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Cognizant logo TriZetto

Efficiency through Automation

COMPLEX MEDICAID PROCESSES, TRANSFORMED

Navigate the demands of Medicaid’s always-changing business requirements with flexible and scalable solutions. 

BOOST YOUR MEDICAID EFFICIENCY

Cognizant’s automated and integrated Medicaid Solutions Portfolio helps plans prepare for Medicaid’s rapid growth and constant change.

With more than 82 million individuals expected to be eligible for Medicaid by 2026, today’s Medicaid plans are preparing for rapid growth as they deal with state budgets in crisis. To succeed, plans must maximize administrative efficiency, navigate the demands of healthcare reform and transform operations to meet continuously changing business requirements.

Our solutions support more than 60% of the nation’s managed Medicaid lives in 42 states. Our core administration solutions provide a flexible and scalable foundation for your Medicaid line of business. And when combined with our additional point solutions, they help further streamline processes and enhance the quality of care delivered to plan members.

Covering All Bases

This combination of products and services encompasses all aspects of Medicaid administration, from claims processing to medical and network management. Plan benefits include:

  • Improved compliance with CMS requirements.
  • Maximized efficiencies through increased automation.
  • Nearly seamless transactions between providers, members and your plan.
  • Entire encounter submission and response file process management.

PRODUCTS

Core Administration

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

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Care Management

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

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TriZetto® TranZform®

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

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Provider Network Management

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

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Quality Management

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

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Trading Partner Management

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

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Portal Technology

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

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Optimization Tools

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

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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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RELATED SERVICES

Business Process Services

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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.

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HEALTHCARE VISION BLOG

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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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TRIZETTO® HEALTHCARE PRODUCTS

Speak with a consultant today to learn more about Cognizant's TriZetto Healthcare Products.

(800) 569-1222