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Improve Health Plan Administration
With Cognizant® Healthcare BPaaS, payers can rapidly modernize the processes necessary to support new healthcare delivery models.
Payers can address these challenges with the Cognizant® Healthcare Business Process-as-a-Service (BPaaS) solution. Leveraging a pre-integrated technology ecosystem with proven processes and experienced people, this integrated software and services solution applies a series of levers including process optimization, digitization and large-scale efficiencies—to help payers achieve new levels of operational efficiency and effectiveness.
Benefits to payers include:
The Cognizant Healthcare Business Process-as-a-Service (BPaaS) solution allows payers to focus on core business opportunities and free up capital to invest in innovation. Our integrated software and services solution combines automation, expert insight and best-in-class industry processes and platforms in an outcome-driven, integrated service delivery model.
Cognizant’s outcome-driven BPaaS delivery model supports payers in the Medicare Advantage, Managed Medicaid, Medicare Part D, Duals, PDP, Medicare Supplement, Commercial, Individual and Small Group markets with core transaction processing for:
Core IT modernization is achieved with access to the industry’s leading payer platform and ecosystem, which provides payers with a platform strategy rather than a product strategy. The high cost and stress of system changes and upgrades are eliminated by including maintenance and new releases within the Per Member, Per Month (PMPM) fee structure. With the Cognizant Healthcare BPaaS solution, payers will always have current technology with built‑in scalability.
A top notch compliance program can do more than just help you avoid trouble; a properly administered compliance program can increase plan revenue by boosting Star Ratings, HEDIS scores and other measures of success, drive new business models and contribute to membership growth.
Cognizant’s Healthcare BPaaS team includes an Independent Compliance and Audit Services Department, governed by a Compliance Committee and Chief Compliance Officer, dedicated to keeping you in front of regulatory and operational requirements. Services include:
Our core administration solution boosts revenue streams and reduces the total cost of ownership (TCO) by 25%.
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