|  Home   |  Contact Us   |  Site Map   |  Search  |      

 Customer Entrance
Press Releases
In the News
Press Kit
Calendar
Contacts
TriZetto is distinctly focused on helping healthcare payers lead the industry's transformation by providing information technology solutions that enhance revenue growth, drive administrative efficiency and improve the cost and quality of care for their members. We offer a broad portfolio of proprietary information technology products and services targeted to the payer industry, which is comprised of health insurance plans and third-party benefits administrators. These include:

  • Enterprise administration software facilitates core payer operations such as benefit plan design, enrollment, claims processing, billing and payment. Significant administration software products include Facets®, QNXT™, QicLink™ and Facts™, each of which is targeted to different types of customer needs. In addition, TriZetto offers a number of add-on and standalone components to these software systems such as Facets™ Workflow, Facets™ eXtended Integration, QicLink™ Autodental and Web Solutions Suite. These component products provide additional functionality or throughput to TriZetto's core software products as well as third-party enterprise administration systems.
  • Cost and quality of care software helps payers extend health and productivity management to more of their membership and reduce the costs of care. Significant care management software products include TriZetto CareAdvance Enterprise®, which gives payers tools to address the full spectrum of care management for all members, including case, disease, population and utilization management - controlling usage-related costs; and TriZetto NetworX Suite™, which gives payers tools to better manage provider networks and complex tiered contracts - enhancing the unit costs of care for members.
  • Revenue enhancement software and services help payers capture wasted or misdirected funds, especially for government-funded claims. These assist Medicare Advantage and Medicare Part D plans in optimizing revenue, reducing administration costs and improving compliance, as well as providing fraud, waste and abuse detection and prevention.
  • Software hosting services and select business process outsourcing services can reduce customers' information technology fixed costs and risks and help accelerate speed-to-market for new insurance product offerings and services.
  • Strategic, installation and optimization consulting services assure realization of the full benefits of our software, accelerate implementation times and reduce systems architecture risks.

In the U.S. healthcare system, payers effectively balance the demands of all the different constituents in the healthcare system including employers, providers, consumers and brokers. As a result, payers are the central aggregation point for data from across the systems, and payers are information-intensive businesses. New government regulations, shifting market trends and competition constantly pressure these payers to improve and change their product offerings, business policies and processes. To enable these changes, payers must regularly upgrade their information technology systems. Many payers, especially the largest, have traditionally developed their own information systems in-house. But, increasingly in recent years, payers have used commercial systems to reduce information technology and business costs and accelerate their time-to-market for new products, enhanced efficiency and competitive advantage.

TriZetto has three unique assets, which drive its value for customers and provide sustainable competitive advantage:

  • TriZetto has one of the largest groups of systems experts in the payer industry. This expertise spans hundreds of different payers and systems. This depth of experience provides a unique foundation for understanding customer needs and developing solutions ahead of the market.
  • Leveraging our unique expertise, TriZetto has built one of the largest sets of integrated software available to the payer market. For customers, this means one-stop shopping and the opportunity for substantially reduced systems integration cost and risk.
  • TriZetto technology touches more than 146 million lives, which is over half the insured population of the United States. We provide products and services to 351 unique customers, including those of our recent acquisitions, in the health plan and benefits administrator markets. This large number of payers and members on common technology platforms provides a unique distribution channel into the payer market, through which additional products and services can be delivered. In the longer term, our broad footprint provides opportunities to accelerate the development and adoption of new information technology solutions, such as the next generation of cost and quality of care solutions, real-time claims adjudication and payment, and pay for performance.

The TriZetto Group, Inc. was incorporated in Delaware in May 1997 with the merger of two organizations: System One, a provider of online electronic-funds transfer technology, and Margolis Health Enterprises, a provider of technology consulting to healthcare organizations. The combination created a company dedicated to healthcare information technology products and services. Initially, we focused upon providing hosted software services addressed primarily to the provider market. From 1998 to 2003, we increased our focus on the payer industry. In 2003, we initiated a strategic plan to concentrate exclusively on the payer market and to wind-down our provider business. We completed this plan in 2005 and no longer provide services to the provider market.

TriZetto completed its initial public offering in October 1999 and, since that time, have acquired 10 companies: Novalis Corporation, Finserv Health Care Systems, Inc., Healthcare Media Enterprises, Inc., Erisco Managed Care Technologies, Inc. ("Erisco"), Resource Information Management Systems, Inc. ("RIMS"), Infotrust Company, Diogenes, Inc., CareKey, Inc. ("CareKey"), Plan Data Management, Inc. ("PDM"), and Quality Care Solutions, Inc. ("QCSI").

Of the 10 acquisitions, the Erisco and RIMS acquisitions completed in the fourth quarter of 2000, the CareKey acquisition completed in the fourth quarter of 2005, and the QCSI acquisition completed in the first quarter of 2007 were our most significant. Erisco's main product, Facets® and QCSI's main product, QNXT™, are the leading administrative systems for managed health plans in the country. QicLink™, developed by RIMS, is the leading automated claims-processing system for benefits administrators. Our CareAdvance™ products, acquired from CareKey, are considered among the leading solutions for care management. With these acquisitions and organic growth, TriZetto built a customer base with more than 146 million enrollees (59% of the U.S. insured population) and attained a leadership position in two market segments of the payer industry, health plans and benefits administrators.

TriZetto agreed to be taken private by Apax Partners in April 2007. Apax Partners is a growth-focused, global private equity firm with $35 billion in funds under advice and significant expertise in healthcare and technology. Valued at approximately $1.4 billion, the transaction is funded in part by BlueCross BlueShield of Tennessee and The Regence Group, both customers of TriZetto.

In announcing the transaction, TriZetto Chairman and CEO Jeff Margolis commented: "The achievement of TriZetto's Integrated Healthcare Management vision is a multiyear journey that will require both conventional and non-conventional business investment within an integrated framework. Apax Partners, which shares our strategic view of the marketplace, provides an outstanding opportunity to accelerate solutions development investments on behalf of our payer customers to create an integrated linkage among consumers, providers, employers and brokers."

In chronological order, here are some highlights of TriZetto's history:

1997

May - TriZetto® is incorporated in Delaware as M C Health Holdings, Inc.

October - Shares of common stock of M C Health Holdings are exchanged for all equity interests in Croghan & Associates, Inc., a Boulder, Colo., firm providing software to help physicians manage their practices, and Margolis Health Enterprises of California.


1998

March - Company name is changed to The TriZetto Group, Inc.

TriZetto raises $8.5 million in private funding, increases its workforce 72 percent and experiences a 353-percent increase in revenues.

1999

February - In simultaneous transactions, TriZetto acquires two Texas firms, Creative Business Solutions, Inc., and HealthWeb® Systems, Ltd.

March - TriZetto acquires Management and Technology Solutions (MTS), of Louisville, Ky., and integrates MTSNet - a portal product helping physician offices communicate with each other, health plan offices and hospitals - with its HealthWeb product.

August - Healthcare Informatics names TriZetto one of the fastest-growing healthcare IT companies in the country.

TriZetto files a registration statement with the Securities and Exchange Commission for an initial public offering (IPO).

October - TriZetto's IPO raises approximately $37.5 million.

November - TriZetto acquires Novalis Corp., an Albany, N.Y.-based provider of applications services for the healthcare industry.

December - TriZetto acquires Finserv Health Care Systems, Inc. Headquartered in Albany, N.Y., Finserv creates and supplies reimbursement-management software and services for healthcare providers.

2000

January - TriZetto acquires Health Media Enterprises (HME), a Petaluma, Calif.-based Internet development company.

September - TriZetto acquires approximately 40 employees from Maxicare, the result of a seven-year, $50 million contract with the health plan.

October - TriZetto acquires Erisco, Inc., producer of the nation's leading managed care application.

November - Facets benchmark demonstrates scalability beyond 4 million members.

December - TriZetto acquires RIMS, the nation's largest provider of automated claims-processing technology and services for the benefits administration market. TriZetto now has approximately 1,500 employees and 600 customers.

2001

January - TriZetto signs a first-of-its-kind agreement with the Blue Cross and Blue Shield Association, to enable Facets to integrate with the Blues' ITS system.

February - TriZetto announces revenue of $89.1 million for 2000, up 171 percent from 1999 revenue. The percentage of revenue derived from recurring sources reaches 69 percent in 2000, up from 59 percent in 1999.

April - TriZetto acquires INFOTRUST Company, a subsidiary of TRUSTCO Holdings.

May - Analyst firm IDC ranks TriZetto as the No. 1 healthcare ASP and the No. 2 overall ASP worldwide.

July - TriZetto announces a seven-year, $100 million ASP contract with Altius Health Plans of Utah. TriZetto also purchases Altius' service center in Salt Lake City.

In its second-quarter 2001 earnings statement, TriZetto announces that it has achieved positive EBITDA (earnings before interest, taxes, depreciation and amortization), an important milestone on the company's path toward profitability.

2002

January - TriZetto announces a $32 million, six-year comprehensive outsourcing agreement with M-Plan, an HMO based in Indianapolis.

February - TriZetto announces revenue of $218 million for 2001, up 145 percent from 2000 revenue. Fourth quarter 2001 revenue was $61.6 million, up 80 percent from the $34.2 million reported in the fourth quarter of 2000, an increase primarily driven by organic growth of 49 percent.

April - TriZetto achieves the milestone of its systems' being contracted to serve more than 100 million healthcare payer members.

TriZetto announces a $28 million, five-year hosting agreement with the Specialized Care Services (SCS) division of UnitedHealth Group.

August - TriZetto is named the largest application service provider (ASP) in the world, based on 2001 hosted software revenue, by IDC, a global market intelligence and advisory firm.

October - TriZetto is named second-fastest growing technology company in Deloitte & Touche's "Fast 50" program. The five-year growth rate is 8,561 percent.

2003

January - TriZetto announces a software license agreement with Blue Cross and Blue Shield of Louisiana. BCBSL is the 14th Blues plan to become a customer of TriZetto, which now serves one-third of the nation's Blue Cross and Blue Shield organizations.

March - TriZetto introduces Facets Extended Enterprise® (Facets e2™), a major expansion of its administrative system for health plans. This expanded administrative system helps health plans anticipate industry change and improve service to consumers.

September - TriZetto opens the TriZetto Solution Center, a live representation of how TriZetto's technology and services enable health plan organizations to operate in an environment that is highly efficient and customer-centric, offering real-time connectivity and instant access to key information.

October - Deloitte & Touche, for the second consecutive year, names TriZetto one of the 500 fastest-growing technology companies in the United States.

November - TriZetto introduces NetworXModeler™, a software application that predicts the financial impact of new or revised provider contracts.

December - TriZetto announces the availability of the Facets e2 Workflow application, which automates manual processes and streamlines workflows.

2004

January - The Regence Group and TriZetto announce a seven-year hosting agreement under which Regence will move its members to Facets e2. TriZetto will host Facets e2 and the HealthWeb Suite on behalf of Regence.

February - TriZetto reports $290 million in revenue for 2003, up 9 percent from 2002.

March - John Muir/Mt. Diablo Health System becomes the fifth organization in the last two years to select Facets e2 to replace a legacy Amisys system.

May - TriZetto introduces CareAdvance Enterprise™, powered by CareKey™. This software application involves consumers more directly in their healthcare by enhancing and automating the entire care management spectrum-case, disease and population management.

November - Kathleen Earley, an AT&T executive, joins TriZetto as president and chief operating officer.

TriZetto announces the availability of DirectLink™, which provides secure, direct connectivity between payers' back-office systems and their constituents' systems.

December - TriZetto's NetworX™ Suite is recognized as the "Most Innovative Use of Technology to Improve Claims Processing" at The Emerging Technologies and Healthcare Innovations Congress.

TriZetto completes the purchase of more than 12.1 million shares of TriZetto common stock held by IMS Health, Inc.

2005

January - Blue Cross Blue Shield of Tennessee selects TriZetto CareAdvance™ Enterprise, powered by CareKey™, as its single platform for automating case, disease and population management.

TriZetto reports its first full profitable year, earning $0.18 per share on revenue of $274.6 million in 2004. Annual new-contract bookings increased 45 percent over the prior year, to $335 million.

March - TriZetto introduces Facets e2 CDH Suite, an integrated solution that delivers the full range of capabilities necessary to cost-effectively implement and administer consumer-directed health plans.

May - TriZetto announces the availability of FastTrak, which enables Medicare and Medicaid health plans to quickly get up and running on Facets e2.

December - TriZetto announces it has completed the acquisition of privately held CareKey Inc., a leading provider of advanced care management software. The combination expands TriZetto's market opportunities and increases its customers' ability to improve the cost and quality of care for their members.

2006

February - TriZetto announces its first full profitable year, with diluted earnings per share EPS) for the full year 2005 of $0.48, on revenue of $292.2 million. EPS performance was $0.03 better than the high end of the company's guidance range and represents an increase of 167 percent over full-year 2004 EPS.

TriZetto's outstanding results for 2005 and strong expectations for 2006 demonstrate the company’s leadership position at the confluence of some of the most dramatic changes that the healthcare industry has experienced in 20 years.

August - TriZetto announced that its personal health record technology, Personal CareAdvance®, will be used in a six-month feasibility test for the Centers for Medicare and Medicaid Services (CMS). The government ran only two such tests to determine how best to transform CMS claims data into personal health records that offer value to both Medicare beneficiaries and their care providers.

2007

January - TriZetto completes the acquisition of privately held QCSI (Quality Care Solutions, Inc.), combining the power of QCSI's QNXT™ administrative engine for smaller payers with the broad capabilities and financial strength of TriZetto.

February - Humana Inc., one of the nation’s largest publicly traded health benefits companies, transitions the first phase of its commercial membership to TriZetto’s Clinical CareAdvance™ software. The software is one of two modules comprising CareAdvance Enterprise, systems that automate all aspects of care management, creating significant productivity improvements for medical management and enabling health plans to guide consumers in making better health decisions that can lower medical costs and improve health outcomes.

BlueCross BlueShield of Tennessee reports good early results from initial launch of TriZetto's real-time patient liability and point-of-service claims adjudication software, Provider POS Direct™, in two of five pilot provider offices. Provider POS Direct can help provide price transparency for patients and providers via real-time access to medical benefit and procedure information in order to determine covered benefits and the exact provider reimbursement due from both member and health plan.

March - Premera Blue Cross, serving more than 1 million members in Alaska and Washington, successfully goes live on TriZetto's Clinical CareAdvance™ software. Clinical CareAdvance integrates with TriZetto's Facets® administrative system, which Premera has used since 2001.

November - TriZetto previews Integrated Healthcare Management (IHM) to executives representing 40 percent of the insured U.S. population at the company’s Executive Vision Summit in Naples, Fla. IHM is the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer. Introduced by TriZetto, the IHM framework is driven by the convergence of health benefit administration, care management and payers’ engagement of constituents – employers, providers, members and brokers.

2008

January - TriZetto announces the availability of the TriZetto Member Benefit Profile™ and TriZetto Treatment Cost Navigator™ to healthcare payers. Additionally, significant enhancements are added to the company’s Benefit Cost Modeler™ application. The three consumer-facing Web applications enable plan members to make better healthcare decisions by providing real-time, personalized information about benefit choices, treatment options, related costs and health benefit usage.

Blue Shield of California contracts with TriZetto to acquire software for a major system-wide technology upgrade with the company’s Facets® software. The technology infrastructure improvement is expected to ease doing business with the not-for-profit health plan, which has more than 3 million members and 4,500 employees.

February - TriZetto reports increases of 30 percent in revenue and 45 percent in adjusted EBITDA for full-year 2007 and posts bookings of $163 million for Q4.

Blue Cross & Blue Shield of Rhode Island selects TriZetto's Facets® enterprise administration system, along with TriZetto's Facets Workflow™, NetworX Pricer™, Benefit Cost Modeler™, Facets Inter-Plan Teleprocessing System (ITS) and Provider POS Direct™, to improve the health plan’s claims processing, premium billing, membership administration and other core administrative functions. TriZetto also will provide long-term application management and hosting, as well as implementation consulting services to BCBSRI.

QualChoice of Arkansas, the state's second-largest managed care company and health benefits administrator, selects TriZetto's comprehensive suite of fraud, waste and abuse services. These services will help QualChoice identify, recover and subsequently prevent claims overpayments resulting from fraud and abuse.

March - TriZetto announces that Triple-S Management Corporation (NYSE: GTS) signed a software licensing and professional services agreement in December of 2007 for TriZetto's QNXT™ core administrative enterprise system and associated implementation, training and other professional services. Based in San Juan, Triple-S is Puerto Rico's largest managed care health plan, serving approximately 1 million members.

April - TriZetto agrees to be taken private by Apax Partners. Apax Partners is a growth-focused, global private equity firm with $35 billion in funds under advice and significant expertise in healthcare and technology. Valued at approximately $1.4 billion, the transaction is funded in part by BlueCross BlueShield of Tennessee and The Regence Group, both customers of TriZetto.

TriZetto reports diluted earnings per share for the first quarter of 2008 of $0.09 on revenue of $106.8 million. The company reports record new contract bookings of $236.4 million and record net cash provided by operating activities of $37.4 million, which grew 52% over the prior year quarter.

May - TriZetto announces a five-year agreement to host its QNXT™ core administration system for Health Alliance Medical Plans, a managed care organization providing coverage for 250,000 people in Illinois and Iowa.

TriZetto announces a five-year, non-exclusive, revenue-sharing agreement under which Unisys Nederland NV will market, distribute and maintain TriZetto software to health insurers in The Netherlands. Although TriZetto serves international clients, this marks the company's first overseas channel partner agreement, providing the company a vehicle for broader access to this market.

June - TriZetto announces an agreement with Microsoft Corp which TriZetto will develop a connector for its payer customers that enables members of health plans to use TriZetto's Member Benefit Profile™ application with Microsoft HealthVault™.

TriZetto announces that the Universal American Corporation (NYSE: UAM) health plan is implementing TriZetto's CareAdvance Medicare™ software module.

Results of the 2008 IHM Survey by TriZetto show that patients, doctors and other healthcare constituents agree that more shared information and aligned incentive programs are key to helping solve the healthcare affordability crisis and that health plans are best positioned to coordinate these improvements.

TriZetto announces two new customers for the company's real-time patient liability and point-of-service claims adjudication software, Provider POS Direct™. Blue Cross and Blue Shield of Kansas City (BCBSKC) and Blue Cross and Blue Shield of Rhode Island (BCBSRI) become the latest health plans embracing the value of real-time claims adjudication by selecting TriZetto's Provider POS Direct application. BCBSKC has nearly 900,000 members and 4,000 network providers; BCBSRI has more than 680,000 members and nearly 3,900 network providers.

July - TriZetto announces its selection of Eliza Corporation's phone-based, speech-enabled outreach programs as an integrated part of TriZetto's CareAdvance Enterprise® care management application and Healthwise® Smart Campaigns.



Information
For more detailed information, please call 1-800-569-1222 or click on the link below.
Request more information     Contact a sales rep

Acquisition History:
Novalis Corporation
Acquired Nov. 29, 1999
$18.2 million cash and stock
Erisco Managed Care Technologies, Inc.
Acquired Oct. 2, 2000
$228.7 million in stock
Resource Information Management Systems, Inc. (RIMS)
Acquired Dec. 1, 2000
$99.3 million in cash and stock
INFOTRUST
Company

Acquired Apr. 12, 2001
$15.4 million in stock
Diogenes, Inc.
Acquired Apr. 26, 2004
$5.4 million in cash, assumed liabilities, deferred payments and acquisition-related costs
CareKey, Inc.
Acquired Dec. 22, 2005
$60 million in cash
Quality Care Solutions, Inc.
Acquired Sep. 13, 2006
$133 million in cash
Plan Data Management, Inc.
Acquired Dec. 29, 2006
$19.6 million in cash, stock, assumed liabilities, and acquisition-related costs



About TriZetto   Healthcare Solutions   Healthcare Services   Privacy Policy   Terms and Conditions   Trademarks  
© 2000-2008 The TriZetto Group, Inc. All rights reserved.