The TriZetto Group, Inc. today announced that CDPHP®, a not-for-profit, physician-guided health insurer, went live in July with TriZetto applications that will help New York’s top-rated health plan* continue to reduce costs and improve quality as part of its company-wide “health value strategy.”
The enterprise, network management and Web-based applications, which augment CDPHP’s use of TriZetto’s core administrative system, enhance the efficiency with which CDPHP administers claims, provider contracts and transactions and the exchange of information between the payer organization and its valued constituents.
“TriZetto’s highly integrated information systems permit access to a considerable amount of additional data, enabling us to further enhance population management, conduct predictive modeling and help members by anticipating health issues,” said Barbara Downs, senior vice president and chief operating officer, CDPHP. “TriZetto’s applications provide the flexibility and scalability to help further improve our administrative efficiency, and more importantly, the quality of care for our members.”
“The combination of TriZetto systems will make it even easier for CDPHP providers, employer groups and members to tap into the health plan’s benefit system to obtain the information they seek in the right format,” said Tony Bellomo, president of TriZetto. “TriZetto’s integrated set of solutions powers Integrated Healthcare Management, the systematic application of processes, shared information and aligned incentives to optimize the coordination of benefits and care for the healthcare consumer. With our core administration, network management and constituent Web applications in place, CDPHP is solidifying its market leadership by moving aggressively toward its health value strategy.”
The simultaneous go-live of multiple applications capped another successful implementation by TriZetto characterized by open, ongoing communication with the payer customer throughout the process.
“Our implementation experience with the TriZetto team was a true partnership,” Downs added. “Their innovation and commitment to excellence created the trust that was essential to the success of the effort. The CDPHP and TriZetto implementation project can serve as a model for the future.”
Celebrating its 25th anniversary in 2009 as a physician-founded and guided health plan, CDPHP® and its affiliates currently serve members in 29 counties throughout New York State and seven counties in Vermont. The affiliated companies of CDPHP include a family of products: Capital District Physicians’ Health Plan, Inc. — HMO, Healthy New York, Medicare Choices (HMO), Medicaid, Child Health Plus and Family Health Plus; CDPHP Universal Benefits,® Inc. — PPO, High Deductible PPO, EPO and Medicare Choices (PPO); and Capital District Physicians’ Healthcare Network, Inc. — self-insured plans. Visit CDPHP at www.cdphp.com/.
Founded in 1997, TriZetto is the leading privately held healthcare information technology company to the healthcare payer industry. With its technology touching half of the U.S. insured population, TriZetto is Powering Integrated Healthcare Management™, the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer. The company’s offerings include enterprise and component software, hosting, outsourcing services and consulting that help payers implement and optimize their operations and minimize the risk of bringing to market new products that drive competitive differentiation.
*Ranking for commercial plans by U.S. News & World Report/NCQA America’s Best Health Insurance Plans 2009-10. “America’s Best Health Insurance Plans” is a trademark of U.S. News & World Report.