5% of patients account for half of all U.S. healthcare spending while 1% were responsible for 22% of costs (as reported by Agency for Healthcare Research and Quality).
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Influencing the cost and quality of care is achieved through proactive management of populations, stronger engagement of providers and members in complying with evidence-based guidelines and leveraging data through analysis of actionable reports. Yet care management is increasingly complex—and the challenges are about to get bigger. Healthcare spending is expected to increase more than 8 percent by 2014. Competition for members is tougher than ever. And healthcare exchanges are expected to bring more than 30 million new members to the market—including millions of new Medicaid recipients who may have lacked coverage and neglected treatment in recent years. Fortunately, TriZetto delivers a leading-edge solution for controlling care management costs, enabling you to consolidate all your care management solutions on a single platform. TriZetto CareAdvance Enterprise® helps transform care management from a traditional model with a single patient focus to an advanced, integrated model with a population-based focus. Helping you to reduce costs, personalize interventions, enhance outcomes and improve the quality of care.
While TriZetto’s care management solutions can help you achieve dramatic results, you’ll see results faster when you combine these solutions with TriZetto Advantage Services®. That’s because no one has more experience managing and implementing TriZetto applications than TriZetto itself. With TriZetto Advantage Services, you’ll experience easier implementations and integrated care management, smoother process transitions and faster business transformation. That translates to measurable results and a competitive edge. Learn more about TriZetto Advantage Services now.
The number one priority that continues to surface in TriZetto sponsored research of payers is the need to reduce incurred medical costs.
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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.