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.
The TriZetto® Collaborative Care Solution, powered by Wellcentive, captures and aggregates patient data from nearly any data source, creating an effective pathway for providers to share the clinical data necessary for payers to operate Patient-Centered Medical Homes (PCMHs), Pay-for-Performance (P4P) programs and other care management and quality initiatives. Payers can enable provider-led Population Health Management by actively engaging caregivers in coordinated, team-based care activities and providers benefit from the ability to monitor clinical goals at the point-of-care and employ a comprehensive view of patient populations, beyond individual episodes and interactions.
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.
(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.