TriZetto Debuts Version 5.0 of Its Enterprise System

Enhancements have been designed to meet the exigencies resulting from new regulatory requirements, such as ICD-10, and changes in Medicare and Medicaid, as well as a growing retail market, according to the vendor.

The TriZetto Group (Denver) has launched new enhancements to its benefits administration, care management and network management capabilities within its enterprise solution platform. The upgrade will help health care organizations improve administrative efficiency; achieve compliance; enhance the cost, quality and delivery of care; and compete within an emerging retail environment, a vendor statement asserts. The enhancements are the first in TriZetto's 5.X series of transformational releases that the vendor says will be introduced throughout 2012.

"Our 5.0 release for core administration, care and network management is an important milestone on our way to a consolidated suite that will help our clients optimize their investment in TriZetto technology," comments Pierre Samec, executive VP and CTO, TriZetto. "The solutions take advanced, enterprise-wide functionality, scalability and quality to the next level."

Enhancements to TriZetto's Facets enterprise core administration system include new capabilities in the user interface that streamline the user experience and increase efficiency, improvements that support new payment and care delivery models such as patient-centered medical homes and payment bundling, and improved functionality for vision lines of business, the vendor claims. New functionality for the company's QNXTTM administration platform includes enhanced integration with TriZetto's portal and care solutions, as well as enhanced integration capabilities with third-party solutions, a vendor statement reports.

The 5.0 release of TriZetto's care-management solution, CareAdvance Enterprise, includes what the vendor calls advanced functionality that streamlines utilization, disease and case management processes; expanded analytic capabilities; improved care work flow; and integrations with third-party systems to lower total cost of ownership. Additional capabilities in TriZetto's network management applications, NetworX Suite, support pricing for new ICD-10 codes and further efficiencies in hospital contract administration, TriZetto says.

"We built TriZetto's 5.0 enterprise platform to meet the challenges and opportunities presented by the trifecta of reform, regulation and retail," says Dave Pinkert, senior VP, product management, TriZetto. "Reform requires a heightened focus by healthcare organizations on improved cost and quality of care delivery and even greater operational efficiency. New regulatory requirements such as ICD-10 and Medicare and Medicaid changes demand flexibility in payers' technology and processes. And the growing retail market, driven by an emerging consumer perspective in benefits and care delivery, presents payers with new distribution channels such as state and private exchanges. TriZetto's end-to-end 5.0 platform will further enable healthcare organizations to succeed in the changing healthcare industry."

Anthony O'Donnell has covered technology in the insurance industry since 2000, when he joined the editorial staff of Insurance & Technology. As an editor and reporter for I&T and the InformationWeek Financial Services of TechWeb he has written on all areas of information ... View Full Bio