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Healthcare Payer Organizations Use TriZetto Performance Insight to Compare Performance with Peers

December 19, 2012

The TriZetto Group (News - Alert), Inc recently announced that an increasing number of its clients are deploying the TriZetto Performance Insight, a new benchmarking program that allows users to measure their performance against their peers. The program incorporates industry standards and data and enables healthcare payers to identify performance gaps which allow them to enhance the administrative efficiency, cost, and quality of its service offerings. The program, which was introduced early this year, was developed in collaboration with Western Health Advantage.

In a statement, Dan Spirek, executive vice president and chief strategy and marketing officer at TriZetto, said that, “With the challenges of a post-reform market, healthcare payers such as Western Health Advantage want to know how they’re performing versus peers, where they excel, and where they could improve. TriZetto’s benchmarking program provides quantifiable answers to these mission-critical questions based on the metrics of payers. More than this, TriZetto shares insight into the processes behind the numbers and provides a strategic, consultative path to operational excellence based on our many years of service to hundreds of health plans. This accounts for the enthusiasm and strong participation we’re seeing in the TriZetto Performance Insight program.”

Instead of delivering a momentary snapshot, users of the TriZetto Performance Insight program which includes two services - Performance Insight Benchmarks and Performance Insight Navigator, benefit from longitudinal, trending measurements that highlight improvements and show how changes can impact plans over a period of time.

The 31 metrics included in the Benchmarks service, which are based on the initial health plans, help users assess the operational, financial, and clinical efficiency of their plans. New and additional plans can be included in the program if requested by a specific payer. The requesting payer’s will have to submit their own data after which they will receive a personalized, actionable report which provides a comparative analysis of their performance in comparison to other participants. Based on the results, TriZetto then offers the payer with necessary recommendations.

Performance Insight Navigator has been developed with highly interactive software-based consultations that delve deep into any of the eight key processes. This helps in quantifying performance with respect to standardized industry averages.

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Edited by Brooke Neuman

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