Pharmacy Benefit Management
Your business is caught in a perfect storm of disruptive forces. Valuable revenues are lost as blockbuster drugs go off patent while generics and imitators rapidly come to market. Distribution becomes highly competitive. Mergers, acquisitions, divestitures constantly shift the competitive landscape. The focus shifts from managing benefits to managing therapies and patients. Such transformation requires new thinking, new skills, new platforms. How will you get there?
How can you reduce costs while collecting more data, improving services and delivering new features, functions and benefits?
Cognizant can help. We have proven experience working with Retail, Specialty and Mail Order Pharmacies and PBMs to build short term and long term Business Capability Roadmaps; Business Process Re-engineering, Improvement Assessment and Change Transformation Program Plans; and Business-IT Alignment Assessments and IT Applications Portfolio rationalizations to meet their strategic business objectives and drive business value.
Services & Solutions:
Cognizant offers a wide spectrum of Business and IT services to address the multifaceted and complex market challenges our clients face.
Regulatory Compliance
- Medicare Part D Compliance
- NCPDP D.0 Compliance
- Controlled Substance Dispensing
- Patient Compliance
Plan
- Business Capability Roadmap
- Strategic Alignment Services
- Resource Plan (Demand & Supply)
- IT Portfolio Rationalization & Optimization
Design
- Product Development
- Business Architecture
- Business Process Re-Design
- Post Merger Business Architecture
Implement
- Business Transformation Execution
- Strategic Sourcing
- Vendor Evaluations
- Business Process Outsourcing
- Business Process Implementation
Regulatory Compliance Solutions
We provide an array of field-proven solutions and tools for meeting specific regulatory challenges, ranging from the transition to ICD-10 and healthcare reform mandates to data privacy and security requirements and audits and quality reporting.
Clinical Management Programs
Cognizant offers the comprehensive expertise necessary to launch successful clinical management programs. We have the analytics to help you identify key candidates; roadmaps and planning to develop your strategy; platforms, tools and resources for implementing and managing programs that help patients achieve their health and wellness goals.
Analytics/Business Intelligence
Continuing cost cutting pressures will require optimal utilization of business resources. Cognizant Business Process Re-design and Business Process Improvement consulting services provide the balanced scorecard of the Key Performance Measures for an organization to use to guide its business performance improvements.
In addition to business performance improvement, Cognizant also provides expertise on the data that should be collected across a wide range of attributes affecting Pharmacy and PBM businesses, helping you make well-informed decisions.
Quality Services
Cognizant’s Business Process Re-Design and Business Process Improvement services assess the current performance of your business processes and provide practical recommendations to improve business performance.
Implementation Services
Cognizant’s team of Pharmacy and PBM Business and IT experts provides the leadership expertise and the well-defined, mature methodology required to execute the major Transformation programs for Business Processes, Organization structure and Information Technology required to meet your business objectives.
Cognizant also guides clients to well-informed decisions about Strategic Outsourcing, Vendor Evaluations and Business Process Outsourcing through our well-defined and mature Multiple Objective Decision Model.