Five Early Adopters of TriZetto's Treatment Cost Navigator Application Implemented Smoothly in as Little as 12 Weeks.
"TriZetto's Treatment Cost Navigator is the category killer application for healthcare cost transparency," said Dave Pinkert, TriZetto's senior vice president of product management for Constituent Web Solutions. "TCN is a world apart from every other treatment cost application in the market."
A simple online utility for members, the TCN application determines a member's out-of-pocket liability for an office visit or procedure by factoring in the individual's eligibility, co-pays, co-insurance and progress toward meeting deductibles, as well as the price discount that the payer negotiated with the provider. Plus, the TCN application provides cost information about treatment options from providers both in- and out-of-network, empowering members to make the most informed decisions about their care. The TCN application is the newest component in TriZetto's full suite of Constituent Web Solutions that improves information sharing between a health plan, patients and providers.
With implementations for the five early adopters completed in as little as 12 weeks, the health plans report that TriZetto's TCN application is running smoothly.
"We think a cost estimator is an important part of our ongoing commitment to give members 'Peace of Mind,'" said Tracy Pierson, director of the project management office at Providence Health Plans. "For example, in 2007, we deployed a state-wide website providing general access to information about medical service costs. And a year ago, we deployed a quality scorecard that gives our members information about the providers in our network. We plan to integrate this scorecard with the new application for comprehensive transparency."
"The product is very user-friendly, both front-end and the configuration side," said Erick Doolen, chief information officer at PacificSource. "We had great support from TriZetto when needed. When issues were found, they were resolved quickly. We walked out of training with the tools to configure and trouble-shoot the entire product, which created a high level of confidence."
Three of the five health plans concurrently implemented TriZetto's Provider POS Direct application to enhance relationships with their network providers. TriZetto's Provider POS Direct application improves pricing transparency for physicians in the provider networks of these healthcare payers. Many providers now can accurately tell a patient how much he or she owes in full for a medical service and either collect payment at that time or set up a payment plan before the person leaves the office.
The Provider POS Direct and TCN applications are two of several in TriZetto's Constituent Web Solutions suite. Both applications pull from the same data sources, ensuring that the real-time information is consistent across channels for providers and members. Such information sharing is crucial to enabling 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.
"We weren't surprised when a new TriZetto application was easy and fast to install, and neither were our customers," added Pinkert. "It's simply what TriZetto customers expect from us."
About Providence Health & Services
Providence Health Plans is part of Providence Health & Services, a not-for-profit health system committed to providing a comprehensive array of services to meet the needs of communities across five states, including Alaska, Washington, Montana, Oregon and California. Providence continues the legacy of the Sisters of Providence and the Sisters of the Little Company of Mary in the West spanning more than 150 years.
Providence Health & Services includes 26 hospitals, more than 35 non-acute facilities, physician clinics, a health plan, a liberal arts university, a high school, approximately 45,000 employees and numerous other health, housing and educational services. The system office is located in Seattle, Wash.
About PacificSource Health Plans
Founded in 1933, PacificSource is based in Eugene, Ore., with local offices across Oregon and Idaho. The independent, not-for-profit company provides medical and dental benefits to more than 5,500 employers and covers more than 182,000 people with its group and individual health insurance plans. It also provides self-funded employee benefit plans, flexible spending accounts, health reimbursement accounts and COBRA administration services through its subsidiaries. PacificSource employs approximately 400 people. For more information, visit www.PacificSource.com or call (800) 624-6052.
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[TM], 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 new products to market that drive competitive differentiation.
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|Date:||Aug 17, 2009|
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