Managed Markets
Today, the payer is king. Insurers exert tremendous influence on physicians (through contracts that mandate fees for service) and on the drug regimens and devices that treat patients.

For that reason, life sciences manufacturers must ensure that payers are well served. Drugs must be included in formularies. And discounts must be more effectively and efficiently negotiated with insurers. In so doing, manufacturers face a host of challenges:
- Contract negotiation, setup and maintenance
- Claims adjudication
- Compliance tracking and reporting
- Formulary maintenance
- Profitability analysis
- Forecasting, reporting and analytics
- Rebate and discount structures calculation
- Pricing calculation and negotiation
These issues are made more complex by U.S. healthcare reform. New requirements include provisions such as universal health coverage, cost containment, insurance market competition, excise tax on medical device manufacturers and lower drug costs for Medicaid and Medicare.
To address the above proliferating concerns, life sciences companies are turning to Cognizant’s Managed Markets solution. Our mix of IT, consulting and business process outsourcing (BPO) services deliver operational efficiencies and business capabilities designed to streamline the Managed Markets lifecycle.
An end-to-end solution
Cognizant addresses your business needs by providing a comprehensive framework that offers visibility for all stakeholders across the Managed Markets spectrum. We deploy and manage this framework using our unique Two-in-a-Box™ (TiB) client relationship model, which leverages the cost advantages of global delivery with the efficiencies of onsite client management.
Our Managed Markets solution includes industry-standard contract management systems, as well as workflow-enabled systems and processes that manage customer information across market segments. We’re also an acknowledged leader in post-implementation support of Managed Markets systems, with proven results such as:
- Cutting costs and expanding business capabilities
- Increasing effectiveness and efficiency of contracts and rebate management process
- Increasing business unit productivity by eliminating manual processes and redundancies
- Improving claims adjudication
- Improving government compliance
Global technology expertise
Tapping a large pool of technical resources worldwide, we bring you deep and wide technology expertise across data warehousing, business intelligence and performance management. We also provide support services such as:
- Activity-based analytics (to evaluate profitability at the physician level)
- Managed Market roadmap
- Product recommendation
- Drug Regulation Authority initiatives
- Claims validations systems re-engineering
- Legacy managed markets contracting systems
- Analytics and decision support systems
Today, Managed Markets account for up to 80% of sales in the pharmaceutical and medical device sectors. When you work with Cognizant, you can better address the needs of this critical market segment.