual intervention, ad-hoc analytics, and significant customization. TrustHub has solved this problem.
Whether you’re already shifting or are getting ready to migrate to Alternative Payment Models or Value-based Contracts, our TrustHub Platform can help you reduce your administrative burden and improve your performance in these contracts. Leveraging our TrustHub application suite, you get more context around our APM contracts and see more clearly how you are performing throughout the life of a contract. Launch with confidence. Scale with context.