As the health-care industry continues to change and evolve, IT vendors are realizing that they must step up to help payers and providers seamlessly transform their organizations from a technology standpoint. Emil Peters, vice president of Hospital and Health System Markets at The TriZetto Group, shares his message with health-care CIOs, The TriZetto Group’s new solutions and improvements to its flagship offering, how it’s innovating and what he is hearing from its customers and partners.
HCITS: The TriZetto Group is attending the Healthcare IT Summit, which attracts CIOs of health-care payer and provider organizations. What is your message to them?
Peters: I think I would say, ‘Welcome to the most interesting time in the most important industry in the world that impacts every member of every society.' We bring comprehensive experience and decades of knowledge from supporting risk-bearing entities to both payers and providers. As we enter new and innovative models that seek to solve the global health-care affordability crisis that we collectively share, we think our solutions will help new stakeholders play a pivotal role. We look to support and contribute to this new world not just by being an IT vendor, but also by being a global solution partner that supports its clients as they transform themselves.
HCITS: What new deployment methodologies and architectures is your flagship solution providing today?
Peters: With the payers’ drive to become more efficient, and the providers’ goal to enter new models without breaking their already broken piggy banks, we see an opportunity to be relevant and supportive in both spaces. TriZetto has not only made investments in functional capabilities to deepen our ability to support a variety of customers, but we have made some key acquisitions that extend our capabilities to address what these new payer/providers clients will ultimately look like.
Our GatewayEDI acquisition, last year, has given us tremendous insight and capability into physician revenue cycle management (RCM) and real-time payment capabilities. Recently we bolstered that investment in provider infrastructure by bringing NHXS on board to help group practices obtain accurate claim payments and recover underpayments. Continuing this expansion, we've just announced the acquisition of ClaimLogic, a medical claims and payment processing company that has serves hospitals and large medical practices. By combining all these capabilities, TriZetto is building an integrated, real-time payer-provider technology platform that helps health plans and physicians achieve efficiency and effective care.
HCITS: How are you innovating and driving innovation from a technology standpoint?
Peters: Having just spent a few days with our TriZetto technology team, I can't be more positive about our technical innovation trajectory. We continue to evolve our solutions to meet the ever changing demands of both our payer and provider clients. Being able to provide flexibility with a focus on TCO is important and the ability to scale is something that we think is going to be vital for payers and providers moving forward. When you think of information as the new currency for global population health management, the ability to flex with our customers is paramount. We're truly excited to be in position to lead with our clients, but it also brings a tremendous amount of responsibility that we are ready for.
HCITS: What are you hearing from your IT executive partners and customers?
Peters: There is a sense of tremendous opportunity, while at the same time there is a lot of risk. Providers, specifically, are catching their breath from the first wave of Meaningful Use and are getting ready to run and jump into stage two. Payers are looking to drive administrative efficiency, increase automation and improve the cost and quality of care. It's no surprise that everyone is a bit weary of all these new models that will require heavy doses of information to succeed. That's why we think we can play an impartial and transparent role in helping them mitigate risks and maximize opportunities. There is a lot of opportunity as I mentioned earlier, but it's below the surface and going to require some excavation to get there. If you're going to excavate, you're going to need the right tools and capabilities and our clients are coming to us asking for answers.
HCITS: What is your biggest piece of advice, from a vendor perspective, to our Healthcare CIO audience?
Peters: I think it would be to specialize and know your end destination. Know your place in the market and what your value proposition is. There will be a lot of iteration in order to get to that final destination and undoubtedly it will be an arduous journey, but if you know the end point and the way points to get there, the organizational risk can be manageable. To reuse my boat analogy, you need to plan for the whole journey and not just the rapids or the calm waters. Your equipment needs to serve you in the way you need to be served at the time you need it. Planning with that end in mind will help you get the right balance of people, process and technology. It sounds elementary, but it's really important.
No comments:
Post a Comment