Platform Integrates Medical and Pharmacy Data to Drive Real-Time Pharmacy Utilization Management Decisions
NEWPORT BEACH, Calif. and PHILADELPHIA, Jan. 12 /PRNewswire/ -- The TriZetto Group, Inc. and Sanovia Corporation today announced a definitive partnership agreement to offer the market's first platform that integrates real-time medical data with pharmacy data to automate prior-authorizations of medications and help plans manage pharmacy expenditures.
TriZetto's Facets(R) and QNXT(TM) core administration systems will integrate with PA-Logic(TM), Sanovia's automated pharmacy utilization management application, to confirm member eligibility, benefit design and formulary status and apply best-practice clinical guidelines to evaluate provider requests for select medications. The integrated data platform enables Integrated Healthcare Management and will be available to TriZetto customers in mid-2009.
"In combining the access of real-time medical claims data with Sanovia's pharmacy utilization management application, this integrated system will use built-in intelligence to drive automation, standardization and consistency in the evaluation of pharmaceuticals," said Marty Mattei, Pharm.D., TriZetto's director of pharmacy solutions. "The result will be a more efficient workflow process that helps reduce administrative costs associated with managing the pharmacy benefit. Additionally, because the Integrated Healthcare Management platform enables more efficient collaboration between the payer, provider and member, it will enhance quality of care and help reduce clinical costs by optimizing therapeutic regimens, thereby helping ensure the appropriate use of pharmaceuticals."
"Health plans seek a better way to manage the utilization of expensive specialty pharmaceuticals," said Jerry Osband, M.D., TriZetto's chief medical officer. "Pharmacy staff at payer organizations today must access dat
|SOURCE Sanovia Corporation|
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