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Federal rules designed to empower patients with data ownership, lower cost of care and improve outcomes, require that patients have easy access to health information from provider medical records and payer administrative systems through the app of their choice. For unprepared healthcare organizations, these rules could represent a costly and complex undertaking that disrupts business plans and upends budgets.
However, creating an infrastructure that securely supports data sharing while enforcing consent and privacy at every step paves the way for an analytically rich, data-driven organization. It is this infrastructure that will give members greater access to data and control of their health and turn a potential regulatory burden into a driving force for new business models and opportunities.
The TriZetto® Connected Interoperability Solution is an end-to-end offering that pairs modular SaaS products with industry-leading strategic consulting to connect disparate systems, standardize data and enable secure, authenticated access in real-time. The built-in security, modular product design and on-going development combined with interdisciplinary consulting assist payers to meet requirements at market pace and lay the foundation for forward-thinking business objectives like real-time utilization management, automated care management and improving outcomes by empowering patients.
Completing interoperability is a complex initative that requires skill, investment and strategy across multiple areas of your organization. A trusted partner can guide you through the process of strategic planning, product implementation, service deployment and on-going solution support to meet the unique needs of your organization. Beginning with a current state analysis, Cognizant’s healthcare, technology and digital engineering experts will support your interoperability initiative end-to-end.
Partnering with your teams, our healthcare and technology experts will evaluate your environment, objectives and existing business plans to develop a path for successful interoperability implementation and on-going business growth.
We’ll collaborate to help you establish strategies for data and security policies, SaaS product selection, installation and integration, and patient education and awareness so you can be in market faster. Modular, out-of-the-box SaaS products include:
TriZetto® Interoperability Adapter
The adapter integrates data from TriZetto® Facets® and QXNT™ platforms and converts it to the HL7® FHIR® standard in real-time for use when responding to interoperability request or for ingestion into sources like data lakes and data warehouses.
TriZetto® Interoperability Data Hub
Creates an Enterprise Master Patient Index (EMPI) and makes data from administrative and clinical systems available at scale by ingesting and storing raw, mastered and curated data to be orchestrated upon patient request and retrieval.
TriZetto® Interoperability Privacy & Consent Engine
Will be a configurable data processing tool that delivers the functionality needed to support and manage consent, enforce privacy requirements of state and federal regulators and organization-specific rules. It also supports audits of privacy and consent records.
TriZetto® Interoperability API Gateway
Provides secure API management capabilities, supports developer and application registration, delivers data access APIs and enables SMART on FHIR® with OAuth2.0 and OpenID Connect authentication for on-demand access to data from administrative and clinical systems by users, including other plans, providers, members and member-approved third parties.
Cognizant and TriZetto are registered trademarks of Cognizant or its affiliates. All other trademarks herein are the property of their respective owners. HL7® and FHIR® are the registered trademarks of Health Level Seven International and the use does not constitute endorsement by HL7.
Implementation isn’t the end of the interoperability, solution performance support, enhanced member engagement and business process alignment will help deliver greater business agility and improve data use to drive operational efficiency. Our interdisciplinary consulting teams will continue to support your interoperability initiative as you move from compliance to enabling innovative business plans.
The new healthcare interoperability rule creates opportunities for payers to reinvent member experiences and create new value propositions.LEARN MORE
Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.
Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.
Flexible IT solutions to address requirements with customizable functionality.
Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.
Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.
Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.