TriZetto Medicare Management Solution Features Medicare Advantage Capabilities

TriZetto’s Medicare Management Solution leverages software applications and business services to help Medicare Advantage plans efficiently launch and grow their business at a predictable cost, according to the vendor.

TriZetto Corporation’s latest release of its TriZetto Medicare Management Solution emphasizes what the vendor calls a comprehensive set of Medicare Advantage capabilities. The outsourced offering helps Medicare Advantage plans with eligibility and enrollment, Medicare claims processing, Centers for Medicare and Medicaid (CMS) data submissions, billing and reconciliation, and includes Medicare pricing capabilities, according to the vendor.

Becky Erbe, TriZetto.

Becky Erbe, TriZetto.

TriZetto’s Medicare Management Solution leverages software applications and business services to help Medicare Advantage plans efficiently launch and grow their business at a predictable cost, according to Becky Erbe, the vendor’s VP for Government Programs. “TriZetto understands how important speed-to-market is, and we continue to build a suite of solutions that helps better position our clients for success in the Medicare market,” she comments.

The solution incorporates best practices assimilated from TriZetto’s experience with a client base of more than 100 managed Medicare plans, the vendor says. It is designed to decrease operating costs while supporting client needs in meeting their ongoing regulatory requirements of the CMS. TriZetto uses a template-based delivery approach that the vendor characterizes as comprising business processes that provide consistent, high-quality delivery.

TriZetto has also  recently announced new Star Rating Analytics and Sales and Marketing Automation tools that the vendor says can be used in conjunction with the TriZetto Medicare Management Solution to focus on improved quality and better member segmentation.

Anthony R. O’Donnell // Anthony O'Donnell is Executive Editor of Insurance Innovation Reporter. For nearly two decades, he has been an observer and commentator on the use of information technology in the insurance industry, following industry trends and writing about the use of IT across all sectors of the insurance industry. He can be reached at [email protected] or (503) 936-2803.

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