Payer Solutions

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    As you strive to compete in a healthcare industry where cost and complexity continue to rise, it pays to have a powerful partner.


  • The demands of the healthcare environment have never been more challenging for payers. Medical loss ratio (MLR) standards demand new levels of administrative efficiency. Emerging care and payment models require increased collaboration. Incentives must be aligned among constituents. Online insurance exchanges are entering the market and the consumer retail market is growing quickly. As the competitive landscape continues to change, payers need a partner with the experience, proven track record and comprehensive solutions and services that can help them succeed.

    TriZetto: the power of a proven partner.

    TriZetto is a proven partner that understands the complex challenges facing your organization, and has the comprehensive technology and expertise to help you solve them. With TriZetto’s technology-enabled solutions and services, you can drive administrative efficiency, improve the cost and quality of care and increase payer and provider connectivity.

    TriZetto’s enterprise software solutions include:

    • Benefits administration
    • Network and care management  
    • Consumer portals
    • Population health management
    • Value-based benefit design and reimbursement
    • Provider connectivity
    • Revenue cycle management
    • Analytics

    Individually, each TriZetto solution delivers powerful capabilities. When used together, TriZetto solutions provide a comprehensive integrated platform to help you meet today’s demands and achieve your strategic goals more effectively.


  • TriZetto Services

    Our world-class services include application hosting and management, business process services, and consulting. TriZetto’s application hosting and management are delivered via cloud technologies to give clients flexible and scalable business services. Our global team of experienced professionals possesses deep knowledge of both the healthcare industry and TriZetto solutions, helping clients solve their unique business challenges and achieve results more quickly.


  • Together, we can move forward in the "new world"

    It's a "new world" for payers, physicians and health systems. We must find new ways to improve efficiency, achieve compliance, align incentives, remain agile and collaborate to improve and drive meaningful change. TriZetto has a vision.