A healthcare layer-removing software designed to remove inefficiencies from your health plan.
Trifecta Health Platform
By The Numbers.
Solving the three biggest costs in healthcare.
The Trifecta Health Platform.
Realtime RX via Trifecta Rx | Claim Review via Trifecta Claim Analysis | Accuracy predictions via Trifecta Predicted Encounters
Trifecta Rx
- 80% reduction in pharmacy costs to self-funded employers
- Direct Rx contracts with 90% of pharmaceutical manufacturers
- Brand name and specialty medication Rx sourcing for pennies on the dollar outside of PBM contracts
- 20-25% reduction in a self-funded employer’s total health costs
Forensic Claims
- 10% reduction in self-funded employer costs through identification and recovery of capital based on improper provider payments using AI, machine learning technology
- Meeting employer ERISA fiduciary responsibilities that less than 5% of employers are aware of
- Ensuring provider payment integrity ongoing
- Invaluable technology to TPAs, insurance companies and entities adjudicating medical and Rx claims
Health Analytics
- Ability to forecast health costs based on AI analysis of individual health encounter
- Invaluable to TPAs as a resource for reporting metrics
- Invaluable to TPAs in formulating direct provider contracts based on predictive surgery volume
- Invaluable to self-funded employers for setting proper reserves and engaging medical management to pursue cost mitigation ahead of time
Meet our expert team.
Derek Rine
Chief Executive OfficerChief Executive Officer Derek Rine
Mark Plaskow
Chief Technology OfficerChief Technology Officer Mark Plaskow
Steve Pappadakes
Chief Marketing OfficerChief Marketing Officer Steve Pappadakes
Frank Lloyd, MD
Chief Research OfficerChief Research Officer Frank Lloyd
Richard Linares
Chief AI OfficerChief AI Officer Richard Linares
Nelson Griswold
Chief Strategy OfficerChief Strategy Officer Nelson Griswold
Jeff Borglin
Chief Operating OfficerChief Operating Officer Jeff Borglin
Dr. Gerald Penn, MD, PHD.
Chief Medical OfficerChief Medical Officer Dr. Gerald Penn, MD, PHD.
Connor Brady
Senior Data ScientistSenior Data Scientist Connor Brady
Christopher Osufsen
Senior Data ScientistSenior Data Scientist Christopher Osufsen
Revolutionize your healthcare with Trifecta Health Solutions
A healthcare layer-removing software designed to remove inefficiencies from your health plan.
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