Alternative Care and Payment Models

  • TriZetto healthcare reform and population health management


    Value-based care delivery is reshaping the healthcare industry.

    The Accountable Care Organization (ACO), as defined by healthcare reform legislation, is expected to be a catalyst for value-based care delivery. It will accelerate the healthcare industry’s drive toward a value-based—rather than fee-for-service—reimbursement model.

    Although reaction to the ACO has been mixed, the model has generated renewed interest in ways to share risk, reduce costs and improve the delivery of care. Payers, physicians and health systems are considering ways to collaborate more effectively in order to develop value-based care-delivery models.

    Manage your value-based initiatives with solutions from TriZetto.

    TriZetto’s patent-pending technology supports the mission of the Accountable Care Organization and other value-based initiatives by delivering analytics and data that support shared financial risk, better clinical decisions and improved care management. TriZetto’s Value-Based Benefits Solution helps engage patients in new and effective ways to manage their own health. TriZetto’s Value-Based Reimbursement Solution also supports a payment bundling approach that can help payers and providers move toward reimbursement structures that reward the value, rather than the volume, of care delivered.