Improve plan accuracy and quality

50% reduction

in go-live timeline for healthcare benefits plans.

<h3>A new era for pharmacies and pharmacy benefit managers is here and it’s far from business as usual.</h3> <h5>As competition encroaches on the traditional healthcare sector and online giants, Cognizant helps retail, specialty and mail order pharmacies and pharmacy benefit managers (PBMs) 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.</h5>

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<h3>Our capabilities</h3>

Regulatory compliance

Simplifying a complex regulatory environment

Cognizant helps healthcare organizations evaluate the impact of regulatory requirements and implement solutions that help ensure compliance. Our services include:

ICD-10
Medicare Part D compliance
NCPDP D.0 compliance
Controlled substance dispensing
Patient compliance

Health intelligence and analytics

Driving better health outcomes

The ability to access and leverage data is changing the way business decisions are made, with rich insights enabling evidence-based decision-making and proactive planning. Cognizant provides expertise on data collection across a wide range of attributes affecting pharmacy and PBM businesses, helping them make well-informed decisions in:

Analytics strategy
Process innovations

Investigative services

From detection to prevention

Enabling organizations to identify and resolve intentional and unintentional errors or verify the absence of both is critical. With significant capital lost to fraud and abuse each year, investigation and recovery efforts are key to an organization’s overall financial health.

Operational improvement

Invest in the digital future

We help healthcare organizations drive cost reduction and revenue enhancement through improved efficiency, effectiveness and process transformation by offering:

Best-in-class services (claims, enrollment and medical management)
Requirements definition
Product evaluation and selection
Operational readiness

Consumerism

Empower consumers with digital tools

New consumer-focused operating models in healthcare demand a shift in thinking, requiring many companies to go from a B2B to a B2C focus. Cognizant helps healthcare organizations manage the patient and member experience with solutions that drive engagement and help build effective strategies for member identification and retention. Our services span these areas:

Customer engagement
Customer experience
Customer retention

Implementation services

Deliver digital health services at scale

We offer complete project and IT implementation and support services, including:

Legacy systems modernization
Administrative, claims management, clinical and electronic health record implementations
Custom development and maintenance
Systems integration and program management
ERP and CRM systems
Data warehouses
E-health, self-service applications and portal development

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THOUGHT LEADERSHIP

<h3>Latest thinking</h3>

Woman sitting at a table, having a video call with a doctor on a laptop

Healthcare industry trends point toward an evolving healthcare economy

Healthcare industry trends point toward an evolving healthcare economy in which organizations will compete on quality, price and experience. Read this article to learn the capabilities you need to survive.

Know more

A female medical professional assisting an elderly lady

Eight steps: A practical approach to improving health equity

In this article, Keerthi Kumar, MD, discusses eight steps for developing a holistic approach to expanding access to care.

Know more

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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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