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Healthcare Executives from 53 Payer Organizations Share Ideas for Integrated Healthcare Management at Trizetto Vision Summit

NEWPORT BEACH, Calif. - November 19, 2008 - At TriZetto's 6th annual Executive Vision Summit held last week, 100 executives representing 53 payer organizations that cover 87 million consumers gathered to share ideas for the next steps in delivering Integrated Healthcare Management (IHM). IHM is a vision proposed by TriZetto for the systematic application of processes, shared information and aligned incentives to optimize the coordination of benefits and care for consumers. The Executive Vision Summit was created to provide an open dialog among senior payer executives with an emphasis on ideas three to five years ahead.

"The American healthcare system has operated as an unsustainable bubble with a mismatch between cost and value that will potentially burst like the housing market if we do not find a way to break away from that sub-optimized-silos model of healthcare," said Jeff Margolis, TriZetto's chairman and CEO in his opening remarks. "This group of payers, however, is leading the early part of a significant journey towards Integrated Healthcare Management, combining the best that payers know about benefits and the best that providers know about care, and powering those with new constituent engagement tools. Together, these will improve the cost and quality of healthcare for consumers and create new opportunities to bring the uninsured into organized systems of care. The richness and fullness of the data aggregated by payers that can be leveraged is not well understood, either by other healthcare supply chain constituents or government policy makers, so payers must create the path and show the way for the industry as a whole."

Dan Spirek, executive vice president and chief strategy and marketing officer highlighted that the company has built the next layer of architectural details in the development path for Integrated Healthcare Management, "The devil is in the details, and we have identified design elements for hundreds of the pieces that are needed to connect consumers, providers, employers, brokers and payers in this new model."

To generate additional discussion, the two-day conference included other thought-provoking speakers including:

  • David Wennberg, M.D., M.P.H., chief science & products officer, Health Dialog, who spoke about variations in healthcare practices and the opportunities for improvement
  • Tom Main, partner and U.S. practice leader for Oliver Wyman, who provided a new quantitative economic model of integrated healthcare for the industry to consider
  • Bill Frist, M.D., former Senate majority leader, who discussed the healthcare legislative outlook
  • A panel comprised of Mark Fendrick, M.D., professor of internal medicine and health management and policy, Univerisity of Michigan, and co-director the Center for Value-Based Insurance Design; Blake Williamson, M.D., vice president and senior medical director, BlueCross BlueShield Kansas City; Kristin Begley, PharmD, national pharmacy practice leader, Hewitt Associates; and Cristie Upshaw Travis, board chair, National Business Coalition on Health and CEO, Memphis Business Group on Health, which focused on their comparative experiences in developing and delivering value based benefit designs in the marketplace.

In addition, four separate breakfast roundtables generated outstanding dialog and sharing among attendees:

  • 5010 and ICD-10 issues, challenges and implications for your healthcare operations
  • Provider-focused risk management strategies
  • Constituent engagement opportunities
  • Value-based benefit design experience and directions

About TriZetto

TriZetto is Powering Integrated Healthcare Management™. With its technology touching more than 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.

CONTACT:

Investor and Government Contact:
Brad Samson
TriZetto
949-719-2220
brad.samson@trizetto.com

Media Contact:
Melissa Bruno
Schwartz Communications
781-684-6652
trizetto@schwartz-pr.com


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