Healthcare It News - February 2008 - (Page 62)

62 Healthcare IT News ■ February 2008 PAyERS www.HealthcareITNews.com By CHElsEy lEduE, Associate Editor NEWPORT BEACH, CA TriZetto offers real-time, Web-based products “Previous member-facing payer solutions were generally fragmented and lacked personalization,” said Jeff Cohen, senior director of consumer solutions at TriZetto. “We believe that providing the most accurate cost information that is relevant to a member’s benefits will increase member adoption and improve the overall satisfaction with online tools.” TriZetto’s new capabilities enable payers to address consumer needs throughout their entire healthcare experience, from plan evaluation and enrollment to managing health and benefits, evaluating care options, accessing care and tracking healthcare and benefit use. Treatment Cost Navigator delivers treatment cost information to consumers pre-care. The technology uses simple terminology and provides cost calculation based on the member’s actual benefits, providing a view of actual member out-ofpocket costs. Member Benefit Profile provides mem- – The TriZetto Group has unveiled its Member Benefit Profile and Treatment Cost Navigator solutions and enhanced the Benefit Cost Modeler. The three Web-based solutions are designed to enable plan members to make better healthcare decisions by providing real-time, personalized transparency capabilities for benefit decisions, treatment options and related costs and health benefit use. I use it every day. Select from more than 20 accelerated bachelor’s degrees and 12 master’s degrees online including these for healthcare professionals: Healthcare Management, Management of Health Informatics, and Coming Soon, Long-Term Care Administration The Nation’s Largest Master’s of Healthcare Administration Degree Program bers with a view of their own healthcare and benefits use, providing access to retrospective information about claims transactions, fund balances and transaction history across multiple member accounts. Members can receive statement notifications via e-mail, thereby streamlining communications, simplifying health and benefit information and ultimately saving health plans the costs to produce and mail traditional explanation of benefits. New enhancements to Benefit Cost Modeler (BCM) include the ability for members to use the prior year’s claims to help model costs as well the ability to examine potential tax savings associated with tax-favored health savings accounts. All three solutions are integrated with TriZetto core solutions, but are designed so that they may also be deployed on other payer administrative systems. “As individuals begin to proactively manage their own healthcare information, the impersonal, summarized means of delivering information to consumers is no longer enough to adequately engage and empower consumers,” said Dan Spirek, chief solutions officer at TriZetto. “We believe that with the right tools, information and incentives in place, health plans will not only help consumers make better healthcare decisions but also those payers will have a competitive advantage in the market.” ■ More at HealthcareITNews.com e Connect: trIzetto 0208 ● Massachusetts health plan boosts admin efficiency By HEalTHCarE IT NEws EdITors F Of all the tools I use to make a difference in healthcare today, the one I use the most is what I learned through Bellevue University. My degree gave me the knowledge and conﬁdence to take the lead in my facility, making a difference every day. ALLON COMMUNITY HEALTH PLAN Call 800-756-7920 to enroll today. e Ask about th e in elor of Scienc lth Bach t of Hea Managemen cs Informati R l Learning f R l Lif Real L i for Real Life www.bellevue.edu/info/healthcareIT Accredited by The Higher Learning Commission of the North Central Association of Colleges and Schools. The Bellevue University College of Business degree programs also are accredited by the International Assembly for Collegiate Business Education (IACBE). Bellevue University does not discriminate on the basis of age, race, color, religion, sex, national origin, or disability in the educational programs and activities it operates. Modern Healthcare ranking in 2006 and 2007 based on data from the Association of University Programs in Health Administration. will implement TriZetto’s QNXT enterprise administration system and application hosting services in an attempt to improve services and processes throughout its business. TriZetto claims that QNXT enterprise administration system provides comprehensive healthcare payer administrative functionality and consumer-directed health capabilities, such as HSA/HRA functionality. TriZetto will couple its administrative system with its application hosting services for Fallon Community Health Plan. TriZetto representatives say that this combination provides the Health Plan with an advanced solution to meet the rapidly changing administrative and care management requirements in the healthcare market. Fallon Community Health Plan wants to more efficiently service their members and providers, representatives say. “We will now have a core infrastructure that was developed by an industry leader in payer technology providing us the flexibility needed to meet the challenges that lie ahead,” said Mark Fisher, senior VP and COO of Fallon Community Health Plan. More at HealthcareITNews.com e Connect: FalloN 0208 e ● Connect: Bellevue 0208 sEE us aT HImss08 BooTH #8395 ● 10182 MHIA ad http://www.HealthcareITNews.com http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=8636 http://www.bellevue.edu/info/healthcareIT http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=8637 http://www.healthcareitnews.com/eConnect.cms?id=8714

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Healthcare It News - February 2008 Contents Hot Potato Wal-Mart Focus CIO Role Wasteland Linking Docs Katrina Work P4P Team Fire Sale? Emergency Systems Beyond Business

Healthcare It News - February 2008

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