THE THINKERS AND DOERS
Unifying healthcare for all
Only Cognizant has the ability to integrate the right technology, services and expertise to create a more unified healthcare experience. For more than three decades, we’ve been the thinkers and doers helping transform America’s biggest healthcare organizations. Today, we’re enabling payers and providers to operate even more efficiently and effectively with digital solutions, so they can achieve better outcomes.
- Overview
- Why Cognizant
- Case studies
- Partners
- Awards and recognition
- Thought leadership
- Leadership
How we transform organizations like yours
- Reduce administrative costs
- Drive efficiency in claims processing
- Enhance revenue cycle management
- Improve the patient experience
Challenge
Improve claims processing speed and accuracy during growing demand for health services in a manner consistent with the broad data compliance and security requirements of Signature Performance serving a government customer.
Success highlights
- Achieved a claims auto-adjudication level of 94%, an increase of more than 30%
- Achieved an accuracy rate of 98% for claims processing
- Auto-adjudicated over seven million claims in the first year of operation
- Addressed the government client’s compliance requirements with deployment of the Trizetto® Facets® core administration platform in the Microsoft Azure ™ Government cloud
Challenge
Improve automation for El Paso Health to handle growing claims volumes.
Success highlights
- Increased market share to 17% through efficient processes
- Increased claims auto-adjudication rate by 8.7%
- Increased provider satisfaction scores by nearly 15% with utilization and quality management and 20% with network/coordination of care
- Achieved 100% automation on reimbursements for complex diagnosis-related group (DRG) contracts
- Achieved 100% automation of appeals and grievances as well as full compliance with Texas Medicaid regulatory guidelines
Challenge
Reduce denied health insurance claims and improve collections for MetroHealth.
Success highlights
- Decreased denials by 30%, translating to $13M in additional revenue over one year
- Increased average daily collections by 25%
Challenge
Improve front-end patient access by focusing on up-front payments and prior authorizations for a large US-based health system.
Success highlights
Significant increases in up-front patient collections, accelerating over time:
- 49% increase in up-front collections in the first six months
- 304% increase in up-front collections in the first year
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.