The TriZetto Group Inc. (NASDAQ: TZIX) announced today that Fallon Community Health Plan (FCHP) has selected TriZetto’s QNXT™ enterprise administration system and QNXT Application Hosting Services. TriZetto’s hosted application will complement FCHP’s strategic goals to improve productivity, enhance service and grow membership, while continuing to deliver on FCHP’s national reputation for providing superior quality of care.
“After a thorough review of the leading products in the industry, TriZetto’s QNXT core administration system and QNXT Application Hosting Services proved to be the solutions we were looking for. The ease of use, flexibility in plan design and service-oriented architecture of the QNXT product make it a natural fit for our business needs in an increasingly complex and competitive environment,” said Mark Fisher, senior vice president and chief operating officer at Fallon Community Health Plan. “We will now have a core infrastructure that was developed by an industry leader in payer technology providing us the flexibility needed to meet the challenges that lie ahead.”
The QNXT enterprise administration system is part of TriZetto’s suite of leading enterprise applications, providing comprehensive health care payer administrative functionality and consumer-directed health capabilities, including HSA/HRA functionality. Combined with TriZetto’s QNXT Application Hosting Services, customers like FCHP are empowered with an advanced solution to meet the rapidly changing administrative and care management requirements in the healthcare market while assisting them to more efficiently service their members and providers.
“The combination of TriZetto’s QNXT platform with TriZetto’s new QNXT application hosting services, offer payers the ability to leverage superior system functionality, along with application expertise, effective application management, and IT operations expertise to improve time to market and meet the demands of a continuously changing industry–all on a predictable and scalable, monthly subscription basis,” said Rob Scavo, president of TriZetto’s Core Administration Solutions.
About FCHP
Founded in 1977, Fallon Community Health Plan provides health care services designed to meet the unique and changing needs of all they serve. Headquartered in Worcester, Massachusetts, FCHP is the only health plan in Massachusetts that is both an insurer and provider of care. Their product portfolio includes a variety of group and individual health plan options (HMO, POS, PPO, Commonwealth Care, Commonwealth Choice, MassHealth and Medicare Advantage plans) featuring flexible and innovative benefit designs. FCHP administers fully- self-insured funding arrangements with customized services for employers. Their uniquely developed provider networks offer high-quality, cost-effective, coordinated care and give members access to doctors and hospitals throughout Massachusetts. They also offer a broad spectrum of services and programs to ensure members, at every stage of life, remain as healthy and productive as possible. As a provider of care, FCHP operates Summit ElderCareSM, an advanced and completely integrated PACE (Program of All-inclusive Care for the Elderly) program that offers seniors and their caregivers an alternative to nursing home care. Their continued commitment to deliver high-quality health care and exceptional customer service has earned FCHP consistent ratings as one of the nation’s top health plans, and in 2007, placed their Medicare and Medicaid health plans as the #1 health plans in America. FCHP is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for their HMO, Medicare Advantage and Medicaid products. For more information, visit www.fchp.org.
About QNXT™
QNXT is part of TriZetto’s suite of core administration enterprise application systems. It supports medical and dental claim processing and offers comprehensive consumer-directed health capabilities with advanced HSA/HRA functionality. System capabilities also include a full range of functionality geared to support the administrative demands for single and multi-line of business payers, including group contracting, benefits management, eligibility and enrollment, premium billing/accounts receivable, provider network management and contracting, utilization and case management, claim processing and customer service. Designed to encompass an “n-tier” environment and service-oriented architecture, QNXT offers the flexibility and functionality that payers need in order to achieve optimal growth and efficiency-with a low total cost of ownership. QNXT enables customers to span the chain of healthcare decision-making ensuring that the right people have the right information in real time.
About TriZetto
TriZetto is Powering Integrated Healthcare Management™. With its technology touching nearly half of the U.S. insured population, TriZetto is uniquely positioned to drive the convergence of health benefit administration, care management and constituent engagement. The company provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. Healthcare payers include national and regional health insurance plans, and benefits administrators that provide transaction services to self-insured employer groups. The company’s payer-focused information technology offerings include enterprise and component software, hosting and business process outsourcing services, and consulting. Headquartered in Newport Beach, Calif., TriZetto can be reached at 949-719-2200 or at www.trizetto.com.
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