Insurance & Technology – August 11, 2010
TriZetto Releases Value-Based Benefits Solution
Writer Nathan Golia reports the general availability of TriZetto’s Value-Based Benefits Solution, health benefits administration and incentive management software that uses the company’s Facets and QNXT core systems to customize benefits and incent member choices based on their health status, chronic conditions, and health and wellness activity. “TriZetto’s solution can certainly handle basic value-based design requirements, but it also can provide value-based insurance designs in advanced forms, including multiple incentives that are member- and condition-specific,” says Gail Knopf, vice president of enterprise strategy at TriZetto. “Our Value-Based Benefits Solution targets patients with select clinical diagnoses and lowers co-payments or coinsurance for specific, high-value medical and pharmacy services as consumers take positive action, not at some fixed point in time such as open enrollment. TriZetto’s product automates what historically has been a very labor-intensive, individualized adjudication of medical claims.” [read article - PDF]

Insurance & Technology – August 2, 2010
PHRs Gain Popularity Among Insurers
This article acknowledges that the uptake of practice- and hospital-based electronic records will take considerable time as providers implement new technology infrastructure. Meanwhile, healthcare payers are stepping in to meet the need with personal health records (PHRs), patient-controlled health itineraries that are auto-populated by data in the claim systems of health plans. “Payers have had the most comprehensive data collection within their systems and processes for years,” explains Prudence Kuai, TriZetto’s senior vice president of product management. “The payer has medical information, pharma, lab information – as long as it’s a service that’s been provided to a member. They have very direct access and very timely access to the data set.” [read article - PDF]

Managed Care Outlook – August 1, 2010
Survey Indicates Readiness for Value-Based Care Models
This article highlights some of the findings of TriZetto’s constituent survey, which gauged readiness for value-based insurance design (VBID). The story reports that 70 percent or more of each constituency -- physicians, health insurers, consumers, employers and brokers – say they are ready and willing to adopt VBID plan models. “The support for VBID in the recent reform bill, coupled with the broad constituent support for VBID reflected in the TriZetto survey, supports rapid adoption,” says Jeff Rideout, M.D., TriZetto’s senior vice president of care and cost management and chief medical officer. [read article - PDF]

Federal Telemedicine News – July 21, 2010
Updates on Key Issues
Editor Carolyn Bloch reports that TriZetto’s Jeff Rideout, M.D., and Gail Knopf presented at a Capitol Hill briefing on how value-based insurance design (VBID) can effectively reduce the healthcare spend and improve health outcomes. Bloch writes that “Knopf described how VBID can actually work to help people get preventive and effective patient care. This is accomplished by providing incentives and rewards to the consumer for making the right choices and discouraging procedures proven to be ineffective or dangerous.” [read article - PDF]

Denver Business Journal – July 15, 2010
Health-Software Company TriZetto Moving HQ to Colorado
Reporter Mark Harden writes that TriZetto has named Trace Devanny its new chief executive officer and relocated headquarters to its Greenwood Village, Colo., offices. [read article - PDF]

Orange County Business Journal – July 14, 2010
TriZetto Names New CEO; Headquarters to Colorado
Reporter Vita Reed shares news that TriZetto has named Trace Devanny its new chief executive officer and relocated headquarters to its Greenwood Village, Colo., offices. [read article - PDF]

The Medical News - July 1, 2010
Constituents of the U.S. Healthcare System Ready to Adopt Value-Based Insurance Designs: Study
“TriZetto’s survey finds all constituents of U.S. healthcare in rare agreement,” notes TriZetto’s Jeff Rideout, M.D., in this article. “They concur that a systematic, collaborative approach will cultivate better health, reduce delivery of unwarranted care, promote patients’ compliance with health improvement plans and reduce overall healthcare costs.” The company’s study showed broad support by physicians, employers and others not only for value-based insurance designs, but also value-based reimbursement and systematic health management (SHM). An approach among clinicians, payers and consumers, SHM helps address the health and wellness needs of an entire population, whether it is a health plan’s membership, an employer’s workforce or a physician’s patient panel. [read article - PDF]

Benefits Selling - June 2010
Ready Welcome Predicted for Value-Based Benefits
Doctors, insurers and consumers are “ready and willing” to adopt value-based insurance designs, which use information and financial incentives to guide healthier lifestyle choices and compliance with proven, patient-appropriate medical services and medications. So say findings of a survey of more than 1,700 constituents commissioned by TriZetto, writes reporter Danielle Andrus. Employers, brokers and payers see value-based benefits as a competitive advantage. Doctors support such plan designs to help improve the overall health of their patients while directing them to appropriate care. Constituents across all categories agree that direct financial incentives are the best way to motivate behavior changes. Half of brokers say premium reductions are the best incentives that can be offered, but other groups agree that cash is most effective. [read article - PDF]

Health IT Law & Industry Report – May 25, 2010
PHRs Assuming Their Rightful Place in the Alphabet Soup Of Digital Health Records
The payer-based personal health record (PHR) presents a tremendous opportunity to improve healthcare dramatically in the near term, while the physician practice-based electronic health record and hospital-based electronic medical record become more widely implemented, suggests TriZetto’s Jeff Margolis in this contributed article. “Advancing PHRs at this time in no way impedes those other record systems; rather it helps all three models grow together toward fully Integrated Healthcare Management – IHM – in the United States.” [read article - PDF]

Healthcare IT News – May 2010
Constituents of the U.S. Healthcare System Ready to Adopt Value-Based Insurance Designs: Study

Healthcare organizations “could use an SaaS service to model the impact of ICD-10 and provider contracts,” says TriZetto’s Greg Larson in this article reporting on TriZetto’s association with 3M Health Information Systems. “Few payers will invest in episodic solutions like this because they don’t use it every day, but an SaaS model provides the ideal on-demand environment for a payer to evaluate contracts as needed.” [read article - PDF]

For the Record - May 2010
Choosing Integration Over Compliance: ICD-10 and the Advantages of System Overhaul
In this contributed article, TriZetto’s David MacLeod argues that since ICD-10 will change the entire payer business model – affecting benefit plans, adjudication rules, care management programs, pharmacy programs and even provider contracts – health plans that make short-term changes today may miss the opportunity to dramatically improve business and operational functions. In the long term, they may face a delayed and more costly second effort to integrate ICD-10 codes into their systems – in effect, doing the work of ICD-10 migration twice. If planned properly, suggests MacLeod, transitioning to ICD-10 may be “the biggest opportunity in a generation” for payers to more effectively manage care and run an efficient health plan. [read article - PDF]

The AIS Report on Blue Cross and Blue Shield Plans – May 19, 2010
Blues CIOs Will Have to Split Resources Between ICD-10 and Reform
Executive Editor Jill Brown notes that the work of complying with changes mandated by healthcare reform won’t divert the attention of Blues from the 10th revision to the International Statistical Classification of Diseases and Related Health Problems, more commonly known as ICD-10 diagnostic codes. TriZetto’s Tim Hascall explains that the new reform legislation is expected to add 30 million people to insurance policies. “That’s a lot of volume. There will be a lot of scrutiny on medical loss ratios and administrative costs … at the same time as processes have to be able to scale up to handle lots of new members.” [read article - PDF]

Health Management Technology – May 1, 2010
An ICD-10 Road Map
Several experts provide ideas for successful implementations, including upfront planning and training considered important factors in the transition to this coding system. TriZetto’s Dave MacLeod suggests that, “If planned for properly, transitioning to ICD-10 can be the biggest opportunity in a generation for payers to more effectively manage care and run an efficient health plan.” He cautions healthcare payers that they cannot afford to miss this opportunity. “The healthcare industry is at a crossroads, and making the right decisions now will ensure a successful journey into our collective future.” [read article - PDF]

Managed Care Outlook - April 15, 2010
What Constitutes High-Quality Health Care to Consumers?
While initiatives to measure quality care are predominantly academically and clinically oriented, consumers advocate entirely different, lay definitions, and providers and health plans would be wise to embrace these mostly nonclinical metrics. TriZetto’s founding chief executive, Jeff Margolis, authors this article encouraging payer organizations to leverage information technology – personal health records, benefit cost modelers, treatment cost tools and more -- to meet and even exceed consumer-defined measures of quality care. [read article - PDF]

Healthcare IT News – March 19, 2010
TriZetto, 3M Partner to Speed ICD-10 for Payers
Reporter Mike Miliard writes that TriZetto and 3M Health Information Systems announce an agreement that gives TriZetto certain exclusivity to include 3M’s ICD-10 Code Translation tool with several new services for payers under its TriZetto Advantage 10 Services. TriZetto’s integration of 3M’s technology will help streamline and simplify healthcare payers’ efforts to comply with the ICD-10 and HIPAA 5010 requirements and leverage the code migration to improve the cost and quality of care for members. A 3M executive describes the partnership of the two organizations as “the best minds coming together.” TriZetto’s Greg Larson says, “Using the 3M tool for our payer services gives our Advantage 10 offerings unique value for TriZetto’s customers, giving them a competitive advantage for faster, more reliable migration and services for their members and network providers.” [read article - PDF]

AHIP Hi-Wire – March 16, 2010
IT Providers Target VBBD Data Challenges
Reporter George Miller notes that with the release of TriZetto’s Value-Based Benefit Solution, version 4.7 of TriZetto’s Facets enterprise administration system “will automate two tasks: the tailoring of benefits and claims adjudication to specific clinical conditions for high-risk members and rewarding member participation in health, wellness and condition-management programs.” His article further notes that TriZetto’s new solution will help payers and their employer customers administer value-based benefits programs and members view their incentive options and activity. [read article at this link]

Managed Healthcare Executive - March 1, 2010
Take Steps to Prepare for Insurance Exchanges: Transaction Efficiency Needed
A byline article penned by Eric Grossman for this publication targeting senior-level decision makers positions TriZetto's suite of sales and service automation tools in discussing the "no regret" investments payers can take now to prepare for health insurance exchanges. These no-regret investments come in three broad areas: sales and service transaction efficiency, applied business intelligence and constituent engagement. "Without these investments," warns Grossman, "payers may find themselves unable to compete for and profit from the expanding and sizable individual and micro-group market." [read article - PDF]

Reducing Healthcare Costs for Employers – February 28, 2010
Getting More Bang for Your TPA Buck: Questions Employers Should Ask Before Paying
Employers are changing how they conduct due diligence on third-party administrators (TPAs), evaluating them not just on the cost of their services, but on the TPA’s ability to expand or adjust services later and its ability to provide more comprehensive programs. Joe Manheim, TriZetto’s president of benefits administration, stresses this point in suggesting 12 questions that employers should ask to help ensure their TPAs are doing all they can to manage fees and risk, align incentives and provide value-adding services that go beyond administering underlying self-funded claims. [read article - PDF]

Insurance Finance & Investment – February 15, 2010
Predictions of the Evolving Healthcare Landscape
TriZetto’s founding CEO and author of the book The Information Cure, Jeff Margolis, sets forth his 2010 predictions for the healthcare industry. Evidence-based medicine, the alphabet soup of electronic records, care management, consumer measures of quality and the evolving payer-provider relationship are all addressed in this wide-ranging, farsighted piece by the nation’s leading innovator in and proponent of the discipline of systems science for U.S. healthcare. Published twice monthly, Insurance Finance & Investment is read by more than 10,000 predominantly C-suite executives. [read article - PDF]

Smart Business Orange County - February 2010
Business as Usual: How Jeff Margolis Maintained Normalcy as He Took The TriZetto Group Private
Smart Business Orange County is a management journal providing insight, advice and strategy for C-level executives of fast-growth, middle-market and large companies. In this cover story, reporter Brooke Bates probes TriZetto's founding CEO Jeff Margolis on his approach to taking TriZetto private in 2008. He shares his guidance on candid, timely, strategic communication with all stakeholders, stressing the importance of keeping employees focused, "walking in your customers' shoes" and explaining clearly your reasoning and timeline for the transition. Suggests Margolis: "Make sure you talk to the employees like adults, not like children. Don't sugarcoat the potential things that could happen." "When it comes to customers, you have to be, first and foremost, honest about any changes that could impact them. You need to think about what their biggest fears or concerns might be." [read article - pdf]  [visit web site]

Neil Versel's Healthcare IT Blog - January 22, 2010
Podcast: TriZetto's Jeff Margolis
On Sept. 9, 2009, President Barack Obama pitched his healthcare bill to a joint session of Congress. The next day, respected healthcare IT reporter Neil Versel sat down with TriZetto's Jeff Margolis. Margolis explained his nonpartisan prescription for fixing what ails U.S. healthcare: Integrated Healthcare Management. This podcast interview includes a short brief about Margolis's book, The Information Cure; some discussion about healthcare legislation; a link to purchase Margolis's book; and a detailed outline of each section within the podcast. The final running time is about 35 minutes. [watch the podcast]

For the Record - January 18, 2010
Healthcare 2010: What's in Store?
Several leading thinkers in e-health, including TriZetto founder, chairman and CEO Jeff Margolis, consider what lies ahead regarding "meaningful use," electronic records implementation and the affect of the economic downturn on healthcare organizations. Additionally, Margolis suggests that payer-based personal health records "could provide an HIE framework for about one-twentieth of the cost of building it up from a provider perspective." [read article - PDF]

AHIP Hi-Wire – January 5, 2010
Software Tackles VBBD Math
Reporter George Miller reports that TriZetto is launching its Value-Based Benefits Solution, a software application that could play a big role in helping up to 106 million Americans manage their health more effectively. The application, explains TriZetto’s Gail Knopf, vice president for enterprise strategy, will automatically “individualize benefits and claims adjudication to the clinical conditions of each high-risk member and reward participation in condition-management programs.” The Value-Based Benefits Solution will run on TriZetto’s Facets and QNXT enterprise administration systems, which are used by healthcare payer organizations that provide coverage to more than a third of the U.S. population. [read article at this link]

Healthcare Finance News - November 9, 2009
Pacific Northwest Payer Helps Speed Up Provider Payments
Provider feedback has been "very good," this story reports, in response to the rollout of TriZetto's Provider POS Direct product by PacificSource Health Plans. According to the story, the Northwest carrier launched TriZetto's application to further enhance its communications with and support of providers. TriZetto's Dave Pinkert explains that Provider POS Direct especially supports the consumer-directed health plans that PacificSource and other payers offer. The application helps providers efficiently manage collections and claim submissions to ensure full payment in a timely manner. [read article - PDF]

Healthcare IT News - November 2009
Oregon Calls for Transparency
The Oregon legislature has mandated health plans provide the cost of 35 different treatments to consumers. Using TriZetto's Treatment Cost Navigator application, reports this publication, PacificSource has delivered to members nearly 1,000 estimates for 50 unique treatments and has since expanded this number. Dave Pinkert of TriZetto says that payers are deploying TriZetto's Treatment Cost Navigator and other tools that reduce complexity and make it easier for members to know what particular services cost. Health plans, Pinkert explains, can analyze the data and see how members are using their system, which can inform payers' business strategy and help "bend the cost of healthcare." [read article - PDF]

For the Record – November 2009
Web Exclusive: Q&A With Jeff Margolis
In this wide-ranging web exclusive with For The Record, TriZetto's Jeff Margolis discusses the motivation for his book, The Information Cure; stimulus funding for healthcare IT; a systems approach to improving U.S. healthcare; and driving adoption of payer-based personal health records. "Einstein said that the definition of insanity is doing the same thing over and over again while expecting a different answer," said Margolis. "I wrote The Information Cure and documented the vision of Integrated Healthcare Management because the problems we are trying to solve are complex, and we will not create a sustainable, affordable healthcare system by following the same rationale that has plagued the healthcare debate for decades. [read article at this link]

Healthcare IT News - June 2009
Payers See ICD-10 as IT Driver
Surveys commissioned by The TriZetto Group show that the commitment to use ICD-10 migration to drive additional IT system changes and achieve strategic advantage is growing among health plans large and small. TriZetto's Rob Scavo, senior vice president of core administration solutions, notes that, "Many of them plan to leverage ICD-10 to drive broader system and operational changes that improve their connectivity to providers, members and brokers, reduce costs and enhance clinical outcomes. In effect, they are using ICD-10 to power their IHM (Integrated Healthcare Management) strategies." [read article - PDF]

Orange County Business Journal - – June 1-7, 2009
Private TriZetto Has More Space to Grow
Founder, Chairman and CEO Jeff Margolis updates the Orange County Business Journal on developments since going private. He explains that TriZetto has been focusing on its "base strategy" of Integrated Healthcare Management. He also says that the go-private transaction has allowed TriZetto to focus on developing products and services without the quarterly earnings scrutiny of investors. While acknowledging his support for provider-based medical records, Margolis advocates the importance of payer-based personal health records, given the rich repository of benefits and claims information residing in the information systems of health plans. [read article - PDF]

Benefits Selling - June 2009
I, Broker: Automation of Health Plan Distribution Can Support Broker Innovation During These Uncertain Times
TriZetto Founder, Chairman and CEO Jeff Margolis and Vice President Eric Grossman suggest that information technology (IT) – specifically, greater automation in health plan distribution – will support producers' own efforts to meet myriad business challenges. The authors state that such innovation in IT will redirect both the broker's time and the premium dollar toward health advocacy. Margolis and Grossman envision a one-stop web portal where brokers will search, quote, apply and bind health insurance and ancillary policies online from a choice of local and leading payers. They further anticipate the complete automation of payers' processes to sell and renew customers, and bind cases. [read article - PDF]

Healthcare Finance News - March 2009
TriZetto Eyes ICD-10 Onslaught
Although the government extended deadlines for migrations to ICD-10 diagnosis codes and ANSI 5010 HIPAA transaction codes, TriZetto counsels healthcare payers to begin assessments and planning now. TriZetto's Rob Scavo, Maureen O'Hara and Kim Rosengren argue that health plans should act now to explore how migrations can not only ensure compliance but serve as a catalyst to seize strategic advantage. [read article - PDF]

Managed Care Outlook - February 1, 2009
Six Predictions for 2009 Herald Challenges for U.S. Healthcare Industry
TriZetto Founder, Chairman and CEO Jeff Margolis expounds on his six predictions for 2009. While these predictions underscore significant challenges, he is "most certain that the U.S. healthcare industry is up to meeting these challenges head on and vastly improving the delivery of benefits and care in our country." [read article - PDF]

Managed Care Outlook - January 15, 2009
The Road Ahead: New Emphasis on Prevention Key to Reducing Fraud
A growing number of payers realize that the traditional approach to fraud abatement – one which relies almost exclusively on "pay and chase," or retrospective investigations and recovery – has had little, if any, effect on preventing fraud from reoccurring. Rob McGinley, vice president of detection & recovery services for TriZetto's Plan Data Management division, describes a new framework taking shape that harnesses a variety of tools to achieve true fraud prevention. [read article - PDF]

Managed Care Outlook - December 15, 2008
From Disparate Data Points to Better Business Decisions
Despite the enormous volume of data that healthcare payers process daily, most health plans are challenged with cost-effectively and efficiently converting the data into useful information that supports business decision making. TriZetto's Tim Hascall, executive vice president of professional services, explains that payers that understand how to derive meaningful information that supports collaborative interactions with providers, consumers and other healthcare constituents bring themselves one step closer to Integrated Healthcare Management and the U.S. healthcare system one step closer to radical improvement. [read article - PDF]

For the Record – November 24, 2008
Real-Time Adjudication
Claims processing needn't take weeks or months, and providers needn't endure the uncertainty of payment. Real-time adjudication is fast becoming reality, and industry experts, according to this article, say the idea has gained momentum. Dave Pinkert, TriZetto's senior vice president of constituent web solutions, weighs in on growing interest among providers and the many benefits of real-time adjudication, not just to medical practices but to payer organizations as well. [read article - PDF]

Managed Care Outlook – September 2008

The Healthcare Savings Chronicle – October 1, 2008
Selecting the Right Technology Platform to Couple Care Management With CDHPs
Despite impressive early results, consumer-driven plans are no panacea for rising healthcare costs. In a contributed article appearing in both and Healthcare Savings Chronicle, Joe Manheim, TriZetto's senior vice president of benefits administration and care management, makes a well-researched argument that if payers and employers couple CDHPs with comprehensive care management programs, they can reduce the growth in their healthcare spend. In evaluating a care management software system to support this approach, the payer organization should ask itself eight questions, suggests Manheim. [read Managed Care Outlook article - PDF]  [read Healthcare Savings Chronicle article - PDF]  

Healthcare Finance News - July 2008
New Deals Fuel TriZetto's Growth
This business newspaper for healthcare financial managers reports on TriZetto's acquisition by Apax Partners, as well as its alliance with Microsoft's HealthVault platform and expansion to Europe through a deal with Dutch-based Unisys Nederland NV. Commenting on the transaction with Apax Partners, TriZetto Chairman and CEO Jeff Margolis said: "I … believe that going private will give us greater flexibility in thinking about longer-term investments in product development, acquisitions and partnerships that will benefit our customers." [read article - PDF]

Digital HealthCare & Productivity - June 3, 2008
TriZetto Inks Unisys Deal to Boost European Presence
This e-newsletter reports on TriZetto's selection of Unisys Nederland NV to sell, distribute and maintain its products in the Netherlands, a country with a competitive, private health insurance market within a universal health system for 17 million inhabitants. "Health insurers here are taking a strategic, progressive view, wanting not just to adjudicate payments for medical services, but to help manage members' health," says Unisys Nederland account executive Hans van der Zweth. [read article - PDF]  [visit web site]

E-Health Europe – June 3, 2008
TriZetto Signs Netherlands Marketing Deal
Writer Neil Versel reports that TriZetto signs an agreement for Unisys Nederland NV to market, distribute and maintain TriZetto products to Dutch health insurance organizations. Commenting on the five-year deal, the company's first international channel partner agreement, Vice President of Strategic Alliances Chuck Sanders says, "I think Europe is a tremendous growth opportunity for us. We're not just going to sit back and wait for an RFP." [read article - PDF]  [visit web site]

The Healthcare Savings Chronicle – May 19, 2008
The Road Ahead: New Emphasis on Prevention Key to Reducing Fraud
Some industry estimates put the total annual loss in U.S. healthcare from fraud and abuse somewhere between $63 billion and $210 billion. In this bylined article, co-authors Robert McGinley and James McCall, TriZetto vice presidents, write that a growing number of payers now realize that the traditional "pay-and-chase" approach to fraud abatement isn't working. They explain and advocate a framework that harnesses a variety of tools to achieve true fraud prevention. "This approach emphasizes cooperation and communication with providers, greater member buy-in through improved education and industry-wide transparency to allow for easier identification of aberrant behavior." [read article - PDF]  [visit web site]

Healthcare IT News - March 2008
QualChoice Gets Tough on Fraud
By using TriZetto's Plan Data Management as its special investigator unit and utilizing TriZetto's Facets claim adjudication system, QualChoice of Arkansas, a managed care company and health benefits administrator, takes an integrated approach to managing fraud, waste and abuse, according to Haley Wilson, QualChoice's CIO. Robert McGinley, vice president of detection and recovery services for TriZetto's Plan Data Management division, notes that such integration is vital "because the biggest hurdles in fraud detection are the inhibited flow of clean data and lack of clean data itself." [read article - PDF]

Physicians' Financial News – March 24, 2008
RCTA Helps Medical Practices Streamline Operations
Real-time claims adjudication (RTCA) processes are simplifying administrative tasks and helping physicians obtain payment for services from patients at the time care is provided. Quoted extensively throughout this article, Dawn Burriss, vice president of integrated provider solutions for TriZetto, explains how RTCA helps physicians improve cash flow, reduce days in accounts receivable and prevent bad debt as much as possible. [read article - PDF]  [visit web site]

Healthcare Finance News - February 2008
Integrated Management is Answer to the Crisis
A new way of managing the flow of benefit and care information and the incentives built into the U.S. healthcare system has the potential to benefit every participant by improving the availability of relevant information, improving the quality of medical care and reducing costs. TriZetto Co-Founder, Executive Vice President and Chief Solutions Officer Dan Spirek explains "integrated healthcare management" and how payers are ideally positioned to lead toward this new model because they are the organizers of both benefits and care. [read article - PDF]

Managed Healthcare Executive - March 1, 2008
Payers Start to Leverage Social Networking Media
In the emerging world of consumer retail healthcare, organizers of systems of care – healthcare payers – will increasingly begin to participate in social networks in 2008 to stay in step with the consumers they ultimately serve. Read more about this prediction in an article authored by Chairman and CEO Jeff Margolis. [read article - PDF]

Managed Care Outlook - January 15, 2008
Predictions for the Health Care Payer Market in 2008: The Rise of Integrated Healthcare Management
As 2008 began, the health care industry entered a new era of integrated healthcare management (IHM) – the systematic application of processes and shared information to optimize the coordination of benefits and care for the health care consumer. Jeff Margolis, chairman and CEO, presents six predictions in this bylined article. These six challenges and changes, he argues, can be met by payers that embrace IHM. [read article - PDF]

Consumer-Focused Healthcare - October 3, 2007
Dan Spirek Weighs in on the Direction of Consumerism in Healthcare
Consumers don't want to actually take control of healthcare, much as they didn't want control over their retirement funds. But employer survival is forcing the transition. This is one of several observations on consumerism captured in a podcast featuring Dan Spirek, TriZetto's executive vice president, integrated health solutions and chief solutions officer, and posted on the blog of Vijay Goel, M.D. Blogger Goel previously was a consultant at McKinsey & Co, where he worked with payers, providers, banks and employers to think through the implications of healthcare consumerism. [read blog]

The Healthcare Savings Chronicle – September 2007
Imagine a Time
Imagine a time when every patient has access to all the information needed to make sound health and healthcare decisions. A patient would leave each physician visit with a summary of that interaction, including self-management advice. In this bylined article, TriZetto's Gene Drabinski, president of cost and quality of care, explains how we get from here to there and how payers can take a leading, more relevant role. [read article - PDF]

Healthcare Finance News - June 1, 2007
Debt Collection Can Be Nasty, But It's Necessary
This leading health care IT monthly magazine features an article about providers' frustration with rising collection debt and how new technology can help reduce those lost costs. This article features quotes from TriZetto's Dawn Burriss. [read article - PDF]

Nashville Business Journal - May 4, 2007
Easing the Pain of High-Deductible Health Plans
This Tennessee business journal article focuses on Blue Cross Blue Shield of Tennessee and the success they've seen since implementing TriZetto's Provider POS Direct real-time estimation tool. [read article - PDF]

Advance for Health Information Executives - March 1, 2007
Paying as Medicare Pays
This featured byline by TriZetto expert Larry Bridge addresses the business and technology challenges that health plans face when offering Medicare Advantage private-fee-for-service benefits. [read article]

Managed Care Weekly - February 12, 2007
Jeff Margolis Predicts Profound Changes to U.S. Healthcare System in 2007
TriZetto's CEO, a 20-year leader in developing information-technology systems for the managed care industry, offers his top healthcare predictions for 2007 and beyond. [read summary]

Healthcare Finance News - February 1, 2007
BCBST Buys POS Product for Providers
This leading health care IT monthly magazine features an article on BlueCross BlueShield of Tennessee's deployment of TriZetto's Provider POS Direct software, which provides accurate patient liability at the point of care in support of consumer-directed health plan products. [read article - PDF]

Managed Healthcare Executive - February 1, 2007
Change in Guard = Change in Medicaid?
This monthly publication written for executives in the managed care industry includes expert commentary from TriZetto's Larry Bridge on changes in the Medicaid market and the related opportunities for health plans. [read article]

Investor's Business Daily – January 19, 2007
Healthy Growth for Health Care Services
The nation's top newspaper for both professional and individual investors provides an industry snapshot of the booming health care services industry, featuring the healthcare information-technology services offered by TriZetto and expert commentary from analyst Gene Mannheimer of Caris & Co. [visit home page]

Managed Care Outlook - January 1, 2007
Debit Cards and Benefit Plan Administration
This targeted bi-weekly publication, which addresses cutting-edge trends and techniques in the managed care industry, features an article by TriZetto's Joseph Manheim on the key issues surrounding debit cards and the need for a tightly integrated consumer benefit payment platform. [visit Managed Care Outlook]

Investor's Business Daily – December 5, 2006
Outsource Model Key To E-Health Records
The nation's top newspaper for both professional and individual investors examines the technology strategies behind e-health records, with expert commentary from TriZetto. [visit home page]

Healthcare Savings Chronicle – December 2006
Transparency: The Key to Un-Locking Consumer-Directed Care
This targeted monthly publication, which covers companies in the forefront of the healthcare marketplace, features an article by TriZetto's Gail Knopf on the critical importance of data transparency and the role of the payer given the emerging retail model in healthcare. [read article]

Consumer Driven Healthcare – November 2006
Beyond Plan Design: BCBSIL, TriZetto Collaboration Focuses on Delivering Timely, Targeted Information
This cutting-edge monthly publication profiles the partnership between Blue Cross Blue Shield of Illinois and TriZetto, including how TriZetto's CareAdvance Enterprise software is helping the health plan to succeed in a consumer-driven market. [request a copy]

Orange County Business Journal - November 27, 2006
Insurer Acquisitions Spur TriZetto Gains
This weekly business journal profiles TriZetto's continued growth amid strategic acquisitions. [read article]

Managed Healthcare Executive - October 2006
State of the Industry: 2007
This monthly publication written for executives in the managed care industry includes CEO Jeff Margolis' predictions for consumer directed healthcare in 2007. [read article]

Healthcare IT News - October 17, 2006
CMS to Put Medicare Part D Data to Work
This leading healthcare IT monthly magazine examines how CMS and the industry's leading healthcare IT vendors, like TriZetto are putting Medicare Part D data to work. [read article]

Forbes.com - October 3, 2006
Five Smart Analyst Plays
This high-level website offering hard-hitting financial and national news digs deep into the companies the Wall Street consensus deems as "5 Smart Analyst Plays." [read article]

CIO Magazine - October 1, 2006
Cure for the Blues
This leading-edge magazine written for Chief Information Officers examines the industry of health insurance plans, with a special focus on Blue Cross and Blue Shield of Kansas City, a partner of the TriZetto Group. [read article]

Healthcare IT News - October 1, 2006
TriZetto Acquisition Follows a Trend
This leading healthcare IT monthly magazine explores the announcement of TriZetto's $145 million acquisition of Quality Care Solutions Inc. and how it follows a trend of tighter integration of claims processing and claims editing systems and synergy between products and companies. [read article]

Managed Healthcare Executive - September 2006
Real-Time, Point-of-Service Financial Settlement: Why Health Plans will Lead the Next Revolution in Healthcare
This monthly publication written for executives in the managed care industry features an article on health plans leading the next revolution in healthcare, written by Dawn Burriss of TriZetto. [read article - PDF]

Los Angeles Times - October 23, 2006
Business News: Promotions and Appointments
The primary newspaper representing the city of Los Angeles and its suburbs includes a news brief on TriZetto naming Gene Drabinski president of the cost unit. [visit business section]

Health Data Management - October 1, 2006
Sprucing Up Practice Management
This respected healthcare IT trade explores the new functions being added to software and bringing new efficiencies within practice management. TriZetto provides expert commentary within the article. [read article]

BusinessWeek Online - October 27, 2006
Financial News
This online news portal from the one of the leading news publications in the country features a news brief on TriZetto's acquisition of Plan Data Management. [visit home page]

Houston Chronicle - September 2006
Business News
This daily newspaper explores the partnership between TriZetto and Plan Data Management. [visit home page]

Wall Street Journal - October 27, 2006
TriZetto Signs Pact To Buy Plan Data Mgmt Inc.
The national daily newspaper explores the partnership between Plan Data Management and TriZetto. [read article]

Health Management Technology - September 2006
Claiming Victory
This respected healthcare IT trade explores claims and coding efficiencies with expert commentary from TriZetto customer APS Healthcare and information about the TriZetto product, Facets. [read article]

Advance for Health Information Executives - July 2006
Cementing New Relationships
Larry Bridge of TriZetto offers a thought leadership byline on the Medicare Modernization Act. [read article]

Managed Healthcare Executive
Hi-Tech Contracting from December Special Report, December 2005
Technology is an important factor in effecting successful contractual relationships between insurers and providers, but mostly from an administrative viewpoint. The Trizetto Group... [more...]

Managed Healthcare Executive
Web Service Improves New Mexico's Largest Health Plan, June 2005
In late 1999, we at Presbyterian Health Plan made a commitment to boost our business use of the Internet. Our executive team began outlining a Web strategy to strengthen operations... [more...]

Managed Healthcare Executive
Commentary: Substance Must Come Before Style in Consumer-driven Plan, by Jeff Margolis, CEO, TriZetto,
March 2005
In his book, The Tipping Point, Malcolm Gladwell explains that momentous shifts in behavior are preceded by incremental changes, which build until they reach a critical mass. Well, hold on to your hats, because healthcare's about to tip... [more...]

Managed Healthcare Executive
Consumer-Directed Healthcare and Meeting the IT Challenge, September 2004
The demand for consumer-directed healthcare (CDH) is growing. Once just an idea tossed around in health plan boardrooms and industry think tanks, CDH is now taking root... [more...]

Healthcare IT News
Payers Keen for the Right Data, June 2004
IT vendors, fresh from the National Managed Health Care Congress, are focusing on providing greater integration and added functionality to their managed care products this year... [more...]

Healthcare IT News
Buyers' Guide – Managed Care Information Systems, June 2004
GETTING COSTS OUT and operating efficiencies are driving the market for managed care information systems (MCIS), according to Steve O'Dell, vice president... [more...]

Disease Management News
Predictive Modeling Strategy Yields Savings for TN Blues, February 25, 2004
Adding a predictive modeling tool to its data mining activities has helped Blue Cross Blue Shield of Tennessee save money and enhance its disease management services... [more...]

Health Management Technology
The Health Plan of Tomorrow, by Jeff Margolis, CEO, TriZetto, January 2004
The increased role of consumers, along with increased healthcare costs, will compel health plans to use technology so everyone in the equation comes out a winner. Ready or not, the age of consumerism has descended upon healthcare... [more...]

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