GREENWOOD VILLAGE, Colo. - July 22, 2010 - The TriZetto Group, Inc. today announced that Martin’s Point Health Care, a physician-led not-for-profit health plan in Portland, Maine, has licensed TriZetto’s QNXT™ enterprise administration system to help improve its administrative efficiency and support growth while sustaining its high levels of member and provider satisfaction. Martin’s Point also is implementing TriZetto’s Medicare modules and web-based Provider and Member Service applications.

Martin’s Point anticipates going live on TriZetto’s applications in September.

“We’re targeting a 10- to 15-percent higher first-pass auto-adjudication rate, and TriZetto’s QNXT system will help get us there,” explained Greg McCarthy, vice president of information systems and health plan operations at Martin’s Point. “We know, too, that a TriZetto platform can scale to our plans to significantly grow membership in our health plan offerings.”

Reputation was another important consideration for Martin’s Point in selecting TriZetto’s patented QNXT product over competing platforms, according to McCarthy.

“Our Martin’s Point US Family Health Plan scored tops among 242 plans nationally in overall member satisfaction, and Martin’s Point Health Care Centers in Maine were awarded the highest rating for commitment to providing quality care to patients,” he said.* “We take customer satisfaction seriously, and TriZetto’s QNXT system, Medicare modules and service portals give us the confidence that we can grow without compromising the satisfaction of our valued members and providers.”

McCarthy added that TriZetto’s QNXT application also will provide more flexible provider payment functionality and integrate well with other Martin’s Point information systems.

The rapidly growing Martin’s Point Medicare plan, Generations Advantage®, currently provides coverage for about 6,000 people across Maine. The Martin’s Point US Family Health Plan, a TRICARE plan, serves some 31,000 military retirees, dependents and families of active-duty personnel in Maine, New Hampshire, Vermont, New York and Pennsylvania. Additionally, Martin’s Point administers a commercial employer group product called Point Partners.

“TriZetto’s QNXT platform has always been a primary choice among growth-oriented plans,” said Rob Scavo, president of the TriZetto unit that serves local and community health plans. “Now, it has quickly become an important tool for helping plans meet the new requirements of ICD-10 and healthcare insurance reform.

“Martin’s Point is yet another example of how TriZetto’s QNXT system supports increasingly complex and diverse health plan products and multiple lines of business, providing competitive advantage and scaling to support membership growth,” Scavo added. “This, coupled with TriZetto’s proven implementation methodology, is why we continue to see community health plans such as Martin’s Point leverage our QNXT and other applications.”

TriZetto’s Medicare modules will help ensure compliance with CMS regulations, proper reconciliation of data and correct reimbursement for Martin’s Point’s Medicare Advantage program. The licensed modules include:

• Financial Reconciliation Manager
• Risk Score Manager
• Enrollment Administration Manager
• Claims Data Manager
• HCC Risk Adjustment Manager

About Martin’s Point Health Care

Martin’s Point Health Care is a not-for-profit regional healthcare provider operating nine health centers in Maine and New Hampshire. All are open to the community. Martin’s Point also administers the US Family Health Plan in northern New England, New York and Pennsylvania, as well as Medicare Advantage health plans and employer wellness and health management services in Maine. For more information, visit www.martinspoint.org.

About TriZetto

Founded in 1997, TriZetto is the leading privately held healthcare information technology company to the healthcare payer industry, with its technology touching half of the U.S. insured population. TriZetto’s vision for the industry, Integrated Healthcare Management, is the optimized coordination of benefits and care for healthcare consumers to improve the value of every healthcare dollar spent. The company's offerings include enterprise and component software, hosting, outsourcing services and consulting that help payers implement and optimize their operations and minimize the risk of bringing to market new products that drive competitive differentiation.

Footnote:

* 2008 Annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey, administered by the U.S. Agency for Healthcare Research and Quality, www.cahps.ahrq.gov/; Maine Health Management Coalition Pathways to Excellence Primary Care initiative, 2008, www.mhmc.info.

Media Contacts:

Loren Finkelstein
The TriZetto Group
303-542-2460
loren.finkelstein@trizetto.com

Davida Dinerman
Schwartz Communications
781-684-0770
trizetto@schwartz-pr.com