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Cognizant - Healthcare Payer BPS 2023

Vendor Analysis

by John Willmott

published on Apr 13, 2023

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Report Overview:

This NelsonHall vendor assessment analyzes Cognizant’s offerings and capabilities in healthcare payer business process services

Who is this Report for:

NelsonHall’s Healthcare Payer BPS profile on Cognizant is a comprehensive assessment of Cognizant’s offerings and capabilities, designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers of healthcare payer BPS and transformation services and identifying vendor suitability for healthcare payer-related RFPs
  • Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the healthcare payer sector.

Scope of this Report:

The report provides a comprehensive and objective analysis of Cognizant’s healthcare payer BPS and operational transformation offerings, capabilities, and market and financial strengths, including:

  • Identification of the company’s strategy, emphasis, and new developments
  • Analysis of the company’s strengths, challenges, and outlook
  • Revenue estimates
  • Analysis of the profile of the company’s customer base
  • Analysis of the company’s offerings and key service components
  • Analysis of the company’s delivery organization, including the location of delivery centers.

Key Findings & Highlights:

This NelsonHall vendor assessment analyzes Cognizant’s offerings and capabilities in healthcare payer operational transformation and BPS.

Cognizant Healthcare IOA (Intuitive Operations and Automation) services most health plan organizations in the U.S. through TriZetto software products, BPS, or its clearing house. The practice has a mixture of national payers, regional ones, and start-ups in its client base. CHIOA offers BPaaS services for start-ups, small and midsized payers, and small units within payers. It targets large payers with its BPS portfolio.

CHIOA is strategically expanding to care management. The practice finds that back-office activities represent only ~15% of costs and that much potential for cost savings lies in care management.

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