Confidential | Copyright © 2014 TriZetto Corporation 1.

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Presentation transcript:

Confidential | Copyright © 2014 TriZetto Corporation 1

2 Welcome Jude Dieterman President and Chief Operating Officer

3 Confidential | Copyright © 2014 TriZetto Corporation Welcome to San Antonio!

4 Confidential | Copyright © 2014 TriZetto Corporation 2014 TriZetto Healthcare Conference: Competing to win in a post-reform world Support your success in a complex environment Drive efficiencies across all lines of business Lower cost and improve quality of care …through innovating while advancing consumer engagement

5 Confidential | Copyright © 2014 TriZetto Corporation The Power of the Conference Community Representing 160 Healthcare Organizations Serving Over 150M Healthcare Consumers Approximately 600 Conference Participants

6 Confidential | Copyright © 2014 TriZetto Corporation Our Valued Partners Extending the Power of Our Community We Welcome 29 Valued Partners Introducing a New Partner Reception

7 Confidential | Copyright © 2014 TriZetto Corporation Premier Sponsor

8 Confidential | Copyright © 2014 TriZetto Corporation Platinum Sponsors

9 Confidential | Copyright © 2014 TriZetto Corporation Gold Sponsors

10 Confidential | Copyright © 2014 TriZetto Corporation Silver Sponsors

11 Confidential | Copyright © 2014 TriZetto Corporation New This Year Case Study Day 16 Client Sessions 12 Partner Sessions Partner Showcase Core General Sessions

12 Confidential | Copyright © 2014 TriZetto Corporation COMMITTED to Solution Advancement More Than 120 M Solution Investment Positioned to Help You Win LEADERSHIP Position in the Market 360+ Payer Organizations 230K+ Providers 1.8B+ Transactions / Yr. STRONG Success in the Market More Than 670 M Revenue Enhance Maintain & Comply Revenue

13 Confidential | Copyright © 2014 TriZetto Corporation What a Year! Changing landscape—3+ years since reform passed Getting the basics right for our clients Continuing to listen to our clients’ priorities Expanding our client and partner relationships Investing in our people and community

14 Confidential | Copyright © 2014 TriZetto Corporation Driving Client Success in a Complex Market Achieve Compliance Drive Administrative Efficiency Improve Cost, Quality and Delivery of Care Compete to Win

15 Confidential | Copyright © 2014 TriZetto Corporation Achieve Compliance 53 clients across 30 states achieve Exchange readiness!

16 Confidential | Copyright © 2014 TriZetto Corporation Achieve Compliance 53 clients across 30 states achieve Exchange readiness! 100+ participants on Healthcare Reform Advisory Council 113 health plans with Medicare/Medicaid enrollment enabled by TriZetto solutions 20+ enhancements in Facets and QNXT to allow client to comply with new government regulations 35%+ R&D budget spent on compliance

17 Confidential | Copyright © 2014 TriZetto Corporation Improve Administrative Efficiency 50+ enhancements in Facets, QNXT and NetworX to improve efficiency 100 Performance Insight clients Launched “Robot” capable of automating 100’s of tasks Full suite Business Management Services = efficiency gains $4.4M savings for 75k member plan  Member enrollment accuracy  Claims processing procedural accuracy  Average days from claims receipt to payment  Percent of claims submitted electronically 2% to 8% Improvement

18 Confidential | Copyright © 2014 TriZetto Corporation Focused on Results and Client Success Enterprise Management System Client Dashboards and GNOC Security and Other Infrastructure Investments Operational “12 Pack”

19 Confidential | Copyright © 2014 TriZetto Corporation Improve Cost, Quality, Delivery of Care 66 network management clients / 120M members Released CareAdvance 5.0: Over 28 care clients / ±40M members 2 new Health System clients NCQA DM Systems Certification for 7 programs supported by CareAdvance Enterprise NCQA has reviewed and certified TriZetto Corporation’s Systems capability. For complete details on the scope of this review, visit

20 Confidential | Copyright © 2014 TriZetto Corporation Compete to Win Scale Matters: EMPLOYER INSURED 140+ Clients as Core Administration Solution Partners ASO / SELF- FUNDED 80+ Clients Enabled for ASO / Self-Funded Business MEDICARE 117 Clients ±30% of Medicare Advantage and Part D Members MEDICAID 93 Clients ±60% of Managed Medicaid Lives DUAL ELIGIBLES 46 Clients 19 in Dual Eligible Demonstration Programs EXCHANGES 53 Clients 30+ States in the Health Insurance Marketplace SPECIALTY 75+ Clients Across Dental, Vision, Behavioral Health, Disability One Platform—Multiple Lines of Business

21 Confidential | Copyright © 2014 TriZetto Corporation Compete to Win Scale Matters: One platform—multiple LOBs 109 implementation go-lives in 2013—a record 1.8B+ transactions processed per year In 2013, 65% of new clients were hosted; 50% of those were total solution management

22 Confidential | Copyright © 2014 TriZetto Corporation Compete to Win Our goal: To serve clients

23 Confidential | Copyright © 2014 TriZetto Corporation TriZetto 2014 Corporate Objectives  Delight our clients by delivering on our commitments  Execute on ICD-10 and Government Programs  Grow and strengthen partnerships with our clients  Innovate and launch new solutions  Invest in our people

24 Confidential | Copyright © 2014 TriZetto Corporation TriZetto Power Star  Recognizes TriZetto Associates that  Show consistent high levels of performance  Go above and beyond to give outstanding customer service  Associate demonstrates TriZetto Core Values  Clients Come First  Got Your Back  Make a Difference  Get it Done Right  Act as a Team

25 Confidential | Copyright © 2014 TriZetto Corporation 2014 Power Star Annual Award Winner Tony Nguyen Senior Application Analyst, Boston Recognized for service over and above by:  Premera (4x)  Molina Healthcare

Confidential | Copyright © 2014 TriZetto Corporation 26 Introducing our new CEO, Andy Eckert

27 Confidential | Copyright © 2014 TriZetto Corporation About Me  Joined TriZetto March 2014  Most recently served as CEO at CRC Health Group  Over 20 years of executive leadership  CEO of Eclipsys Corporation  CEO of SumTotal Systems  CEO at ADAC Laboratories

28 Confidential | Copyright © 2014 TriZetto Corporation More About Me  No… I was a swimmer!  Almost out of the “kid business”  Google, Facebook and…TriZetto?!

29 Confidential | Copyright © 2014 TriZetto Corporation A Personal Passion: Client Success Malcolm Baldrige National Quality Award  ADAC Laboratories – 1996 Award Recipient  From near-bankruptcy to a leader in diagnostic imaging and healthcare information systems  Product releases ~2 years ahead of competition  Market Share Growth from 8% to 55% in 4 years  Revenues nearly tripled  Deploying Similar Quality Processes at TriZetto…

30 Confidential | Copyright © 2014 TriZetto Corporation Preview of Monday My Focus Areas  Operational Excellence  Client Success  Innovation  Client Partnership

Confidential | Copyright © 2014 TriZetto Corporation 31

32 Confidential | Copyright © 2014 TriZetto Corporation Welcome Erik Wahl!  Graffiti artist, author, entrepreneur, philanthropist  Challenges organizations to break free from business as usual  His best-selling business book, UNTHINK, has been hailed as a blueprint for leveraging creativity to achieve superior levels of performance

Confidential | Copyright © 2014 TriZetto Corporation 33

34 Confidential | Copyright © 2014 TriZetto Corporation Premier Sponsor Are You Ready for the Big Transformation? Tuesday, 10: :45 AM—Cibolo Canyon 2 Attendees entered into raffle for an iPad

35 Confidential | Copyright © 2014 TriZetto Corporation Partner Reception Win Prizes! Complete raffle card tonight; return card to Information Center by 9:00 PM We Welcome 29 Valued Partners

Confidential | Copyright © 2014 TriZetto Corporation 36 Thank You!