TriZetto Group has signed a six-year software and services contract with Lovelace Health Plan to enable the provider-owned plan to efficiently serve its members in New Mexico, optimise business operations and move toward Integrated Healthcare Management (IHM).
Under the agreement, TriZetto will provide business process outsourcing (BPO) services on its hosted and managed Facets enterprise administration system. Other hosted systems will include its NetworX Suite, Facets Workflow and a TriZetto module that will streamline service of Lovelace Health Plan’s Medicare population.
In addition, TriZetto also will perform a range of application implementation and optimisation services, including configuration, data conversion, custom development, testing and training.
According to TriZetto, Lovelace Health will use a suite of TriZetto BPO services, including claims administration, enrolment administration, billing and financial reconciliation, business rules configuration and mailroom services. It also will leverage TriZetto’s application hosting services to manage TriZetto, custom and third-party applications.
Lovelace Health said that it expects to complete its transition to TriZetto’s applications and services by October 2010. IHM is the systematic application of processes, shared information and aligned incentives to optimise the coordination of benefits and care for the healthcare consumer.
