MEDai’s second offering will be a solution integrated with TriZetto’s CareAdvance Enterprise® application. These solutions can be used effectively for improved chronic care management, superior identification and stratification of populations, identification of cost drivers for high-risk populations, real-time monitoring of member compliance to evidence-based medicine guidelines, and understanding of member motivation for self management. Additionally, the interface and integrated solutions will enhance communication between physicians and consumers to promote improved health status and care coordination.
The Milliman Care Guidelines®, an integrated partner product, is a series of annually updated, evidence-based clinical guidelines that support the care management of nearly two-thirds of US health plan membership. Access to the Care Guidelines is provided through the integration of TriZetto’s Clinical CareAdvance® care management application with Milliman’s CareWebQI® interactive software, which enables consistent point-and-click care management; easy access to current best evidence; and documentation of variances from best practice. The result is reporting based on real-time data, supporting the elimination of gaps in care, resource delays and other variances.Unlike other clinical criteria alternatives, CareWebQI software provides diagnosis-specific evidence summaries, citations and quality measures. This evidence is integrated within all criteria and content – including detailed care pathways – to support proactive care and the capture of variances from evidence-based best practice.
Healthwise products, integrated with CareAdvance, offer a total-population health management solution for your enterprise. This solution improves health outcomes and reduces cost of care by engaging clinicians and members with shared decision- making tools and behavior change programs through Personal CareAdvance, health coaching and symptom triage for Clinical Care Advance, and online health content with the Treatment Cost Navigator. Healthwise is a nonprofit organization that develops health information and tools for health care organizations so people can make better health decisions.
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TriZetto is a leading provider of healthcare technology for payers and providers. TriZetto facilitates integrated healthcare management with comprehensive solutions for core administration, health insurance claims processing, care management, IT hosting services, Medicare solutions and more. TriZetto’s innovative claims processing software streamlines claims administration to reduce costs and improve revenue cycle management.