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WellCare Health Plans Chooses TriZetto’s End-to-End Technology And Services To Optimize Member Care And Provider Contracting

The TriZetto Group, Inc., today announced that WellCare Health Plans, Inc. (NYSE: WCG), a leading provider of managed care services for government-sponsored healthcare programs, has chosen an integrated solution set from TriZetto to enhance care coordination. WellCare expects the technology and service solutions will be an asset in its commitment to continually improve the quality of care and service it provides to its members.

“TriZetto’s care-management solution will enable WellCare to maintain a complete view of each member’s health and provides the type of technology that we need to succeed,” said Kirk Cianciolo, D.O., WellCare’s vice president of health services. “WellCare is dedicated to helping our members access the right care at the right time in the appropriate setting through coordinated care teams and community partnerships.”

TriZetto’s integrated solution set will also help the company maximize value for its providers. “With TriZetto’s contract-modeling solution, we expect greater consistency in the evaluation of provider contracts,” said Michael Gerasimovich, WellCare’s vice president of contract analytics. “We also plan to leverage automation to negotiate more contracts in less time to strengthen relationships with our provider community.”

The care-management and contract-modeling solutions will go live in early 2013. A TriZetto consulting services team will employ the firm’s rigorous implementation methodology, said Jake Sorg, senior vice president of consulting services at TriZetto.

“It’s a proprietary approach that incorporates best practices from TriZetto’s real-world experience in implementing more than 800 applications over the years,” he said. “This framework helps ensure stable operations while accelerating implementations. It integrates five phases and five solution tracks with a sequencing model to deliver the business results that our clients demand.”

About WellCare Health Plans, Inc.

WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescription drug plans. The company serves approximately 2.6 million members nationwide as of September 30, 2012. For more information about WellCare, please visit the company's website at

About TriZetto

TriZetto provides world-class information technology and service solutions that help payers and providers work more efficiently and collaborate to deliver better health. TriZetto solutions touch over half the U.S. insured population and reach more than 200,000 care providers. TriZetto helps healthcare organizations enhance administrative efficiency; improve the cost, quality and delivery of care; address compliance and compete to win in an emerging retail market. Payer solutions include benefits administration, care management, network management and portal platforms, as well as consulting, application management and business management services. Provider solutions include real-time eligibility assurance, claims editing, revenue cycle management technology and services that help providers get paid quickly and accurately. For more information, visit

Copyright Business Wire 2010

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