TriZetto and its Payer Solutions-I

Healthcare market is constantly changing. If we take into consideration compliance mandates, new care initiatives, healthcare reform and emerging payment models, the whole of the healthcare industry seems to in a state of flux. In this situation, the industry needs such tools that can help healthcare payers entities adapt to change, reduce costs, increase efficiency and improve the quality of care. TriZetto's latest technology-based tools are the bests answers for all of these challenges.

TriZetto has been adapting and growing with its payer partners since 1997. Every step of the way its core administrative technologies have been there helping increase administrative efficiency and reducing risk while improving the cost and quality of care. From supporting healthcare reform changes to enabling new care initiatives, TriZetto’s solutions today deliver the flexibility and scalability to enable its payer partners to meet change head-on.

Let us see what are the areas TriZetto has covered to help its payer partners in the changing healthcare landscape:

1. Core Administration

2. Care Management

3. Health TranZform

4. Network Management

5. Value-Based Solutions

6. Portal Technology Solutions

7. Optimization Tools

1. Core Administration

i) Facets

ii) QNXT

iii) QicLink

2. Care Management

i) CareAdvance Enterprise solutions

a) TriZetto Clinical CareAdvance

b) TriZetto Personal CareAdvance

3. Health TranZform

i) EngageConsumer

4. Network Management

i) NetworX Modeler

ii) NetworX Pricer

iii) NetworX Payment Bundling Administration

5.Value-Based Solutions

i) Value-Based Benefits Solution

ii) NetworX Payment Bundling Administration

6.Portal Technology Solutions

i) Member-

a) Member Service application

b) Treatment Cost Navigator solution

c) Member Benefit Profile

ii)  Employer & Broker-

a) Employer & Broker Enrollment solution

b) Employer & Broker Bill solution

c) Employer & Broker Service solution

iii) Provider

a) Provider POS Direct solution

b) Provider Service application

7. OPTIMIZATION TOOLS

i) Claim Test Pro

ii) Configuration Migration Utility

iii) Facets Enrollment Toolkit

iv) Security Management Tool

v) Supplemental Mapping Management Tool

vi) Test Data Generator for Facets