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© 2015 TriZetto Corporation 2 Health TranZform™ Solutions Joel Gleason
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© 2015 TriZetto Corporation The Digital Consumer Experience 3 Knowing the consumer Engaging the consumer
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© 2015 TriZetto Corporation Vision for 360 Digital Awareness 4 High Performance Integrated Network Patient Engagement Price Transparency Patient Collaboration Network Intelligence Eco-System Data Support SMAC 360 Architecture “Digital Framework”
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© 2015 TriZetto Corporation 5
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Plan and Prepare: Performance 360 Assessment 6 Enables holistic re-imagination of clinical and operational processes for high performance integrated delivery networks Develop a technology roadmap for high performance integrated network. Focus areas: Current plan operations technology, provider operations technology, community based technology and clinical integration requirements Cloud Develop collaborative social communication strategy; develop patient, clinician and member engagement strategy Focus areas: Plan, Hospital, and Provider network Social Develop Performance Insights across plan, hospital and physician operations and present areas of improvement. Focus areas: Cost, Quality, Engagement, and Operational performance Analytics Develop a strategy for context aware, mobile health solutions Focus areas: Clinicians, patients and members Mobile
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© 2015 TriZetto Corporation Objectives 7 Social - Coordination Ability to segment patients and track health and wellness provided to these patients Ability to manage & communicate care across the continuum to all constituents Enhanced ability to make and disseminate decisions about patient/member issues and opportunities Mobile Depth, breadth and impact potential of organizational mobility strategy Readiness for BYOD solutions Readiness for mobile-based consumer interactions (communication, information, transactions, transparency, Alerts) Analytics Ability to track and report on key operational performance indicators, ongoing Ability to identify and extract actionable insights (ongoing) across the organizational eco-system Ongoing visibility into utilization and organizational performance metrics to achieve best in class To evaluate current state preparedness of the enterprise for today’s market opportunities and imperatives. (See below) Assessment will include existing assets, capabilities, and gaps. Outcomes will include recommendations, road maps, and next steps in each market opportunity area below Cloud Holistic strategy around hosting and movement of IT infrastructure to cloud Current barriers and gaps, including ROI on existing initiatives and solutions Engagement Drivers Transparency capabilities across providers, facilities, health plan, consumers, and key constituents Patient and provider engagement digital capabilities through mobility and other innovative technology solutions
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© 2015 TriZetto Corporation Sample Deliverables as an Outcome of Analysis 8 The following are sample deliverables from previous assessments Metrics that Matter Financial Modeling Value Chain Mapping Industry Context
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© 2015 TriZetto Corporation Consumer Experience in Digital Enterprise 9 A transformed Digital Organization focuses on activities that address potential and current consumer pain points. They invest in capabilities that build intimacy, reward engagement, and win loyalty by anticipating and meeting individualized consumer needs
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© 2015 TriZetto Corporation Cognizant Health TranZform™ Solutions 10 Data Adaptation Experience CareTranZform™NetworkTranZform™ InsightsTranZform™ EngagementTranZform™ Data Warehouse
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© 2015 TriZetto Corporation Cognizant Health TranZform™ Solutions 11 A modular suite that helps healthcare organizations become high performance integrated networks as they transition from FFS to VBC models
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© 2015 TriZetto Corporation Cognizant Health TranZform™ Solutions 12 Solutions contemplate a holistic vantage point for Health Systems wanting to become best-in-class high performance integrated networks
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© 2015 TriZetto Corporation CareTranZform™ 13
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© 2015 TriZetto Corporation Reimagined Discharge Process eDischarge is an end-to-end solution that enables patients to view their hospital discharge instruction videos/images using their mobiles/desktops devices. 14 User Benefits Allows multiple contributors of relevant information and educational content Doctor’s existing workflow is not interrupted Provides unique and personalized content that patients understand and identify with Autonomous and secure operations; not dependent on web connectivity Enables real coordinated care team connectivity and better hand offs
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© 2015 TriZetto Corporation NetworkTranZform™ 15
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© 2015 TriZetto Corporation 16 Search for a Price
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© 2015 TriZetto Corporation 17 Search for a Price – Flexible Days
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© 2015 TriZetto Corporation 18 Managing My Appointments
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© 2015 TriZetto Corporation 19 Researching a Physician
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© 2015 TriZetto Corporation InsightsTranZform™ 20
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© 2015 TriZetto Corporation 21 Enterprise Performance Insights (ePI) Our analytics platform delivers actionable intelligence and highlights areas of improvement in care, cost, network operations, using benchmarks and performance reporting PLAN PROVIDER HOSPITALS Revenue Performance Quality Performance Network Performance Enterprise Performance Insights Suite UNIFIED REPORTING AND DASHBOARD CLIENT SUPPORTING ACTIVITIES: DELIVERY SYSTEM Performance improvement recommendations Optimization services Agile product development Outcomes based engagements Partnership/business development to create new revenue streams Over 120 organizations participating and 1,200 metrics collected
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© 2015 TriZetto Corporation 22 ePI Design ePI is an innovative, customizable analytics platform utilizing big data technology for Health Systems to enable users to track and measure performance against industry benchmarks or internal targets INSIGHT DECKS Highly customizable and actionable Insight Decks for users to organize and customize metrics at various levels – Health System, Regions, Facilities, BPCI Programs INSIGHT CARDS Snapshot of current metric value with color coding in comparison to benchmark value, for the user to be able to differentiate between the best and worst performing metrics METRIC PANEL Scrollable metrics bar to track the key metrics of value
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© 2015 TriZetto Corporation EPI Home Page
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© 2015 TriZetto Corporation EPI Sub-decks 24
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© 2015 TriZetto Corporation EPI Insight Cards 25
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© 2015 TriZetto Corporation
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EngagementTranZform™ 27
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© 2015 TriZetto Corporation 28
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© 2015 TriZetto Corporation HealthActivate™: An Integrated, Modular Solution for Patient/ Member Engagement Using Patient/ Product Code Halos 29
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© 2015 TriZetto Corporation 30
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© 2015 TriZetto Corporation Path to Achieve High Performance 31
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© 2015 TriZetto Corporation Today’s Goal: Path To Achieving High Performance Reduced administrative costs Measurable outcomes with predictive cost structure Enhance delivery of service levels for members and providers Generate new opportunities for products and services innovation Effective utilization of capital resources Access to modernized technology platform Ability to effectively meet all regulatory and compliance requirements Scale advantages facilitating product and business development
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© 2015 TriZetto Corporation Cognizant 360 Digital End-to-End Approach Technology Operations E2E Client Owned Application Client Owned Infrastructure Processes Specific to a Client Client Owned Application Client Owned Infrastructure BPO Service Delivery Application Services Remote Infrastructure Mgmt Cloud / Virtualized Infrastructure Product Solutions & Tools Best in Class Cognizant processes BPO Delivery Application Services Infrastructure Services Cognizant Client Strategy, Governance Partner Proposition Increase market share Through innovation offerings/service delivery Faster Time to Market Enable expansion into new geographies Optimize Cost Performance Through operational excellence Best-in-Class adoption Commit to Outcomes Dollars tied to opportunities & Deliverables Service excellence Segment wise strategies to drive customer satisfaction
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© 2015 TriZetto Corporation 34 Thank You
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