Healthcare Technology Featured Article

June 23, 2011

TriZetto Unveils New Solutions for Healthcare Payer Organizations


The TriZetto Group, a provider of healthcare IT software and service solutions, announced the launch of a comprehensive set of enhanced software and service solutions for healthcare payer organizations at its recent 2011 Payer Conference in Orlando.

 

The 2011 Payer Conference showcased advanced software and service solutions that can help health plans improve efficiency, improve the cost and quality of care and more effectively connect and collaborate with providers, said Trace Devanny, chief executive officer of TriZetto.

 

“The showcase, workshops and interactive forums provided hands-on demonstrations of innovative solutions to help meet these challenges and a forum for the frank exchange of new ideas, case studies and best practices,” Devanny added.

 

The conference highlighted a game-changing plan for delivering payer-provider connectivity through TriZetto’s acquisition of Gateway EDI. This is intended to drive efficiency and collaboration in provider interactions while reducing the inefficiency, waste, paperwork and phone traffic inherent in today’s fragmented system.

 

TriZetto Advantage Services, another set of solutions from the company, delivers cost-effective methodology to help payer organizations meet their business objectives more quickly, with higher quality and less risk.

 

Systematic Healthcare Management offers solutions for population health management, which includes value-based insurance design solutions and value-based reimbursement solutions. It supports new payment and care-delivery models such as the accountable care organization (ACO) and patient-centered medical home.

 

TriZetto also announced winners of this year’s IHM Power Awards. Cox HealthPlans and Leon Medical Centers Health Plans of Florida won in the categories of Operational Excellence and Innovation, respectively.

 

The company thinks that payer-provider connectivity and collaboration can play a crucial role in improving the coordination of care, and coordinated care can begin to address “a weighty problem” highlighted by former Arkansas governor Mike Huckabee in his first public appearance since announcing he would not run for president in 2012.

 

Huckabee was hinting at the health issues faced by today’s young generation. “We’re raising a generation of type 2 diabetics, two-thirds of us are overweight or obese, and obesity increases the risk of diabetes and many of the other chronic diseases that drive 75 to 80 percent of our healthcare costs. America simply cannot afford its obesity epidemic.”

 

Huckabee commended payer organizations for encouraging better choices with incentives and consumer-driven plans in which members have more skin in the game. According to Huckabee, health plans also should continue to use member and physician incentives to promote preventive care and help the nation change from a culture of cure to one of prevention.

 

Earlier in March, the TriZetto Group announced that its Clinical CareAdvance care management application set performance, scalability and reliability benchmarks during recent performance testing at Microsoft Services Labs.

 

In simulations based on actual healthcare payer data, the software efficiently served more than 40 million members while concurrently used by more than 5,000 health plan clinicians, company officials said.

 

Want to learn more about the latest in communications and technology? Then be sure to attend ITEXPO West 2011, taking place Sept. 13-15, 2011, in Austin, Texas. ITEXPO offers an educational program to help corporate decision makers select the right IP-based voice, video, fax and unified communications solutions to improve their operations. It's also where service providers learn how to profitably roll out the services their subscribers are clamoring for – and where resellers can learn about new growth opportunities. To register, click here.

 


Rajani Baburajan is a contributing editor for HealthTechZone. To read more of Rajani's articles, please visit her columnist page.

Edited by John Lahtinen
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