The Accountable Care Organization (ACO), as defined by healthcare reform legislation, is expected to be a catalyst for value-based care delivery. It will accelerate the healthcare industry’s drive toward a value-based—rather than fee-for-service—reimbursement model.Although reaction to the ACO has been mixed, the model has generated renewed interest in ways to share risk, reduce costs and improve the delivery of care. Payers, physicians and health systems are considering ways to collaborate more effectively in order to develop value-based care-delivery models.
TriZetto’s patent-pending technology supports the mission of the Accountable Care Organization and other value-based initiatives by delivering analytics and data that support shared financial risk, better clinical decisions and improved care management. TriZetto’s Value-Based Benefits Solution helps engage patients in new and effective ways to manage their own health. TriZetto’s Value-Based Reimbursement Solution also supports a payment bundling
approach that can help payers and providers move toward reimbursement structures that reward the value, rather than the volume, of care delivered.
Payment bundling holds great promise as a way to improve the cost-effectiveness and quality of healthcare
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As a leading provider of healthcare IT solutions for payers and providers, TriZetto delivers innovative claims management systems, clinical care management solutions, core administration software and network management solutions that help reduce costs, streamline administration and improve the quality of care. TriZetto’s leading edge solutions are helping to transform the healthcare industry by better aligning health insurance incentives, speeding healthcare claim processing, promoting value-based benefits, improving population health management, and reducing the cost of claims processing services and supporting the accountable care organization.