CareMore's Go-Live on TriZetto's Clinical CareAdvance System to Enhance Member Care and Support Business Growth.

NEWPORT BEACH, Calif. -- The TriZetto Group, Inc. today announced that CareMore Health Plan, Inc. has gone live with TriZetto's Clinical CareAdvance([R]) application to help manage members' acute and chronic illnesses and improve health status across its member population. This brings to more than 30 million the number of covered lives on TriZetto's care management system.

CareMore Health Plan provides Medicare Advantage health plans for 32,000 seniors, largely in key markets in California. TriZetto provides software and IT services that help payer organizations move toward Integrated Healthcare Management: the convergence of benefits administration, care management and constituent engagement to improve U.S. healthcare.

In October, CareMore Health Plan began running its in-patient program on TriZetto's Clinical CareAdvance system. In November, the payer moved its new-member intake program to TriZetto's platform. Following additional configuration activities, CareMore Health Plan will migrate its diabetes and other disease management programs to the Clinical CareAdvance application.

"In using TriZetto's system, we'll further improve the uniformity and quality of care we provide our members," said Leeba Lessin, president at CareMore Health Plan. "Early identification, coordination, intervention and member involvement are critical in an aging population. The Clinical CareAdvance application allows us to leave behind episodic care delivery and engage patients and clinicians in methodical management of chronic conditions and the real-time needs of the frail elderly."

"CareMore Health Plan is focused on improving the health status of its members and sought a platform that would support expansion," said Joe Manheim, TriZetto's senior vice president of benefits administration and care management. "We're pleased they chose TriZetto's Clinical CareAdvance system for its ability to deliver automated, consistent workflows and support quality care and cost-efficient business growth by the organization."

TriZetto's care management application applies clinical algorithms that create targeted interventions to help improve members' health. The Clinical CareAdvance platform is based on flexible business rules that incorporate claims data, utilization measures, diagnostic triggers and optional data sources such as laboratory, biometrics and pharmacy. The system provides automatic guideline-based care planning, compliance monitoring, hierarchical team management, task lists, task routing and customizable care progress notes, letters and member communications. TriZetto's Clinical CareAdvance application will track each activity and provide an audit trail that helps extend the reach and benefit of CareMore Health Plan's high-touch case and disease management programs.

About CareMore Health Plan

CareMore Health Plan, Inc. provides is a healthcare delivery system offering Medicare Advantage health plans. It offers various Medicare plans, including CareMore Value Plus for all seniors and individuals with disabilities on Medicare residing in the service area; CareMore Reliance for seniors with chronic illnesses or conditions; CareMore Touch, a Medicare plan available for seniors who reside in long-term care facilities; and CareMore Connect for low-income seniors who are eligible for Medicare and Medi-Cal. The company also operates a healthcare facility focused on seniors that provides geriatric examinations; nutrition; social care; diabetic education and management; a foot care program; home-based blood pressure monitoring and reporting; and a program for patients at risk for falls. It serves Medicare and Medi-Cal recipients in Los Angeles, Orange, San Bernardino and Santa Clara counties. CareMore Health Plan, Inc. is based in Cerritos, California. CareMore Health Plan, Inc. operates as a subsidiary of CareMore Medical Group, Inc.

About TriZetto

Founded in 1997, TriZetto is a privately held healthcare information technology company. With its technology touching half of the U.S. insured population, TriZetto is Powering Integrated Healthcare Management[TM]. 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.