5% of patients account for almost half of all U.S. healthcare spending (1) while 1% were responsible for 22% of costs (2).
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TriZetto provides payers with solutions to identify and manage members through claims information, and also to deploy provider-led population health and quality programs driven by clinical data.
Positive influence over the cost and quality of care requires proactive management of individual members, populations, provider relationships, and quality programs. TriZetto care management and collaborative care solutions coordinate care for members, engage providers, and enable true collaboration.
TriZetto delivers a leading-edge solution for controlling care management costs, enabling you to consolidate your utilization, disease, and case management processes onto a single platform. The TriZetto CareAdvance Enterprise solution helps transform siloed care management into an advanced, member-focused, integrated program. Successful care management programs reduce costs, personalize interventions, enhance outcomes and improve the quality of care.
Our world-class services include application hosting and management, business process services, and consulting. TriZetto’s application hosting and management are delivered via cloud technologies to give clients flexible and scalable business services. Our global team of experienced professionals possesses deep knowledge of both the healthcare industry and TriZetto solutions, helping clients solve their unique business challenges and achieve results more quickly.
(1) Conwell LJ, Cohen JW. Characteristics of people with high medical expenses in the U.S. civilian noninstitutionalized population, 2002. Statistical Brief #73. March 2005. Agency for Healthcare Research and Quality, Rockville, MD. Read more.
(2) Yu WW, Ezzati-Rice TM. Concentration of health care expenses in the U.S. civilian noninstitutionalized population. Statistical Brief #81. May 2005. Agency for Healthcare Research and Quality, Rockville, MD. Read more.
To gain industry perspectives on future trends in care management and PHM, TriZetto conducted a survey of providers and payers across eight segments of healthcare.
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TriZetto provides healthcare organizations with comprehensive IT solutions for core administration, healthcare analytics, care management, value-based insurance design, healthcare IT consulting and more. TriZetto’s leading claims processing system helps reduce costs and improve processing speed, while TriZetto’s network management application provides sophisticated tools for contract modeling, claims pricing and payment bundling. TriZetto’s care management solutions integrate clinical analytics into physician workflow more effectively. And TriZetto’s healthcare IT outsourcing services enable organizations to reduce costs and focus on critical business objectives.