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Win-Win Negotiations for Healthcare Payers and Providers: A large managed care organization was planning to convert to for-profit status while it also was negotiating a renewal contract with a prominent multi-hospital system. Historically, negotiations with the system had been tense and time-consuming and sometimes wound up being covered by the local media. The payer wanted to set...; Tags: Financial, Health Care, Negotiation, NetworX Modeler, Free Trade, Financial Accounting, Finance; Case studies 2009-01-01

Drive Greater Efficiencies With TriZetto NetworX Modeler: Capture More Value From Current Technology Assets, Increase Provider Satisfaction and Improve Medical Cost Management: Today's health plans are facing uncertainties that require them to re-examine current processes and seek new ways to maximize Return On Assets ROA from their existing technology investments. One of these uncertainties is the difficult economic climate, which is complicating health plan decisions regarding new technology purchases. Although such investments...; Tags: Asset, Cost Management, Health Care, Vertical Industries, Benefits, Healthcare, Enterprise Software, Software, Human Resources; White papers 2009-04-01
Caresource Streamlines Pricing With TriZetto Networx Pricer and Improves Financial Analyses of Proposed Contracts With TriZetto Networx Modeler: CareSource Management Group provides services for the administration of public-sector healthcare programs that serve Medicaid enrollees in Ohio and Michigan. When CareSource Management Group was formed in 2002, executives recognized that, in order to improve efficiency and support growth, the organization would need to increase automation in key administrative areas,...; Tags: Financial, Pricing Strategy, Networx Inc., Pricer AB, Caresource, CareSource Management Group, Pricing, Marketing Research, Marketing; Case studies 2007-01-01

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