Optimize experiences while lowering costs
Our end-to-end offerings help payer organizations thrive in the face of today’s complex regulations, elevated member demands and increasing cost pressures. Cognizant seamlessly connects payers and providers, helping to create frictionless member experiences and enabling more affordable care.
Payer products
Our portfolio of solutions provides payers with end-to-end capabilities to meet the needs of an ever-changing healthcare market across all lines of business.
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{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Third-party administration"}Designed to connect disparate systems and break down data silos to deliver secure, on-demand data access.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Specialty","7":"Third-party administration"}Deliver engaging experiences to members and providers, powered by data integration and real-time access.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Third-party administration"}Automate pricing scenarios to provide the best value to payers, providers and patients.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Third-party administration"}Enable payer-provider collaboration to reduce costs and drive overall quality improvement.
{"0":"All topics","1":"Duals","2":"Medicare","3":"Medicaid"}Extend the functionality of your core system by providing critical capabilities, from enrollment through encounter submissions to risk scores, so your business can efficiently administer government solutions.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Third-party administration"}Deliver engaging experiences to members and providers, powered by data integration and real-time access.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Third-party administration"}Connect care managers to members and providers while reducing costs, personalizing interventions and improving care quality.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid","6":"Specialty","7":"Third-party administration"}TriZetto component solutions are designed to bridge the communication gap between payers and providers, facilitating seamless collaboration, reducing costs and improving care quality.
*HL7® and FHIR® are the registered trademarks of Health Level Seven International and their use of these trademarks does not constitute an endorsement by HL7.
{"0":"All topics","1":"Commercial","2":"Individual and small group","3":"Duals","4":"Medicare","5":"Medicaid"}TriZetto’s clearinghouse solutions enhance compliance and efficiency, improve member and provider experiences, and reduce costs.
Payer services
Our healthcare BPaaS solutions feature integrated software and services, including process optimization, digitization and large-scale efficiencies.
Innovative partnerships are essential for payers, providers and pharmacy benefit managers to succeed in the competitive healthcare industry. We help clients rethink how they create value, innovate and grow by combining process expertise with intelligent digital platforms to optimize business operations.
In today’s dynamic healthcare environment, maintaining a skilled workforce can be challenging. Discover why organizations that embrace learning as a core competency are flourishing.
Rising costs, consumer demand, and changing regulations and guidelines are just a few of the market forces driving changes in the way healthcare organizations manage, optimize and transform their businesses. Our healthcare business consulting services use proven methods and strategies to help healthcare organizations transform and compete in this ever-changing environment.
Business demands keep changing, which means your infrastructure must do more to stay ahead of the curve. Cognizant cloud and infrastructure services ensure that your business is always ready, fuel employee productivity, integrate your departments and groups, and future-proof your organization.
Wherever you are on your journey—from aggregating data to building sophisticated AI models—Cognizant will meet you there. With our innovative offerings, you’ll be able to harness the power of data and AI to drive faster, predictive and proactive decision-making while educating your organization on the path forward.
Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.
As competition encroaches on the traditional healthcare sector, Cognizant helps retail, specialty and mail order pharmacies and pharmacy benefit managers rethink their business models. We can help you deliver targeted, personalized services in innovative ways to gain a new competitive advantage in a changed world.
Our end-to-end work enhances operations, increases efficiency, removes technical debt and modernizes applications for what is coming next.
How we transform organizations like yours
Latest thinking
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 healthcare solutions is vast and growing. Our expertise in healthcare IT services enables us to integrate cutting-edge technology seamlessly into your operations.
Let’s talk about how digital healthcare IT solutions can work for your business.