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Evidence-Based Strategy
for Healthcare™

 

Improve network performance with industry-leading data analytics and market research.

🚀 [NEW]  – Evidence-based strategies will determine the winners of healthcare's negative-sum game. Will you be one of them? Explore the Field Guide →

RECENT
RESEARCH

The Market Rate Has Been Revealed, and It Is Lower Than You Think
National Distribution Reveals Variation in Performance Among Renowned U.S. Hospitals
2023 Trends-1

Healthcare’s Negative-Sum Game Impacts Every Stakeholder in the Health Economy

For decades, the U.S. health economy has operated as if the fundamental rules of economics – demand, supply and yield – do not apply.
The U.S. healthcare system is what game theorists call a “negative-sum game,” and the rules of that game are immutable.

5,000 babies are born covered by commercial insurance each day, while 10,000 people become Medicare eligible each day.

Demand
The commercially insured population is shrinking, as ~10,000 Americans become Medicare-eligible each day, while almost half of the ~10,000 daily births are covered by Medicaid.

Supply of providers now includes Amazon, Optum, Teladoc, Walgreens, Walmart, CVS and VillageMD.

Supply
Patients have an increasing number of providers from which to choose, with new entrants offering services to compete with traditional providers at lower prices.

Negotiated rates have been the most closely guarded trade secret of health insurers

Yield
Negotiated rates have been the most closely guarded trade secret of health insurers -- until now. Health plan price transparency reveals a wide disparity in the rate that payers reimburse different providers for delivering the same service in the same market.

Network Performance is Essential to Compete in  
Healthcare’s Negative-Sum Game 

The measure of network performance is different for different stakeholders in the health economy, but variables are the same for each one: the series, and sequence, of provider and patient decisions.

Map of Markets Most Similar and Dissimilar to Austin, TX Based On Aggregate Similarity

Are you in the right markets?
Market quality is the most important variable in the performance of a network, and understanding market quality is essential to selecting the markets in which to compete.

How does your network perform in the markets you serve?
Every market has a total addressable market (TAM) of goods and services. Network performance measures how well an organization maximizes its performance within the TAM as compared to other competitors. Do you know the TAM and “share of care” in every market you serve?

Share of Care for Patients Who Had At Least One Encounter at the Cedars-Sinai Medical Center Campus in 2021, In-System vs Out-of-System
EIN-NETWORK RATES FOR DRG 470 (HIP & KNEE REPLACEMENT) IN CHICAGO-NAPERVILLE-ELGIN IL-IN-WI UNITEDHEALTHCARE VS. HEALTH CARE SERVICE CORPORATION

Can you defend your rate?
Health plan price transparency reveals a startling spread in pricing for healthcare services. As a result, health plan price transparency should inaugurate an era of unprecedented and frenzied competition to win the hearts and minds of the payer that keeps the current U.S. healthcare system afloat: the employer. If it does, the winners in healthcare’s negative sum game will be those who deliver value for money.

Provider Referral Decisions and Consumer Options Impact the Patient Journey

How do provider decisions impact your network performance?
Everything in healthcare begins with a provider decision. The only way to improve network performance for providers, payers, employers or life science companies is to have a detailed understanding of the locations of, practice patterns of and value (cost + quality) provided by the more than 2.9M providers in the United States.

How do consumer decisions impact your network performance?
Patients are people, and whether a patient adheres to a particular network depends on many factors, including access, affordability, consumer psychology and benefit design. 

Healthcare Analytics for Every Stakeholder

Provider Solutions
Health Plans Solutions
Life Sciences Solutions

Interested in learning more?

Let’s talk. Fill out the form below, and we will be in touch shortly.

Introducing  Open Access to Trilliant Health’s National Provider Directory API

APIVisual
Preview The API-1
ATop

Stay Compliant
Improve accuracy and completeness of third-party provider directories, to support compliance with the No Surprises Act.

BSecond-1

Develop Customer-Facing Applications
Retrieve information about healthcare facilities, physicians and allied health professionals into B2B and B2C applications.

eye

Gain Visibility
Understand characteristics of provider practices, including number of practice locations and size of patient panel.

Dfourth

Understand Network Performance
Analyze physician behaviors and referral patterns to improve network performance, develop go-to-market strategies or build provider networks.
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Data-driven Insights on the Health Economy

The health economy creates more data than any other part of the U.S. economy. Trilliant Health’s research and reports examine the organization, financing and delivery of healthcare from the lens of demand, supply and yield.

PRCompass+Platform

Compass+
Navigate the increasingly complex and competitive health economy with exclusive data-driven insights, policy briefings, executive commentaries and strategic resources. 
Explore the Platform >

2023 Frame-2

2023 Trends Shaping the Health Economy
The report is a fact-based national analysis of 10 data-driven trends that will define the landscape, and subsequent challenges, for all players in the health economy, revealing the importance of delivering value for money.    

Read the Full Report >

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A Field Guide to Survive Healthcare's Negative-Sum Game
The Field Guide offers evidence-based strategies and tactics to win healthcare’s negative-sum game for every health economy stakeholder, whether a provider, payor, life sciences firm or employer.

Download the Field Guide >