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Digital healthcare 
helps payers
engage and retain

Digital healthcare helps payers engage and retain

Geisinger leverages Facets to meet growth, efficiency and compliance goals

Geisinger Health Plan (GHP) raised its auto-adjudication rate to 85%, with 100% on-time submissions to Centers for Medicare & Medicaid Services and 99% provider payment accuracy, leveraging TriZetto Facets® core administration platform.

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When the only constant is change, the ability to adapt quickly is essential.

Emerging care and payment models, incentive realignment, rapid advances in digital technologies—whatever new challenges may arise, those payers that thrive will transform their business to meet the shifting demands of the healthcare market.

30% faster connectivity to the corporate network

A leading healthcare analytics and technology company scaled up its remote working capacity at a significantly lower cost by providing a completely managed, highly available and secure desktop-as-a-service (DaaS) solution.

Read the case study

Targeted solutions

Applying digital solutions to help people heal

TriZetto Healthcare Products

Cognizant’s TriZetto® Healthcare Products help you drive administrative efficiency, improve quality of care, and improve member and patient experiences.

Connected Interoperability Solutions

Health data interoperability isn’t just a federal mandate, it’s a prerequisite for business performance improvement. Meet compliance deadlines and requirements—and then go beyond them—to improve member experiences, reduce costs and create new services.

Cognizant Healthcare Business Process-as-a-Service

Reduce costs, optimize processes and improve outcomes with best-in-class software and services delivered in an integrated service model to free up resources and capital so healthcare payers can focus on innovation over administration.

Cognizant Medicare/Medicaid Solutions

Medicare, Medicaid and Dual Eligibles represent some of the highest growth segments in the U.S. healthcare market. Covering more than 30% of insured Medicare Advantage and Part D member lives, Cognizant is unmatched in its breadth of experience, expertise and solution offerings—helping plans grow revenue while ensuring quality and compliance.

Additional capabilities

  • Consulting

    Move your practice forward

    Cognizant’s services address the industry trends and market forces that drive business and IT decision-making—from rethinking new business models to enabling digital innovation.

    • Consumerism
    • Integrated health management
    • Health intelligence and analytics
    • Operational improvement
    • Regulatory compliance
    • Investigative services
    • Digital transformation
    Learn more
  • Business Process Services

    Redirect and refocus valuable resources

    Our industry‑specific business process expertise can help you redirect and refocus valuable resources, giving you the financial flexibility required to focus on core competencies and innovate for the future.

    • Configuration
    • Front-end processing
    • Claims administration
    • Enrollment
    • Billing
    • Customer service
    • Intelligent process automation
    • Global clinical services
    • Credentialing
    Learn more
  • Infrastructure Services

    Modernize your infrastructure

    We offer the consulting, managed services, resources and capabilities you need to assess, design, build and manage a flexible IT environment.

    • Availability services
    • Productivity services
    • Connectivity services
    • Business cloud solutions
    • Data management services
    • Integrated value management
    • Application management
    Learn more
  • IT Application Services

    More speed and agility

    Increasing agility and speed to generate value could mean migrating systems, upgrading existing applications and hardware or deploying new platforms or other critical services. We offer a comprehensive portfolio of IT and systems integration services.

    • Systems integration
    • Configuration
    • Program management
    • Migration
    • Requirements
    • Portals
    • Testing
    Learn more
  • Digital Business Technology

    Drive better outcomes

    Get services and solutions that enable you to identify insights, reshape business models and build the infrastructure required to engage consumers and drive better outcomes.

    Learn more

Take the first step

Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital capabilities is vast and growing.

Let’s talk about how digital can work for your business.

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