15.11.2007 19:06:00

TriZetto Previews Integrated Healthcare Management to Executives Representing 40% of Insured U.S. Population at 2007 Executive Vision Summit

Previewing the framework for a new, comprehensive solutions approach to improving the coordination of benefits and care for healthcare consumers, The TriZetto Group Inc. (NASDAQ: TZIX) hosted its fifth annual Executive Vision Summit last week in Naples, Florida. Executives from 50 health plans and other payers, which represented more than 100 million insured members, attended this annual forum for key issues in healthcare. Titled "Integrated Healthcare Management – The Final Mile in Healthcare,” the two day conference focused on a new, broader vision for fixing the country’s healthcare challenges. Integrated Healthcare Management is needed now "Integrated Healthcare Management is the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer,” said TriZetto Chairman and CEO, Jeff Margolis, in introducing the new framework. "Although the U.S. has the ingredients to be the best healthcare system in the world, the coordination of health benefits and care is not working optimally for consumers, providers or for those funding healthcare, including employers and government. The problems are well-documented and include significant variability in how care is delivered, tremendous redundancy and waste in the system, misaligned incentives, and unhealthy member behavior. Fundamentally, all these discrepancies are driven by systematic disconnects in information and incentives among the constituents that comprise the healthcare supply chain. With increased financial and decision-making responsibility shifting onto consumers, the imperative for closing down gaps in information and incentives is rapidly becoming a mandate.” "Too many of the fixes we see proposed address only a part of our healthcare system and will not solve the broader issues,” said Dan Spirek, TriZetto’s chief solutions officer, who chaired this year’s Vision Summit. "The proper coordination of benefits and care for the consumer requires the successful interaction of consumers, payers, employers and healthcare providers. Each of these groups has their own systems processes, which have operated largely in uncoordinated silos in the past. To create the shared information and aligned incentives necessary for successful interaction across the supply chain payers must drive the convergence of health benefit administration, care management and constituent engagement. This will ultimately reduce waste and improve patient outcomes by increasing the touch point opportunities to change behavior.” For example, TriZetto sees Integrated Healthcare Management as enabling the healthcare industry to: Design benefit programs that will drive desired results and accountability Personalize interaction to be active and engaging Leverage technology to systematically share knowledge among constituents Ensure expectations and incentives are understood Dramatically increase information available for all constituents’ decision-making TriZetto believes that its 360 payer customers are uniquely positioned to drive the delivery of this new industry vision. While a person interacts with a number of different physicians, care facilities and pharmacies over the course of a year, they typically have only one health plan. With comprehensive data about all those healthcare interactions, payers already possess the system foundation of health benefit information. "The rate at which financial and decision-making responsibility is shifting to consumers is accelerating,” added Jeff Margolis. "Concurrently, we are reaching the point where the generation that is starting to join the workforce has only known a world that is totally connected -- anytime, anywhere, any device. As a result, consumer expectations for the instant fulfillment of information and the purchase of products and services are exploding. The payer industry must move now to lead the development of these vital integrated constituent solutions. That is why TriZetto is focused on giving payers the software, services and blueprint required to power Integrated Healthcare Management.” Added Dr. Steven Goldberg, corporate medical director, clinical policy at Humana, Inc., who spoke at the conference, "Humana’s objective is to help our members make better-informed decisions that result in superior healthcare experiences at lower costs. Helping lead this movement toward Integrated Healthcare Management can accelerate the realization of our objective.” Fifth Annual Vision Summit Doubled Attendance TriZetto first created the Executive Vision Summit in 2003 to bring senior-level thought leaders from across the industry together in a non-commercial and non-competitive environment to exchange ideas on trends, opportunities and threats facing the healthcare industry supply chain. This year’s summit generated double the attendance of last year. More than 80% of the participants were vice presidents or above, including more than 30% with C-suite titles. The group included 40 current TriZetto customers and 11 prospects. Under the umbrella theme of Integrated Healthcare Management: The Final Mile in Healthcare presented by Jeff Margolis and Dan Spirek, eight additional speakers spoke in support of the new vision: "Competing in a Digital Economy and the Road Ahead,” Terry Jones, Travelocity founder "Advancing Value-Driven Healthcare Through Supply and Demand Side Management,” Francois de Brantes, chief executive officer, Bridges To Excellence "Integrated Healthcare Management: Implications for Transparency,” Mark Austin, senior vice president network management, Blue Cross Blue Shield of Tennessee; Dr. Steven Goldberg, corporate medical director, clinical policy, Humana; and John Wagner, vice president network strategy and performance, The Regence Group "Coverage and Affordability: Defining and Monetizing the New Health Plan Business Model,” Tom Main, managing partner and founder, ChapterHouse "Health Care, Quality and Transparency Trends in the Medicare Segment,” Dr. Rick Wild, chief medical officer, Centers for Medicare and Medicaid Services, Atlanta office; and Larry Bridge, senior vice president market segments, TriZetto "Making Healthcare Consumerism Work – Aligning Employer and Employee Interests,” Paul Matthews, practice leader specialty practices & external business alliances, Towers Perrin TriZetto will publish a summary of the event, which will be available on the company’s web site. More information is available from TriZetto through its salespeople or from Marketing at 800-569-1222. About TriZetto TriZetto is Powering Integrated Healthcare Management™. With its technology touching nearly half of the U.S. insured population, TriZetto is uniquely positioned to drive the convergence of health benefit administration, care management and constituent engagement. The company provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. Healthcare payers include national and regional health insurance plans, and benefits administrators that provide transaction services to self-insured employer groups. The company’s payer-focused information technology offerings include enterprise and component software, hosting and business process outsourcing services, and consulting. Headquartered in Newport Beach, Calif., TriZetto can be reached at 949-719-2200 or at www.trizetto.com.

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