DENVER--(EON: Enhanced Online News)--TriZetto Corporation today unveiled a new Star Rating Analytics solution for Medicare Advantage plans. With more than 90 clients participating in Medicare Advantage, TriZetto has a long history of helping its clients succeed in serving government programs. TriZetto software and services enable clients to adapt and respond quickly to the ever-changing Medicare rules and reporting requirements. This new Star Rating Analytics solution enhances TriZetto’s broad end-to-end Medicare Advantage capabilities.
“TriZetto is focused on providing our clients with solutions to help them succeed in a dynamic market”
On Monday, September 23, TriZetto’s Becky Erbe, solutions general manager, Government Programs, and Margo Carp, director of strategy and business development, Government Programs, will be speaking at a breakfast session on “Star Ratings – Planning Strategies to Improve Your Quality” at AHIP’s 2013 Medicare, Medicaid and Dual Eligibles Programs, in Washington, D.C.
The Centers for Medicare and Medicaid Services’ (CMS) Five-Star Quality Rating System for Medicare Advantage plans was put in place several years ago to help educate consumers on quality and make data more transparent. There are more than 30 measures on which Medicare Advantage plans are evaluated and more than 50 for those offering prescription drug benefits. The ratings Medicare Advantage plans receive significantly impact their enrollment options, reimbursement levels, marketing opportunities and ability to be recognized as a high performing plan. TriZetto’s new software analytics solution helps Medicare Advantage plans proactively analyze data and take immediate action to improve their quality data measures, ultimately making a difference in their Star Rating.
“TriZetto is focused on providing our clients with solutions to help them succeed in a dynamic market,” said Erbe. “Our new TriZetto Star Rating Analytics capability leverages technology to help health plans visualize and evaluate their member population quickly and easily. This allows them to see where they are performing well and where they have opportunities for improvement relative to their Star Rating.”
Through TriZetto’s strategic partnership with Nagnoi, a consulting and analytics firm, the Star Rating Analytics solution enables health plans to navigate data from multiple sources, including their core administration system. A dashboard provides information on high-level views of performance, including detailed levels of data around provider organizations, primary care physicians, contract members and claims.
“Health plans looking to increase membership while continuing to improve quality need capabilities to easily analyze CMS Star data and help them focus on the most impactful tasks to improve their ratings,” added Erbe. “TriZetto has long been committed to delivering comprehensive capabilities for Medicare Advantage health plans. We are providing clients with an advanced technology platform that strategically positions them for success in the future. The addition of this new solution further demonstrates TriZetto’s commitment to health plans serving the government market.”
Nagnoi, Inc is a leading systems integrator and consulting firm specialized in Business Analytics for Healthcare with products and services for Payors, Providers, and Public Health organizations. STARSTrack, Nagnoi’s flagship product, is one of the most advanced analytics solutions providing health plans the instant visibility needed to achieve their goals in quality as defined by the Star Rating Program of the Center of Medicare and Medicaid Services (CMS). In 2011, Nagnoi was awarded Worldwide Business Intelligence Company of the Year and in 2013, the Health Partner of the Year Award, both by Microsoft Corporation. In 2012, Nagnoi was included in the Forrester Research Business Intelligence Service Provider Shortlist. From small and medium, to large enterprise clients, Nagnoi’s mission is to make clients more competitive by anticipating opportunities through data they already collect, and optimizing core processes. For more information, visit www.nagnoi.com.
TriZetto provides world-class information technology and service solutions that help payers and providers work more efficiently and collaborate to deliver better health. TriZetto solutions touch over half the U.S. insured population and reach more than 200,000 care providers. TriZetto helps healthcare organizations enhance administrative efficiency; improve the cost, quality and delivery of care; address compliance; and compete to win in an emerging retail market. Payer solutions include benefits administration, care management, network management and portal platforms, as well as consulting, application management and business management services. Provider solutions include real-time eligibility assurance, claims editing, revenue cycle management technology and services that help providers get paid quickly and accurately. For more information, visit www.trizetto.com.