CDPHP, a not-for-profit health insurer in New York, has deployed new software to help reduce costs and boost quality.
CDPHP, which bills itself as "New York's top-rated health plan," is using applications from Newport Beach, Calif.-based TriZetto as part of its company-wide "health value strategy."
CDPHP, founded by physicians 25 years ago and based in Albany, serves members in 29 counties in New York state and seven counties in Vermont. The independent practice association-model health maintenance organization is composed of the Capital District Physicians' Health Plan, Inc., CDHP Universal Benefits, Inc., and the Capital District Physicians' Healthcare Network, Inc.
The enterprise, network management and Web-based applications which augment CDPHP's use of TriZetto's core administrative system enhance the efficiency with which CDPHP administers claims, provider contracts and transactions and the exchange of information between the payer organization and its constituents.
"TriZetto's highly integrated information systems permit access to a considerable amount of additional data, enabling us to further enhance population management, conduct predictive modeling and help members by anticipating health issues," said Barbara Downs, senior vice president and chief operating officer for CDPHP. "TriZetto's applications provide the flexibility and scalability to help further improve our administrative efficiency and, more importantly, the quality of care for our members."
"The combination of TriZetto systems will make it even easier for CDPHP providers, employer groups and members to tap into the health plan's benefit system to obtain the information they seek in the right format," said Tony Bellomo,TriZetto's president. "TriZetto's integrated set of solutions powers Integrated Healthcare Management, the systematic application of processes, shared information and aligned incentives to optimize the coordination of benefits and care for the healthcare consumer."