TRUSTHUB IS NOW
CHANGE HEALTHCARE
Synergies between Change Healthcare and Trusthub will enable faster, more integrated, and scaled development opportunities for both new products and product upgrades.
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.
FOR PLANS
SMART CONTRACTING
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.
VBR PAYMENT
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.
FOR PROVIDERS
ENABLEMENT
Robust services to assist providers with their enrollment and management of their VBR Contracts. Ongoing support for technical assistance and practice enrollment/monitoring.
PERFORMANCE ANALYTICS
Reports and Dashboards that provide you the YTD status on your practice performance and cash flow modeling and projections.
CONTRACTING
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.
NETWORK ANALYTICS
Analyze network referral patterns and performance for gain share disbursement and transparency, scorecard metrics and drill-downs.
TrustHub: an overview.
TRUSTHUB PLATFORM
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.
TRUSTHUB ENGINE
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
TRUSTHUB SOFTWARE
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.
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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.
Meet the suite.
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TRUSTHUB OPPORTUNITY
Separate the signal from the noise. Leveraging historical claims data, get insight into performance compared to your peers and the Payformance benchmarks, discover which episodes offer the greatest probability for cost and quality improvement, and most importantly where to begin your VBC strategy.
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TRUSTHUB EPISODE MODELER
Customize and build a your network for any of the 95+ predefined episodes of care. Provides a value-based contracting simulation environment, putting data science and episode modeling in the hands of the end user. Carve out specialties and/or services types then immediately generate updated average episode costs, potential opportunities, network strength and reliability, and simulated gain share performance (based on retrospective actuals).
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TRUSTHUB SMART CONTRACTING
Transitioning to VBC is hard enough. Provide your existing teams with the value-based care contract terms in a way that aligns with your existing FFS systems. INPUT: Load in the payer and risk-bearing provider entity information, prospective episode budgets, and contract performance metrics. OUTPUT: Standard VBC contract with charge-masters to share with your contracting & legal teams.
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TRUSTHUB NETWORK STRATEGY
Allows stakeholders to evaluate the effectiveness (quality) and efficiency (cost) of their current network to optimize the network and understand practice patterns. Identifying the high performing providers / facilities to develop narrow or custom networks for a value-based contract or any other products.
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TRUSTHUB EPISODE BUILDER
Healthcare is local and billing codes are no different. Work collaboratively to develop new or custom episode logic definition sets. Develop bundles that will work for new or existing care continuums leveraging existing practice and billing patterns.
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TRUSTHUB SANDBOX
Provides a nimble environment wherein the time from ideation to visualization is untethered from your existing IT processes. While TH:S is largely a demo environment, development is done in-house and each custom analysis can be quickly migrated to a specific users account.
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TRUSTHUB PERFORMANCE
Real-time monitoring of in-flight contracts. Budget-to-Estimate financials and performance measurement customized to your APM contracts. Actionable insights that empower risk bearing entities to adjust behavior based on empirical results. Am I on target to outperform my episode budget? Which providers are above or below expectations? Where should I focus my resources?
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TRUSTHUB RECONCILIATION
Value-based contracting requires limiting the additional costs and burdens of administration. Leveraging our independent, third-party platform enables stakeholders transparency into the annual Budget-to-Actual financial and performance measurements, customized to your APM contract. Rebalance the budget, based on actual risk of the patient population and current attribution, while reducing the administrative burden for contract renewals or establishing next year baseline budgets.
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TRUSTHUB TRANSFORMATION
Reduce the gap between health and healthcare. Empowering risk bearing entities and their provider-episode cluster to transform patient treatment plans in a way that generate net shared savings for all participants. Sustaining an value-based contract requires RBEs to have full transparency into what care is delivered, to whom, by whom, and where it was delivered; at a patient claim line level.