TriZetto Constituent Software Differentiates Payers and Improves Coordination of Care Across U.S. Healthcare System
05 Maggio 2008 - 1:30PM
Business Wire
The TriZetto Group Inc. (NASDAQ: TZIX) today announced a suite of
applications that can provide health plans with advanced, Web-based
services to enable members, providers, employers and brokers to
make more informed decisions and improve the coordination of
healthcare services across the U.S. healthcare system. The
company�s Constituent Web Solutions include: Member software for
benefit modeling, health plan enrollment, self-service, personal
health management, treatment cost comparison and benefit and fund
tracking. Provider applications for self-service, member
eligibility, access to patient personal health records, real-time
calculation of patient liability, and real-time claims processing
and payment. Employer and broker systems for self-service,
enrollment and billing. �Our Constituent Web Solutions will help
take our customers to a new level as strong service organizations.
By enabling better transparency and information sharing, our
applications can assist constituents across the healthcare system
in conducting business with health plans more easily and make
better informed decisions,� said Dave Pinkert, TriZetto�s senior
vice president, constituent web solutions. �These unique
capabilities help make our payer clients more competitive and
differentiated when responding to RFPs for new cases and renewals.�
Other benefits of TriZetto�s Constituent Web Solutions, according
to Pinkert, are that these Web-based systems can reduce a health
plan�s call center expenses and increase satisfaction of health
plan constituents. Constituent Web Solutions directly support the
payer�s consumer-driven plans, help improve service quality in more
traditional insurance products and lay the groundwork for a
next-generation consumer retail platform. And by obtaining all of
these applications from TriZetto, added Pinkert, the payer can
present a common look and feel online with applications that
integrate with TriZetto�s back-office core administration and care
management systems. �Getting the right information to health care
consumers, at the right time, and in the right format is
healthcare�s �last mile,�� Pinkert said. �By securely distributing
this information, our applications will enable a whole new
experience in health insurance, which we call Integrated Healthcare
Management (IHM).� IHM, he said, will lead to more informed and
engaged members, more efficient and effective healthcare providers,
all supported by payers that see and manage the big picture,
working with employers who see healthier, more satisfied employees.
In a recent research report, industry analyst firm Gartner Inc.
wrote, �The relative immaturity of health insurance portals, when
compared to other industries, and lack of consistent portal
strategy within an insurer�s site make investment in market
differentiation possible and profitable.�* TRIZETTO MEMBER WEB
SOFTWARE The member-facing applications help consumers make more
informed treatment and financial decisions and drive greater
efficiencies for payers and employers through self-service: Benefit
Cost ModelerTM Member Enrollment Member Benefit ProfileTM Member
Service Personal Care Advance� Treatment Cost NavigatorTM TRIZETTO
PROVIDER WEB SOFTWARE The provider-facing applications can drive
administrative efficiencies through reduced call volumes and
increased automation and help improve the cost of care with
accurate patient liability information: Provider POS DirectTM
Provider Service TRIZETTO EMPLOYER WEB SOFTWARE The employer-facing
applications can reduce the administrative burden on employers of
billing and enrollment. They also help reduce enrollment errors and
reworked claims, improve data accuracy and decrease the cost of IT
interfaces � all due to a real-time claims connection: Employer
Enrollment Employer Service Employer Billing TRIZETTO BROKER WEB
SOFTWARE The broker-facing applications aid brokers� in their sales
process; in evaluating and selecting plans for employers to improve
groups� satisfaction; in helping educate and enroll employers�
workforce; and in reporting utilization, service levels and benefit
costs: Broker Enrollment Broker Service Broker Bill About TriZetto
TriZetto is Powering Integrated Healthcare Management�. With its
technology touching nearly half of the U.S. insured population,
TriZetto is uniquely positioned to drive the convergence of health
benefit administration, care management and constituent engagement.
The company provides premier information technology solutions that
enable payers and other constituents in the healthcare supply chain
to improve the coordination of benefits and care for healthcare
consumers. Healthcare payers include national and regional health
insurance plans, and benefits administrators that provide
transaction services to self-insured employer groups. The company�s
payer-focused information technology offerings include enterprise
and component software, hosting and business process outsourcing
services, and consulting. Headquartered in Newport Beach, Calif.,
TriZetto can be reached at 949-719-2200 or at www.trizetto.com. *
Booz, Robert H., �A Comprehensive Web Portal Strategy Remains an
Unmet Need for Healthcare Insurers,� by Gartner Inc., Feb. 7, 2008.
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