As a healthcare payer, you face tremendous challenges today. Achieving ICD-10 compliance and meeting new MLR standards. Contending with new financial pressures and increased competition. Meeting market demand for innovative new benefit plans that deliver greater value. As the challenges grow, you need to manage your business more efficiently—while still delivering high-quality care. The TriZetto Facets™ core administrative system can help. The Facets system gives you a single solution with the power to help you manage your business today and adapt rapidly to meet tomorrow’s challenges.

1. Facets™ Enterprise Core Administration Platform - TriZetto
HEALTHCARE INDUSTRY SOLUTIONS
E-ZEST SOLUTIONS LTD.
A L L P R O D U C T S D I S C U S S E D I N T H I S P R E S E N T A T I O N A R E T R A D E M A R K O F T H E I R R E S P E C T I V E C O M P A N I E S

2. Facets Enterprise Core Admin Platform
Business Driver:
◦ Achieving ICD-10 compliance and meeting new MLR standards is the main business driver for using Facets
◦ The Facets system gives Healthcare Enterprises a single solution with the power to help them manage business and make that future proof
Facet Advantages:
◦ Facet helps enterprises reduce administrative costs, improve business processes and deliver better value for care management solutions.
◦ The Facets application is available in 3 flavors. You can choose one which best suits your needs:
◦ SaaS,
◦ Installable
◦ On outsourced basis
◦ The Facets system, coupled with TriZetto Advantage Services™, provides a comprehensive solution that can help you effectively manage your
business, clinical and IT systems in today’s challenging environment while positioning your organization to take advantage of the opportunities
that lie ahead.
Summary: With Facets you can solve all the major issues of your business in the following 3 areas
◦ Compliance
◦ Efficiency
◦ Care

3. What you can do with Facets
Subsidy Billing and Member Calculations
Changes to MMS to support exchanges
New Web Service to support SHOP ( add group)
APTC Grace Period
New Delinquency Calculations
834 Updates
APTC Status Override

4. Facets Product Objectives
A Foundation of Quality
Advanced Architecture and Engineering
Partnering With
Our Clients
Solution
Focused
Meet Government and
Compliance Requirements
Meet Emerging Market
Needs / Individual
Improve Client
Experience
and Satisfaction

5. Facet’s Solution Focus
Solution Testing
◦ Improve processes and collaboration across Clients, Consulting, Hosting, BMS through new Partnership
Program
◦ Early releases to hosting
◦ Testing a solution stack
◦ CAE/CAP solution testing
Early Drops of Code
◦ Client Specific
◦ Early Adopter
Improved Integrations
◦ ICES Integration improvements
◦ TriZetto Communication System Integration Improvements

6. How Facet helps to meet Compliances
Meet the reform challenges
◦ Premium Age Calculation Changes
◦ ITS Cost Share
◦ ATPC Tolerance
◦ Zero Premium
◦ Essential Health Benefits
Enhanced Duals Functionality
FSA Carryover
ICD-10 Continued Support
CAQH Enhancements
CMS Compliance Items
ITS Compliance

7. We practice
Facets at e-Zest!

8. Thank You !!