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COGNIZANT CONSULTING
Helping organizations engage people and uncover insight from data to shape the products, services and experiences they offer
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New Operating Models to Heal
ADAPT PROCESSES TO READ YOUR CUSTOMERS' PULSE
Engaging with patients on their terms helps drive better outcomes.
Digitizing healthcare processes puts the focus of operations back where it should be—patient care.
While various segments of the healthcare market—from payers to providers to pharmacy benefits managers—may have different types of customers, a precise, hyper-personalized focus on those customers is central to fuel all of their digital business success.
Adaptable and agile operating models and processes are key for healthcare players to succeed in a challenging market, where they must grapple with industry forces such as accountability, risk re-allocation, cost of care, consumerism and the robust regulatory environment, all while trying to innovate, grow and manage costs.
Cognizant brings together the automation insights and ready-to-deploy, best-in-class processes and platforms that healthcare companies require to move their operations closer to customers to provide the personalized engagement they demand.
As a result, businesses are freed from managing cumbersome processes that do not set them apart in the market and drain their resources to instead create new products, focus on customer experience and build a strong competitive differentiation.
COGNIZANT—A RECOGNIZED LEADER
Everest Group Revenue Cycle Management (RCM) Business Process Services PEAK Matrix™ Assessment 2019
Everest named Cognizant a leader and a Star Performer in RCM Business Process Services. The report recognizes Cognizant's wide array of technology tools that help in billing, denials management, coding and other functions within revenue cycle management.
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Healthcare Payer Business Process Services PEAK Matrix™ Assessment 2019
Everest named Cognizant a leader in healthcare payer business process services. The report recognizes buyers' appreciation of Cognizant's collaborative, constructive and client-centric approach, which helps in positioning us as a strategic vendor of choice for multiple functional areas.
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Healthcare Business Process Automation Solutions PEAK Matrix™ Assessment 2019
Digital solutions play a critical role, and within digital, automation (RPA and AI) is one solution that has garnered maximum mindshare in enterprises during the last few years. Some of the benefits that enterprises can achieve by implementing automation solutions include cost savings, enhanced customer experience and quality, revenue growth, better population health, improved speed, security, and governance and compliance.
READ THE REPORTFEATURED WORK
HEALTHCARE
INSURANCELATEST THINKING
Healthcare providers must make sweeping system, process and...
New automation technologies are rapidly changing the industry...
A consumer style of engagement is supercharging physician...
SERVICES
With new digital operating models, healthcare companies can focus on enhanced consumer experiences and healing. Our services underpin the success of a new healthcare business model built on the features, functionality and value that consumers find indispensable.
Our deep relationships with leading healthcare organizations around the world put us in a unique position to deliver services through our integrated model, where we focus on the industry trends that are sustainable while investing in areas that drive fundamentally better outcomes at lower costs.
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PAYER SERVICES
BRING DIGITAL TO LIFE
We help you evolve to meet the demands of constantly changing industry environments, shifting customer needs and the rapidly transforming technology landscape. Our offerings include:
- Product design and sales
- Enrollment
- Billing
- Provider network management
- Claims
- Medical management
- Customer services
- Reporting and analytics
- Corporate functions
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REVENUE CYCLE MANAGEMENT (RCM) AND PROVIDER SERVICES
FOCUS ON CARE AND PATIENT SATISFACTION
Our RCM and provider services include:
- Hospital RCM
Our solutions address hospitals' need for improved metrics, accelerated cash flow and improved patient satisfaction, and include:- Services designed to fit the ever-changing needs of the hospital system.
- Comprehensive accounts receivable management process, supported by best-in-class workflows and proprietary software.
- Provider RCM
Our complete revenue cycle solution for large multi-specialty practices and niche specializations alike includes:- Service options with full spectrum outsourcing to system conversion projects.
- Practice management for those groups that want to focus solely on the practice of medicine and leave the business of medicine to Cognizant.
- Third-Party Liability
Our intelligent software suite helps handle difficult and complex reimbursement cases, including identification and recovery. The suite also provides:- An end-to-end solution that encompasses determination, lien filling, negotiation and recovery.
- Personal injury protection (PIP), medical payment (MedPay) and third-party liability.
Other RCM and provider services include:- Self-pay
- Eligibility
- Denials
- Clinical coding
- Collections
- Government RCM
- Hospital RCM
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BPAAS FOR PAYERS
REDUCE COSTS, IMPROVE PRODUCTIVITY
Cognizant’s wide-ranging BPaaS portfolio puts us in a unique position to provide superior BPaaS solutions to payers.
Our services increase payer efficiency, build strategic business agility, improve productivity, reduce costs, mitigate risks and position payer business for growth.
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GOVERNMENT BPAAS PROGRAM
BOOST HEALTH OUTCOMES AND COMPLIANCE
Our acquisitions of TriZetto and TMG Health create a portfolio of capabilities with a BPaaS framework that can be quickly and efficiently deployed to meet the complex data processing and compliance requirements of Medicare Advantage, Managed Medicaid and Medicare Supplemental plans promptly.
These services increase regulatory compliance and error-free submissions, while reducing operational costs and improving health outcomes.
AS-A-SERVICE MODELS
“As-a-service” models are not only changing how businesses invest in modernizing technology, but also providing the necessary operational agility to expand as the market grows. Cognizant melds automation, insights and best-in-class industry processes to allow businesses to create new products and focus on customer experience for a strong competitive differentiation.
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WELLNESS AS A SERVICE
EMPOWER PATIENTS
Bi-directional, multichannel exchange of information that focuses on an informed and empowered consumer/patient.
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UTILIZATION MANAGEMENT AS A SERVICE
DRIVE EFFICIENCIES
Deliver Utilization Management as a business process service to unify processes, platforms and clinical talent to drive efficiencies and improve care coordination.
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CARE MANAGEMENT AS A SERVICE
COORDINATE CARE
Our integrated approach and end-to-end service capabilities help you coordinate care for members and empower them to participate as active decision-makers in their care.
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QUALITY AS A SERVICE
DERIVE INSIGHTS
Intelligent and evolving care management ecosystem with the ability to derive insights from a combination of external and internal data sources.
RESOURCES
TriZetto Healthcare Products
Cognizant’s TriZetto Healthcare Products are software solutions that help organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care, and improve the member and patient experience.
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