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Efficiency through Automation

COMPLEX MEDICAID PROCESSES, TRANSFORMED

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

ADAPTABLE. EFFICIENT. EFFECTIVE.


Prepare for Medicaid’s rapid growth with our automated and integrated Medicaid Solutions Portfolio.

Increase the efficiency of your administrative operations, navigate the demands of healthcare reform and transform business processes to meet Medicaid’s changing business requirements with our combination of advanced technology offerings.

With nearly 60 million individuals expected to be eligible for Medicaid by 2020, 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 continously changing business requirements.

The solutions offered in Cognizant’s line of TriZetto Healthcare Products support more than 60% of the nation’s managed Medicaid lives in 42 states. Our core administration solution provides a flexible and scalable foundation for your Medicaid line of business. And combined with additional point solutions, helps 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. It helps plans to:

  • Improve compliance with CMS requirements
  • Maximize efficiencies through increased automation
  • Enable nearly seamless transactions between providers, members and your plan

 

PRODUCTS

Core Administration

Increases payer efficiency, improve productivity, reduce costs and position 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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Health Tranzform™

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

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Provider Reimbursement Management

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

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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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HEALTHCARE VISION BLOG

The Healthcare Vision Blog is a thought leadership forum that highlights our expertise and perspectives on healthcare strategy, government programs, operational excellence, population health management, digital transformation and other topics healthcare organizations are facing in a changing healthcare industry.

We invite you to read the blog, engage in the conversation around the topic and subscribe to be a member. When you subscribe, you will receive automatic notifications when there is a new blog post.

We look forward to your participation.  

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GET THE RECOGNITION YOU DESERVE

Healthcare Excellence Awards: Cognizant is pleased to honor clients using our technology solutions to build new best practices or discover new ways to address changing business models. Discover how the Healthcare Excellence Awards program can get your organization the recognition it deserves.

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May 20–23, 2018 Cognizant Healthcare Conference

The Healthcare Conference brings our clients and partners together to discuss strategies and solutions that will help address the challenges you are facing today.

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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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