|  Home   |  Contact Us   |  Site Map   |  Search  |      

 Customer Entrance
Press Releases
In the News
Press Kit
Calendar
Contacts
Chinese Community Health Plan Focuses on Quality Improvement with TriZetto Software and Services

Hosted Enterprise and Health Management Systems Support Provider-Owned Health Plan's Focus on Delivering High-Quality Care in San Francisco and Northern San Mateo County

NEWPORT BEACH, Calif. - February 4, 2010 - The TriZetto Group, Inc. today announced that Chinese Community Health Plan (CCHP) has successfully implemented several TriZetto systems, including the Facets®, NetworX Pricer® and Clinical CareAdvance® applications. The products are enabling the health plan to more efficiently administer its enrollment, membership billing, claims and customer service, as well as its network and health management programs. TriZetto is managing and hosting all of the applications for CCHP.

CCHP provides managed care plans for individuals & families, employer groups and Medicare beneficiaries, including those with Medicaid. CCHP currently serves more than 13,000 community members in San Francisco and Northern San Mateo County.

"CCHP is a trusted community partner in San Francisco, so it's important to keep our focus on providing members with a range of high-quality care solutions at affordable prices," said Larry Loo, MPH, director of business development & operations at CCHP. "We used to have two separate enterprise administration systems. The one integrated Facets administration system from TriZetto makes it easier for us to manage our business in several locations. Our member services department can see, real-time, when authorizations for services are in the system. And TriZetto's application hosting services enable us to focus on differentiating ourselves from competitors instead of on managing the technology."

There's particular excitement at CCHP about the value that TriZetto's Clinical CareAdvance application brings.

"For each CCHP member enrolled in a disease management program, TriZetto's application is tracking the enrollee's activity and providing an audit trail that helps extend the reach and benefit of CCHP's diabetes, chronic obstructive pulmonary disease, coronary artery disease, congestive heart failure and hypertension disease management programs," explained Dana Samples, RN and director of care management at CCHP. "Moreover, TriZetto's Clinical CareAdvance application is enhancing productivity and helping our disease managers more effectively and efficiently reach out to the members of our CCHP family living with these chronic diseases."

"Local, provider-owned plans such as CCHP sometimes find it difficult to cost-effectively invest in and staff information systems," said Mike Jenner, executive vice president, TriZetto Services. "Innovative solutions, delivered and managed by TriZetto, allow CCHP and other smaller health plans to enjoy the benefits of such applications, which support flexible benefit and campaign design, greater efficiency and operational stability for an affordable, predictable fee."

CCHP uses TriZetto's Facets system as its core administrative platform to help improve efficiency, increase accuracy and reduce labor costs. TriZetto's NetworX Pricer application helps ensure accurate and precise claims pricing. TriZetto's Clinical CareAdvance system provides comprehensive health monitoring and reporting tools; provider and nurse-manager alerting; template-based, secure messaging between members and case managers; near real-time member identification and stratification; customized real-time statistics and reports; and outbound communication methods tailored to CCHP's members.

About Chinese Community Health Plan

Established in 1986, Chinese Community Health Plan (CCHP) is the health plan subsidiary of Chinese Hospital, whose mission is to provide affordable health insurance to small community employers and individuals who are generally not served by the broader health insurance marketplace. In addition to offering plans for employers and individuals, CCHP offers a Medicare Advantage HMO and Dual Eligible Special Needs Plan. Contact Larry Loo, director of business development & operations at (415) 955-8800 x 3241 or LLOO@cchphmo.com.

About TriZetto

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.

Media Contacts:

Rachel Tanner Lew
The TriZetto Group
303-495-7022
rachel.lew@trizetto.com

Melissa Bruno
Schwartz Communications
781-684-0770
trizetto@schwartz-pr.com


Information
For more detailed information, please call 1-800-569-1222 or click on the link below.
Request more information     Contact a sales rep


About TriZetto   Healthcare Solutions   Healthcare Services   Privacy Policy   Terms and Conditions   Trademarks  
© 2000-2010 The TriZetto Group, Inc. All rights reserved.