Configure and manage incentive programs, Manage members in programs and log compliance, Enable claims adjudication of member-specific value-based benefits in TriZetto's Facets and QNXT enterprise systems, and Communicate with third-party health and wellness, and reward vendors.

"The benefits of the payer web application are two-fold: The solution helps drive positive behavior change by members," said Knopf, "which is where the rubber meets the road."

In addition, the functionality reduces barriers to member compliance with regular office visits, medications and other proven, best-practice instructions from practitioners, which in turn can help avert more expensive, acute care.

TriZetto's Value-Based Benefits Solution also includes a web application that provides members the online ability to:

View incentive program details and available rewards, Enroll in applicable programs, View incentive program activity, and Link to program and reward vendors.

This member web application encourages healthy choices and patient compliance. The one-stop portal provides members with what they need - through reward redemption - "which eases participation in health risk assessments and programmatic interventions that can help manage member health," Knopf said.

Through a partnership with Hallmark Business Connections, a subsidiary of Hallmark Cards, TriZetto's Value-Based Benefits Solution automates online gift card selection from hundreds of leading retailers. Additionally, TriZetto's Value-Based Benefits Solution is available with optional templates of benefit designs for those chronic conditions which drive the greatest claim costs. The templates are created exclusively for TriZetto by A. Mark Fendrick, M.D., and Michael Chernew, Ph.D., of the Value-Based Insurance Design Institute, LLC. Drs. Fendrick and Chernew are widely acknowledged to have founded the value-based insurance design movement more than a decade ago. The initial benefit design templates include diabetes, coronary artery disease, asthma, smoking cessation and depression. The templates are pre-configured in the Value-Based Benefits Solution and Facets and QNXT applications.

Source TriZetto