It appears reorganization and putting strategic individuals is now taking place since the company, Trizetto,  was acquired by Apax Partners Private Equity.  A couple weeks ago I somewhat challenged a study put out as I questioned where in the world they found such highly educated consumers for these imageresults so again you have to read carefully what is out there today as everyone is marketing. 

Trizetto Group (Wholly Owned Subsidiary of Apax Partners London Based Private Equity Firm) Says Their Study Indicates the US Healthcare System is Ready to Adopt Value Based Insurance Designs – Marketing At Its Best

I noticed too that the headquarters mentioned here was moving to a new locations and living in Orange County I can tell you their current location is among the most expensive areas in the country here.  I have said this before and I repeat it a bit but there are way too many companies on the payer side of things with healthcare and we all pay for this in higher costs.  Certainly there needs to be enough companies to audit and create new algorithms for risk management intelligence, but the US as a whole has way too many.  It is an industry that feeds on itself due to the fact that as soon as someone create one new grand results oriented algorithm, here comes another to either outdo what is being used or combines new elements to process the code already in place.  Like I said it feeds on itself and creates more expensive transaction fees which all take a chunk out of paying a medical claim. 

As a matter of fact just this week the White House, US CIO and a few others looked at the VA new financial system overhaul and canned it.  This is a good indicator I feel as far as having a “glut” on financial and business intelligence software, especially when it is all to generate profits.  One company noted as a partner for software is Ingenix, the wholly owned subsidiary of UnitedHealthGroup that is now in the process of paying claims for 15 years of under payments to doctors and patients. 

VA Cans $500 Million Financial System Overhaul – Financial Transactions - The Business That Keeps Feeding Itself

Hopefully some of these businesses will either merge or go away in some point in time and actually they should get better at what they do with some standards as I mentioned in the title, their algorithms are not certified and accountable like the medical records side, which is where all the monetary bleeding is taking place while record profits are made on the other side.  We could see more EHR executives jump ship while the getting is good too as this is what is driving everything today, cost with little or not perhaps not enough value left for human ethics.  image

One huge money maker for Trizetto has been CareMore, a Part D Medicare management company who uses their services.  Again over the years with cutting back and gaining better efficiencies there’s only so far you can go before vital and important care issues start to be affected.

CareMore Live On TriZetto's Clinical CareAdvance System Algorithms - Healthcare Business Intelligence

About a year ago I started speaking about a Department of Algorithms and perhaps that is not too far down the road.  BD

“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?

NEWPORT BEACH, Calif.--(EON: Enhanced Online News)--The board of directors of The TriZetto Group, Inc. today announced that Trace Devanny, former president of Cerner Corporation, joins the company as its new chief executive officer, effective July 19. Devanny also will be appointed to the board of directors.

“Trace is a highly experienced and growth-focused leader,” said TriZetto Founder and Chairman Jeff Margolis. “The board, along with our outstanding management team, look forward to the many ways TriZetto and its customers will benefit from his tremendous healthcare information technology experience and proven global growth expertise. Trace’s extensive knowledge of provider organizations will contribute greatly to achieving TriZetto’s Integrated Healthcare Management vision as we continue to drive the coordination of benefits and care to deliver more value for every healthcare dollar spent.”

Recruited into taking a two-year break from Cerner, Devanny was previously president and chief operating officer of ADAC Health Care Information Systems, where he led a turnaround of the company’s operations. Earlier, over a 17-year career at IBM, the healthcare experience he developed, combined with his extraordinary record in sales, led to his appointment to lead IBM’s healthcare business in the Mid-Atlantic region.

TriZetto Appoints Trace Devanny as Chief Executive Officer | EON: Enhanced Online News

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