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Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.

INNOVATING HEALTHCARE

Digital healthcare 
helps payers
engage and retain

Digital healthcare helps payers engage and retain

GHP 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.

PROOF POINT
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
The work ahead for Healthcare: Payers gaining a foothold in the digital health future

Healthcare insurers need to continue applying intelligent automation and overcome skills gaps to realize expected digital gains, according to our recent research.

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HEALTHCARE ECOSYSTEM

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.

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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.

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Cognizant Healthcare Business Process-as-a-Service (BPAAS)

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.

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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.

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IDC recognizes Cognizant for its on-demand data access capabilities

IDC recognizes Cognizant’s strategic approach and investment, core experience, comprehensive solutions and SaaS delivery when naming us a vendor to watch in enabling customer-360 data platform for healthcare payers.

READ THE REPORT

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
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  • 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
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  • 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
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  • 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
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  • 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

Navigating the new normal where healthcare is very different

PLAY VIDEO
SHOWCASE

Featured work

HEALTHCARE

BPaaS solution improves health plan’s financial wellness
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HEALTHCARE

How AI data analytics supports better patient care
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THOUGHT LEADERSHIP

Latest thinking

AI builds loyalty as Medicare eligibility dates draw near
Combine data, AI, experience design and marketing automation to improve conversion and retention rates to tap this growing market.
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Synthetic data yields real boosts in health plan testing
Creating a pool of synthetic data enables health plans to derive more meaningful results from configuration testing while protecting personal health information.
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It's now time for healthcare payers to go virtual-first
Payers can become healthcare management companies by making virtual care their members’ primary doorway into the healthcare ecosystem.
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The complexities of measuring quality in Medicaid care
Payers must report on a wide group of disparate quality measures to satisfy state requirements for value-based reimbursement.
READ MORE
Implementing the cornerstones of interoperability
Privacy and consent: Healthcare payers must take an adaptable approach to enabling new business rules and workflows.
READ MORE
Taking charge of healthcare change from the core
Health insurance payers can build on open, flexible and core administrative systems to meet the challenges of reshaping how they do business.
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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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Digital Business Operations

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