The challenge
Vantage Health Plan Inc. prides itself on providing highly flexible plan designs that combine variable per diems, multiple out-of-pocket maximum values and a wide range of deductible options. However, maintaining almost 200 benefit plans was a labor-intensive and lengthy process that the health plan wanted to eliminate. The team at Vantage had prior experience working in the Federally Facilitated Marketplace, where the TriZetto QNXT™ core administration system applies cost sharing reduction (CSR) functionality to health benefit plans offered on health insurance exchanges. The team approached the QNXT solution experts at Cognizant to help streamline Vantage’s processes and find solutions to cut down the number of benefit plans it needs to create and maintain.