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Improve Care, Lower Costs

ENHANCE YOUR DUAL-ELIGIBLE POPULATION ADMINISTRATION

Achieve effective management of a dual-eligible population while simplifying processes, boosting automation and improving member care.

AUTOMATE PROCESSES AND IMPROVE EFFICIENCY


Effective management of a dual-eligible health plan requires a highly-integrated, member-centric approach that eases the labor-intensive, manual-based processes that circumvent your core administration system.

The Cognizant line of TriZetto Healthcare Products has deep experience in the Medicare and Medicaid markets with over 40 clients managing dual eligibles. Our technology and services solutions deliver improved care coordination to lower costs for better client experience. 

We offer core technology that employs a single-solution approach to improve cost management and rapidly respond to changing CMS guidelines. Our solutions simplify administrative processes for complex dual benefit claims and encounters and enrich care coordination resulting in lower costs and enhanced quality.

Manage Your Duals Population Effectively

Manage the administration of your Medicaid and Medicare Advantage Duals population more effectively and efficiently with our tools that:

  • Automate manual processes with integrated member-centric functionality.
  • Converge benefits and pricing into a single claim that includes utilization management and adheres to CMS and Medicaid rules.
  • Encourage business growth with a scalable solution.
  • Facilitate care for high-risk members.
  • Manage distinct provider network three-way agreements.

PRODUCTS

Core Administration

Increases payer efficiency, improves productivity, reduces costs and positions your business for growth.

Care Management

Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.

TriZetto® TranZform®

Enables shared decision-making, communication and collaboration as a multi channel, modularized solution.

Provider Network Management

Automates pricing scenarios to provide the best value to payers, providers and patients.

Quality Management

Enables payer/provider collaboration to reduce costs and drive overall quality improvement.

Trading Partner Management

Manages EDI trading partners with one cost-effective, cloud-enabled technology service.

Portal Technology

Automates transaction processing and information exchange between payer organizations and their external constituents.

Optimization Tools

Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.

TriZetto Elements®

Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.

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HEALTHCARE VISION BLOG

GET THE RECOGNITION YOU DESERVE

HEALTHCARE EXCELLENCE AWARDS

Congratulations to finalists and winners: Cognizant honors clients that use our technology solutions to build new best practices or discover new ways to address changing business models. Find out this year’s finalists and winners and how the healthcare excellence awards program can get your organization the recognition it deserves.

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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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