TruCare is a configurable and scalable population health management platform that enables a comprehensive view of health plan members so that care is delivered in an efficient and cost-effective manner. Fallon Health, headquartered in central Massachusetts, having a long and proud history of serving a diverse Medicare and Medicaid population has been using the TruCare platform since 2013 for care management, utilization management, prior authorizations, and more.
As a development partner, Fallon will work with Zyter|TruCare on the development of TruCare Insights through gathering joint requirements, defining the scope and prioritizing items for development, and conducting product reviews and providing feedback. “We are pleased to expand our partnership with Zyter|TruCare for this important work,” said Carolyn Langer, M.D., Senior Vice President and Chief Medical Officer for Fallon Health. “Developing this tool to provide operational visibility into both care and utilization management will help leaders to balance case loads, identify performance patterns in real time, establish and measure against baselines, identify opportunities for training, workflow, and process change, and so much more.”
“Fallon has been a Zyter|TruCare partner for a longtime and we are thrilled to be taking this journey with them,” said Peter Masanotti, CEO “As both an insurer and provider of care, Fallon is deeply committed to meeting the unique and changing needs of everyone they serve, and we are honored to partner with them to give everyone the healthiest life possible.”
The beta version of TruCare Insights is expected in the first half of 2021.
Zyter|TruCare provides a comprehensive suite of enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO and specialty provider organizations that have multiple lines of business and that require comprehensive configurations for each member population. Healthcare organizations rely on Zyter|TruCare population health management solutions to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization, and home and community-based services management. Zyter|TruCare solutions enable organizations to adapt quickly to changing market and regulatory dynamics, and to identify and target populations having unique risk characteristics with specific care management programs – taking the first step toward better individual health and total population health management.
About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently been rated among the nation’s top health plans by the National Committee for Quality Assurance for its HMO and Medicaid products. For more information, visit fallonhealth.org.
Natalie Schibell, MPH
VP Product Marketing
Corporate Communications Manager
Email: [email protected]