TriZetto Group Releases New Turn-Key Software and Services Package

The TriZetto Group, Inc. announced the general availability of QNXT Essentials.

In a release, the Company noted that QNXT Essentials is a software and services package specially designed for health plans with fewer than 50,000 members, to make core administration system upgrades easier, faster and more cost-effective. The first customer, MD Care Healthplan, a new plan serving 8,000 Medicare patients in Los Angeles, Orange and Riverside counties (and San Bernardino County next year) will go live on QNXT Essentials in early 2010.

TriZetto said that the QNXT Essentials package includes its entire QNXT enterprise administration system, accelerated product implementation and full-service application hosting and management services. The offering, designed for six-month deployment, includes a low, predictable monthly fee that fits within the budget of any health plan.

"We wanted greater efficiency and automation in our claims adjudication and other operations, and we sought a solution that would allow us to enter the game at a lower price and scale with membership growth," said Don Phan, chairman of MD Care. "With QNXT Essentials, we get the best of all worlds -- a proven platform, rapid implementation and expert application hosting -- without major upfront investment. We believe QNXT Essentials will enable us to quickly achieve our business goals and compete toe-to-toe with much larger plans."

"Just like their larger counterparts, smaller health plans require robust business functionality and technical capabilities," explained Rob Scavo, TriZetto's senior vice president of core administration systems. "But, unlike larger payers, emerging plans often have neither the same level of resources and expertise to manage their core administration systems nor the ability to make large upfront investments. With QNXT Essentials, we're arming these payers with a proven solution, enabling them to compete at the same level."

"There is an inflection point at which investment in the older applications produces much less value than investment in newer technologies and/or newer technology delivery and management strategies," wrote Janice Young in an IDC Health Insights' June 2009 white paper sponsored by TriZetto, Small Healthcare Payers: Opportunities and Challenges in the Emerging Market. "Most small healthcare payers have likely reached or will shortly reach this inflection point .... Most will find a need to migrate to newer, more agile environments, particularly those that support strong integration, web services and information management. Many healthcare payers will seek greater partnerships, if not outsourcing, for service, support and maintenance."

TriZetto is a privately held healthcare information technology company.

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