Trexin helped a healthcare payer use machine learning in pursuit of a $4MM savings target.
Trexin helped a healthcare payer use machine learning in pursuit of a $4MM savings target.
1 PagesTREXIN CASE STUDY © TREXIN CONSULTING, LLC CONTACT US Healthcare Practice hc@trexin.com www.trexin.com USING AI TO EXPEDITE AND EXPAND COST-OF-CARE SAVINGS Trexin helped a healthcare payer use machine learning in pursuit of a $4MM savings target. BUSINESS DRIVER Our Client, a state plan for a Fortune 100 health insurance company focused on the Medicaid market, assigned 4 pillars to its annual strategy. One of those pillars was to significantly improve provider network performance with key outcomes of improved quality (HEDIS measures) and lower medical loss ratio (MLR) for their network primary care physicians, setting an aggressive target of $4MM in cost-of-care savings for the fiscal year. Having already identified primary care physicians who were above or below averag
