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Care Management Partners
Care management partners operate in cooperation with the solutions offered in the patented TriZetto CareAdvance Enterprise line of collaborative care products and services. These partner organizations have proven their value by delivering complementary software, services or technology that enhances or expands the functionality and effectiveness of the CareAdvance line in managing the cost and quality of care. The businesses and solutions identified here meet the quality and integrity standards we have established for our partner organizations—allowing integration and/or facilitated interaction with the CareAdvance Enterprise technology in operation at health plans throughout the country.

Care management partners

Remote Patient Monitoring

CareSimple delivers fully managed Remote Patient Monitoring (RPM) that seamlessly extends TriZetto’s CareAdvance® platform, without adding operational burden to payer care teams. We manage the entire RPM lifecycle: FDA-cleared, cellular-enabled devices shipped directly to members; end-to-end device provisioning; automated data flow into CareAdvance workflows; and dedicated RN-led technical support. Health plans gain scalable biometric monitoring for high-risk populations, including hypertension, diabetes, heart failure, and COPD, without managing logistics, device troubleshooting, or staff training.

With CareSimple, CareAdvance becomes an RPM-enabled care management platform with zero operational lift. Members receive plug-and-play cellular devices at home, readings are transmitted automatically into existing care pathways, and clinical alerts surface within familiar workflows. Payers realize measurable impact, reduced hospitalizations, improved quality performance, and lower total cost of care, while CareSimple’s RN support team handles all member device needs.

The result: effortless remote monitoring that expands care management reach, accelerates value-based outcomes, and delivers meaningful results, without increasing operational complexity.

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CareSimple logo

Care management: Value-based healthcare

Change Healthcare is inspiring a better healthcare system. As a key catalyst of value-based healthcare, we are working alongside our customers and partners to create a stronger, better coordinated, increasingly collaborative and more efficient system, and accelerate the journey toward improved lives and healthier communities.

InterQual® solutions align payers and providers with actionable, evidence-based clinical intelligence to support appropriate care and foster optimal utilization of resources. InterQual Connect™ seamlessly integrates InterQual Criteria into Clinical CareAdvance® and CareAdvance Provider® Portal, and TriZetto® Touchless Authorization Processing (TTAP) supports a native integration to InterQual criteria, streamlining the medical review process and enabling the automation of the prior-authorization process.

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Cognizant Partner

Health and wellness content

WebMD Ignite products, integrated with CareAdvance, offer a total population health management solution for your enterprise. This solution improves health outcomes and reduces cost of care by engaging clinicians and members with shared decision-making tools and behavior change through Clinical CareAdvance®, health coaching and symptom triage for Clinical CareAdvance. WebMD Ignite is the premier growth partner for healthcare organizations, helping guide people to better health from Discovery to Recovery.

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Cognizant Partner

Clinical guidelines

MCG, an integrated partner product, is a series of annually updated, evidence-based clinical guidelines that support the care management of nearly two-thirds of US health plan membership. Access to the Care Guidelines is provided through the integration of TriZetto’s Clinical CareAdvance® care management application with MCG’s CareWebQI® interactive software, which enables consistent point-and-click care management; easy access to current best evidence; and documentation of variances from best practice. The result is reporting based on real-time data, supporting the elimination of gaps in care, resource delays and other variances.

Unlike other clinical criteria alternatives, CareWebQI software provides diagnosis-specific evidence summaries, citations and quality measures. This evidence is integrated within all criteria and content—including detailed care pathways—to support proactive care and the capture of variances from evidence-based best practice.

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Cognizant Partner

Become a partner

If your organization offers solutions that could potentially enhance those offered within Cognizant’s line of TriZetto Healthcare Products and provide added value or an enhanced experience for our payer clients, click here. Our Strategic Alliances Team will work with you to determine if a potential partnership is appropriate.

Contact us

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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