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CareAdvance is a flexible, automated care, disease and utilization management platform that reduces operating costs, helps care managers amplify their impact and enables better member health outcomes. Out-of-the-box care management programs are designed to help clients meet NCQA standards and perform well on HEDIS and Star ratings.
Our standard clinical content, which incorporates social determinants of health and accounts for behavioral health, is regularly checked by third-party reviewers for alignment with NCQA standards. Automated workflows, triggers and processes reduce turnaround times, elevate efficiency and avoid errors. This greater efficiency reduces clinical and administrative staffing pressure and speeds clinical decision-making.
Our low-code/no-code solution empowers care management teams to configure care programs without waiting for internal IT support. Integrations with core administrative systems, our Value-based Benefit Solution and first-level criteria promote collaboration among members, providers health planscare, utilization and disease management teams.
Improve care management performance
Improve care management performance

Elevate efficiency and accuracy, relieve staffing pressure and enhance collaboration among members, providers, and health plan care teams.

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Unify case, utilization and disease management
Unify case, utilization and disease management

Our low-code/no-code suite of solutions empowers care, disease and utilization management to configure and incorporate core system data without needing to queue for IT support.

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Deploy high-quality care programs faster
Deploy high-quality care programs faster

Our solution delivers out-of-the-box care management programs built upon accredited clinical content and leveraging our highly trained clinical team.

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Related services

Business process services

Services that offer meaningful business outcomes.

Business consulting

Benefit from our unparalleled healthcare business consulting expertise.

Next-gen technologies

Put next-generation technologies in place that build a stronger, more agile business and lay the groundwork for future AI and automation initiatives.

Infrastructure services

Get services that ease the strain of managing your infrastructure so you can focus on managing your business.

IT professional services

Take advantage of our unrivaled resources and healthcare expertise to meet your IT business needs.

Services/Benefits administration

Apply our proven software, technology, expertise and tested methodologies to manage your business more effectively.

Business process-as-a-service

Our integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.

A Leader in Clinical and Care Management (CCM) Operations

Cognizant’s diverse in-house medical talent pool, robust suite of services, flexible BPaaS for care coordination and focus on quality improvement services helped cagtapult us into the leaders category in the Everest Group’s Clinical and Care Management Operations Services PEAK® Matrix 2023.

PEAK Matrix Badge for clinical and care management operations 2023

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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