Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.
Enable Connected Healthcare Experiences
Personalize interventions, improve healthcare quality and streamline costs by connecting care managers, members and providers.
Achieving these goals can be difficult, but automating and integrating as many processes as possible can make meeting them feasible.
Our approach to care management starts with Clinical CareAdvance® and CareAdvance Provider®, solutions that together deliver full care management capabilities across utilization, case and disease management. These solutions transform care management into an automated, data-driven activity that delivers more targeted, effective health information and wellness campaigns. The outcome is improved interactions with members and providers.
Our Value-Based Benefits solution, the second part of our care management portfolio, provides an automated and integrated solution for designing and administering member incentive programs. Our newest care management solution, TriZetto® Touchless Authorization Processing (TTAP), enables fully automated prior authorization via provider portal, including integrated clinical criteria and pre-built integration to QNXT™.
Because our CareAdvance and Value-Based Benefits solutions share a member portal, these solutions can use the same rules. This approach automates your plan’s workflows and leverages real-time coordination between systems. While both are core product-agnostic, each solution can also be fully integrated with both Facets® and QNXT solutions.
Our Care Management solutions helps healthcare organizations enhance revenue growth, drive efficiency and improve cost and quality of care. Your benefits include:
Integrated claims. Streamlined workflow. Coordinated care.
Integrating utilization management efficiencies into provider...
A unified solution for care management.