Case Overview With a license agreement set to expire, a regional nonprofit health plan with Medicaid, Medicare, and commercial lines of business needed to replace its existing core administrative processing solution (CAPS). The health plan turned to Change Healthcare Consulting to help with its vendor selection and implementation projects. The goal was to implement a new enterprise architecture that reduced complexity, tightened integration, increased automation, and improved end-user experience and productivity. After a consulting-facilitated procurement process to ensure a thorough evaluation of products on the market, the health plan chose to implement an enterprise architecture based on the TriZetto® Facets® platform. As the plan had been using its legacy CAPS for more than a dec

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