5.2 Trend Overview
The Trend Overview captures all of the valuable detailed claim information that is contained in Claims Review and trends it over a specific time frame (usually two years) to illustrate the impact on a quarter by quarter basis.
The Trend Overview provides a breakdown of how Plan, Member, and Discount contributions were applied to the total charges submitted by providers, plotted quarter over quarter.
Trend Overview is designed to simplify the task of breaking down all submitted charges from providers over a period of time. The above chart provides a visual colored depiction on the savings received from discounts applied due to network contracts as well as the amount contributed by the Plan Sponsor and employees.
Green - Plan
Yellow - Member
Blue - Discount
The colored areas then correlate to the legend area below by showing detailed claim information from start and end dates for each quarter based on time period displayed on the reports.
Period - Denotes the quarter.
Claims - The number of claims processed for providers.
Total Charge: Original total amount billed by provider before any network or other claim payment consideration. More.
Plan Paid: Total amount paid by Plan Sponsor.
% Paid: The percentage of original billed charges paid by the plan sponsor. More.
% Usage: The percentage of total dollars paid by the Plan Sponsor. This is a measure of how much of total payment went to a specific item and is a useful indicator of how the plan dollars are distributed between different payers.
- This Report is useful in determining if a network change was beneficial or steerage was implemented correctly.