Neighborhood Health Plan Adds TriZetto's Clinical CareAdvance System and Hosting Services
NEWPORT BEACH, Calif. - January 15, 2009 - The TriZetto Group, Inc. today announced a five-year contract with Neighborhood Health Plan (NHP) to equip the company with a hosted model of TriZetto's Clinical CareAdvance® care management system and provide application hosting services for the insurer's continued use of TriZetto's QNXT™ enterprise administration system.
Since early 2007, NHP has used TriZetto's QNXT platform to automate claims adjudication, membership enrollment, premium billing and other core administrative tasks in serving more than 185,000 Medicaid and commercial members in the state of Massachusetts. This year, NHP was awarded an accredited status of "Excellent" by the National Committee for Quality Assurance (NCQA) for its Medicaid and commercial products, and was recognized as the nation's number two Medicaid program and a top-50 commercial health plan by U.S. News & World Report and NCQA.
NHP transitioned to TriZetto's application hosting services in December 2008, and the Clinical CareAdvance application will go live in early 2009.
NHP chose TriZetto's Clinical CareAdvance system to manage its members' acute and chronic illnesses and to help improve health status across its member population. The care management system applies clinical algorithms to create targeted interventions that can help improve members' health. Based on flexible business rules that incorporate claims data, utilization measures, diagnostic triggers and optional data sources such as laboratory, biometrics and pharmacy, the Clinical CareAdvance platform provides automatic guideline-based care planning, compliance monitoring, hierarchical team management, task lists, task routing and customizable member communications.
By having TriZetto manage and host the Clinical CareAdvance and QNXT systems, NHP can focus on more strategic IT tasks while TriZetto assumes day-to-day technology management. TriZetto's hosting services include operation and support of third-party software, batch and EDI transaction management and hardware/infrastructure management to TriZetto's state-of-the-art data centers. TriZetto provides these services for more than 30 customers representing more than 35 million lives.
"To continue our mission of providing excellent care to our members, we needed a partner that could provide the software and services to help us manage organizational growth and allow us to continue excelling in the ever-changing healthcare industry," said Marilyn Daly, chief information officer for NHP. "The functionality of TriZetto's Clinical CareAdvance software and its ability to aggregate and analyze data into a single repository will allow us to better identify and care for members' needs. By having TriZetto manage and host Clinical CareAdvance and QNXT, we can best meet the needs of our business and our customers."
"By combining our healthcare solutions with application hosting services, TriZetto provides customers with a cost- and resource-efficient approach to meeting their business requirements," said Mike Jenner, senior vice president of business services at TriZetto. "For NHP and other payers that compete with much larger plans, our application hosting can level the playing field and deliver competitive advantage."
Neighborhood Health Plan
Neighborhood Health Plan (NHP) provides healthcare programs and related services to individuals receiving benefits under Medicaid, through small business employer groups, and through Massachusetts' ground-breaking healthcare reform. Founded in 1986 by the Massachusetts League of Community Health Centers and the Greater Boston Forum for Health Action, NHP serves over 185,000 members statewide and has been recognized as a national leader in care for medically complex and severely disabled populations.
About TriZetto
Founded in 1997, TriZetto is the fastest-growing, privately held healthcare information technology company in the U.S. With its technology touching half of the U.S. insured population, TriZetto is Powering Integrated Healthcare Management . TriZetto provides information technology solutions that enable health insurance payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. The company's offerings include enterprise and component software, hosting and business process outsourcing services, and consulting.
CONTACTS:
Government Relations Contact:
Brad Samson
949-719-2220
brad.samson@trizetto.com
Media Contact:
Melissa Bruno
Schwartz Communications
781-684-0770
trizetto@schwartz-pr.com