DENVER, Colo.- December 15, 2011 – The TriZetto Group, Inc. today announced that QualChoice has selected TriZetto’s Clinical CareAdvance® 4.7 solution to advance its collaboration with providers, improve clinical outcomes for members and enhance care-related communications with employer customers. QualChoice expects to go live on the system in early 2012.

QualChoice also extended to 2017 its agreement with TriZetto to provide application management services for Clinical CareAdvance and other TriZetto solutions that automate and streamline benefits administration and network management.

“We’ve been using disparate systems and processes for population health management (PHM),” explained Haley Wilson, vice president, chief operations officer and chief information officer at QualChoice. “TriZetto’s solutions will help consolidate and integrate our PHM efforts to facilitate our collaboration with providers, employers and members. The more granular data will help us further improve the cost and quality of care management we provide for our employer groups. And with TriZetto’s application management services, QualChoice will continue to strategically deploy its IT staff and closely align internal resources with business goals.”

“TriZetto’s solutions will help deepen our partnership with providers,” said Richard Armstrong, M.D., QualChoice’s vice president of medical affairs. “They will enrich our information sharing with practitioners and facilities and our work together to manage population health for improved clinical outcomes. The TriZetto solutions will help us team with providers to deploy new models of care delivery, such as patient-centered medical home (PCMH) and accountable care organizations. We’re already piloting one PCMH, and we’ll build on that.”

“Separately, core administration and care management applications can improve productivity, coordinate benefits and care, and reduce health plans’ costs,” observed Jude Dieterman, executive vice president and payer markets president at TriZetto. “But TriZetto’s integrated, end-to-end software and service solutions give QualChoice and many other healthcare organizations a powerful opportunity not only to improve administrative efficiency, but also to support more efficient care models, most effectively engage members in health improvement and reduce overall medical costs.”

The Clinical CareAdvance system automates the continuum of care, including case, disease and utilization management, enabling health plans to use clinical resources more effectively, automate the process of managing members’ chronic illnesses and promote wellness. TriZetto provides a full complement of application management services – infrastructure, connectivity, delivery, data and security – as well as comprehensive application management, remote application management and lifecycle services. Customers that use this suite of TriZetto services enjoy quick problem resolution, 20 percent to 30 percent faster implementations and upgrades, and 30 percent to 40 percent lower total cost of ownership – compared with healthcare customers that manage their applications in-house.

About TriZetto

TriZetto provides world-class healthcare IT software and service solutions that drive administrative efficiency, improve the cost and quality of care, and increase payer and provider collaboration and connectivity. TriZetto solutions, many of which are patented or patent-pending, touch half the U.S. insured population and reach more than 21,000 physician practices. TriZetto’s payer offerings include enterprise and component software, application hosting and management, business process outsourcing services and consulting. Provider offerings, delivered through TriZetto’s Gateway EDI wholly owned subsidiary, include tools and services that monitor, catch and fix claims issues before they can impact a practice. TriZetto’s integrated payer-provider platform will enable deployment of promising new models of post-reform healthcare. For information, visit www.trizetto.com.

About QualChoice

QualChoice is the brand name for products and services provided by QCA Health Plan, Inc., and QualChoice Life and Health Insurance Company, Inc. QualChoice is an Arkansas-based health services company offering a comprehensive line of health benefit and ancillary products on both a fully insured and self-insured basis. The company has become a market leader in providing competitively priced managed care products and excellent customer support. Headquartered in Little Rock, Ark., the company is the second-largest managed care company in the state. It also operates an office in Springdale, Ark. For more information, visit qualchoice.com.

Media Contacts:

The TriZetto Group
Loren Finkelstein
303-542-2460
loren.finkelstein@trizetto.com

Schwartz MSL Boston
Davida Dinerman/Nicole Solera
781-684-0770
trizetto@schwartzcomm.com