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Enable Connected Healthcare Experiences

CONNECTING CARE MANAGERS TO ADVANCE OUTCOMES

Personalize interventions, improve healthcare quality and streamline costs by connecting care managers, members and providers.

LINKING PEOPLE TO IMPROVE HEALTHCARE


The most successful care management programs optimize the connections among care managers, members and providers. The result: personalized healthcare interventions, enhanced outcomes, improved quality of care and reduced costs. 

Achieving these goals can be difficult, but automating and integrating as many processes as possible can make meeting that goal feasible.

Our approach to care management starts with CareAdvance Enterprise®—a comprehensive solution that delivers full care management capabilities across utilization, case and disease management. The CareAdvance Enterprise product transforms care management into an automated, data-driven activity that delivers more targeted, effective health information and wellness campaigns. The outcome is improved interactions with members and providers. 

Our Value-Based Benefits solution, the second part of our care management portfolio, provides an automated and integrated solution for designing and administering member incentive programs.

Because both CareAdvance Enterprise and Value-Based Benefits share a member portal, these solutions can use the same rules. This approach automates your plan’s workflows and leverages real-time coordination between systems. While both are core product-agnostic, each solution can also be fully integrated with both Facets™ and QNXT™.    

INTEGRATING CARE AND OUTCOMES

Our Care Management solutions helps healthcare organizations enhance revenue growth, drive efficiency and improve cost and quality of care. Your benefits include:

  • Increased efficiencies via a streamlined utilization, case and disease management experience.
  • Reduced risk and total cost of ownership by integrating both Facets and QNXT.
  • Efficient workflows through consolidated application screens and an interface that allows easy navigation and access to important member information.
  • An open analytics platform that you can customize, integrating them with any advanced analytics solution to improve clinical outcomes.
  • The ability to engage members to manage chronic conditions effectively and improve overall health status by participating in programs for chronic condition, prevention and wellness.    

PRODUCTS

Clinical CareAdvance®

Automated workflows and member-provider outreach

Personal CareAdvance®

Fosters collaboration with members around care management processes.

Value-Based Benefits

Complete solution for implementing member incentive programs

CareAdvance Provider®

Integrating Utilization Management Efficiencies into Provider Workflows

RELATED THINKING

LINES OF BUSINESS

Commercial

Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.

Individual & Small Group

Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.

Specialty

Flexible IT solutions to address requirements with customizable functionality.

Medicare

Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.

Medicaid

Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.

Duals

Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.

RELATED SERVICES

Business Process Services

Services that offer meaningful, business outcomes.

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Business Consulting

Unparalleled healthcare business consulting expertise.

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Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

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Infrastructure Services

Services to manage your infrastructure so you can manage your business.

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IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

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Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.

LEARN MORE

HEALTHCARE VISION BLOG

CONTACT US

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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Thank you for your interest in Cognizant.

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