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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.

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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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The Work Ahead in M&E: Gaining a Foothold in the Digital Health Future
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

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.

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IDC logo, Analyze the future

Additional capabilities

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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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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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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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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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.

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    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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    Man sitting in front of the computer laptop at his desk with documents and mobile
    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.

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    Implementing the cornerstones of interoperability

    Privacy and consent: Healthcare payers must take an adaptable approach to enabling new business rules and workflows.

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    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 in the rapidly changing healthcare industry.

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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.