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NEWPORT BEACH--- TriZetto Constituent Software Differentiates Payers and Improves Coordination of Care Across U.S. Healthcare System |
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Newport Corporation |
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| 5/5/2008 @ 6:35 AM
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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. |
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| Wednesday, October 1, 2008 |
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| Tuesday, September 30, 2008 |
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| Thursday, September 25, 2008 |
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| Wednesday, September 24, 2008 |
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| Tuesday, September 23, 2008 |
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