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New reimbursement structures, care models and technology standards are motivating health plans to evolve their care management programs. TriZetto® CareAdvance solutions leverage new technologies to create a complete and accurate picture of member health driving comprehensive and timely care management, with less manual effort and cost. These solutions are fully integrated with the Facets® and QNXT™ claims systems, and include substantial libraries of pre-built workflow along with industry-standard clinical criteria.
The Clinical CareAdvance® care management solution includes these capabilities: