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Risk Assessment

Data Analysis and Predictive Models Improve Plan Performance

Health benefits are an essential strategic investment. TrendShift provides a proven process, scalable technology and healthcare expertise to identify financial vulnerability and cost exposure. Our analytics identify opportunities to mitigate risk, lower exposure, and create better health outcomes for plan participants.

TrendShift's suite of products can benefit your plan, and help you comply with the Employee Retirement Income Security Act (ERISA) fiduciary responsibilities such as:

  • Acting solely in the interest of plan participants and their beneficiaries
  • Acting for the exclusive purpose of providing benefits to workers participating in the plan and their beneficiaries, and defraying reasonable expenses of the plan
  • Carrying out duties with care, skill, prudence, and diligence — acting ‘prudently’ is a central responsibility under ERISA
  • Enabling the CFO, who typically serves as the plan administrator

Population Health Analysis

Poor care decisions made by plan members can often cost risk holders millions of dollars.

Compounding the issue is the plan member ignorance of their personal health risk and what steps can be taken to mitigate the situation. TrendShift’s analytics solutions identify inefficiencies in care decisions and treatment costs.  In addition to the claims data, we also capture detailed biometric, health, and lifestyle data about members to develop trend and propensity models.  The advanced models guide plan investment, member education, and provider management.

Key features include:

  • ACA-compliant options for participation or standards-based wellness programs.
  • Robust longitudinal biometric, health and lifestyle, medical and Rx claims data.
  • Proprietary analytics and reporting provide unique opportunities for mitigation and prevention.
  • Real-world, data-based knowledge of how well your health plan and network are caring for your members and contributing to their long-term well being.

Get Actionable Intelligence

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Claims Payment Integrity

Ensures that our clients’ medical and pharmacy claims are being paid accurately. Our algorithms analyze every claim, and every item of every claim.

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Value Stratification

Assists our clients in understanding where low-value healthcare purchases are being made and, more importantly, reveals opportunities to shift these purchases toward high-value

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Modifiable Risk Identification

Helps clients understand the financial and health risks that their plan and plan members are currently bearing. Identifies opportunities for adjustment and modification.

Population Health = Empowerment

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Preventable conditions represent the majority of healthcare costs.

Hundreds of thousands of dollars can be saved by altering the care history over the tenure of just one employee. TrendShift analytics provide a risk score for every single plan member. The score helps our team member establish a tailored action plan for each employee and their specific conditions.

At every step of the way, our caring, U.S.-based customer care team will support your members. They will rest assured knowing that their personal health information is never shared with anyone, including the health plan, and that it is accessible 24x7 in our HIPAA-compliant online portal. Powered by our groundbreaking care analytics, TrendShift’s programs have the best results in the industry.

Member Scores

TrendShift member scores present health information in a motivational manner designed to help drive behavior change, while providing insight into intervention programs and measurement for population health managers. Most importantly, Know Your Number™ is completely evidence-based, and this means members are receiving the most accurate information possible.

Biomarker Analysis

TrendShift captures specific biometric data through blood chemistry analysis, allowing us to identify a trend at the sub-clinical stage. With TrendShift, biomarkers become bio-predictors and as such are indicators of dysfunction, which is the precursor to disease. Combining this with our proprietary health risk assessment questionnaire enables prediction and prevention.

Synthesis Analysis

TrendShift’s Synthesis Analysis™ is a patented statistical method for summarizing the epidemiological association of the underlying contributing factors of multifactor diseases from disparate medical literature into comprehensive prediction models.

To find out what our Insight can do for you, call us at
(866) 644-8877
or

Schedule Demo