TriZetto Announces Features and Functions of Personal Health Record, on Track to Debut at Year`s End

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Thu Oct 22, 2009 5:27pm EDT

Auto-Populated, Portable PHR Includes Care Information From All of a Consumer`s
Providers 
NEWPORT BEACH, Calif.--(Business Wire)--
The TriZetto Group, Inc. today announced additional features and functions of
its new personal health record (PHR), which at year`s end the healthcare IT firm
will make available free of charge to health insurers that use its Facets®
enterprise administration software and in early 2010 to payers using its QNXTTM
application. The PHR will be free, as well, to the providers and consumers who
use the electronic record. 

When health plans deploy TriZetto`s PHR, consumers will have immediate access to
their pre-populated record and may designate family members who can access their
record. When physician staffs request eligibility confirmation, payers will be
able to provide a concise summary of relevant facts from the patient`s PHR. 

"Unlike hospital electronic medical records and physician office electronic
health records, TriZetto`s PHR will include information from all of the doctors
and facilities that treat a patient over time," said Dave Pinkert, senior vice
president of product management at TriZetto. "Further, only our PHR, populated
by the rich repository of digital benefits and care information already in the
systems of healthcare payers, are ready now for deployment to nearly half of the
nation`s insured." 

Health plans that use TriZetto`s enterprise administration systems provide
medical benefits to 106 million Americans. 

"The TriZetto PHR will automatically populate and update with clinical
information that doctors and hospitals provide when they submit claims to
healthcare payers," Pinkert explained. "This pre-population is completely unique
in the market, especially when combined with the opportunity for consumers to
add or supplement information to this PHR. It will help ensure consistent care
and the most informed decisions between a patient and his or her multiple
providers." 

Fully supporting industry interoperability and security standards, TriZetto`s
PHR will enable a patient to give a provider a fully digital record of his or
her health history. The record will include the following information from the
healthcare payer`s claims system:

* Procedural history, including

* Lab work 
* Exams 
* Surgeries and other treatments

* Diagnoses 
* Healthcare providers who have treated the patient

"TriZetto`s PHR will be portable," noted Pinkert. "So even as consumers change
health plans, we`ll make it easy for them to take their health record with
them." 

As a consolidated record of a patient`s care by multiple providers and
facilities, Pinkert added, TriZetto`s PHR will support the "medical-home"
approach to care. Under the medical-home approach, a personal physician takes
the lead on coordinating integrated care for a patient by multiple providers who
all share a complete record of the individual`s health, medical conditions and
treatment. 

Members will be able to access their PHR on-line, with the ability to add or
supplement information about:

* Family history (e.g., diseases and medical conditions of parents, siblings) 
* Emergency contacts 
* Medications and dosages 
* Allergies 
* Claims 
* Immunizations 
* Personal details, such as preferences and behaviors that can affect health
status.

"Using TriZetto`s PHR, consumers will be able to actively participate with their
doctors in maintaining or improving their health," Pinkert said. "For instance,
at a doctor`s direction, a patient might regularly record his or her blood
pressure in the PHR. Then, at the next office visit, the patient and doctor can
evaluate the new data and discuss treatment options together." 

TriZetto`s PHR will be managed by consumers and populated by the large volume of
digital benefits and care information in the systems of healthcare payers. "We
have great expectations for this new solution," said Pinkert. "TriZetto`s new
PHR will bring a huge and immediate improvement to the efficiency and quality of
the U.S. healthcare system." 

About TriZetto

Founded in 1997, TriZetto is the leading privately held healthcare information
technology company to the healthcare payer industry. With its technology
touching half of the U.S. insured population, TriZetto is Powering Integrated
Healthcare Management, the systematic application of processes and shared
information to optimize the coordination of benefits and care for the healthcare
consumer. The company`s offerings include enterprise and component software,
hosting, outsourcing services and consulting that help payers implement and
optimize their operations and minimize the risk of bringing to market new
products that drive competitive differentiation.

The TriZetto Group
Loren Finkelstein, 303-542-2460
loren.finkelstein@trizetto.com
or
Schwartz Communications
Melissa Bruno, 781-684-0770
trizetto@schwartz-pr.com

Copyright Business Wire 2009

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