The healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. COGNIZANT AT A GLANCE In this increasingly dynamic business environment, technology can help inspire new business models, open new markets and reveal new opportunities every day. Together, Cognizant and TriZetto are helping healthcare organizations run better by realizing new levels of performance and efficiency, and run different by harnessing the power of new digital business capabilities to enrich the consumer experience and drive better outcomes. Together, we offer you the industry s first truly integrated, end-to-end healthcare solution portfolio of consulting expertise, leading-edge technologies and business process services all engineered to drive greater efficiencies, optimize your IT investments and help you grow into the future you envision. As your strategic partner, we re here to help you make better healthcare happen. For everyone. Who are we? With a tireless focus on improving the businesses of our clients for over two decades, we are a worldwide leader in business consulting and technology services, with over 211,500 employees helping clients in all 50 United States and around the globe. Founded in 1994, NASDAQ: CTSH (1998), Member of S&P 500 Global HQ: Teaneck, NJ Client first culture, Proven re-investment strategy FY 2014 Revenue: $10.26B (up 16% YoY) FY 2015 guidance at $12.21B 211,500+ employees globally as of December 31, 2014 More than 20,000 outsourcing projects delivered in 40 countries 24x7 global delivery availability across more than 75 development and delivery centers around the world Ranked among Fortune s World s Most Admired Companies, InformationWeek Elite 100 and Forbes Fast Tech 25 Our track record of client service and innovation has earned us a place on Fortune magazine s World s Most Admired Companies list for seven years in a row. How does that help our clients? Our depth and breadth of solutions across multiple industries, significant global scale in program delivery, business consulting prowess and technology leadership has allowed us to become a strong, insightful partner - one that is helping leading organizations build stronger, more efficient and more agile businesses. We partner with our clients to make their current operations as efficient and costeffective as possible, and to invest in innovation that builds new capabilities to unleash new potential across their organizations. SERVING BUSINESSES ACROSS DIVERSE INDUSTRIES Home Health Insurance Banking & Financial Services Manufacturing, Logistics, Energy & Utilities Retail, Travel & Hospitality Information, Media & Entertainment Technology Communications
Overcoming Challenges: What you ll need to be successful in the new healthcare Change isn t coming. It s here, and it s happening fast: Rising consumerism and the growth of the individual insurance marketplace Shifting demographics Increasing redistribution of risk and accountability Growing government programs and the public sectorization of healthcare Containing costs OUR SOLUTIONS SOFTWARE & TOOLS CONSULTING IT PROFESSIONAL SERVICES BUSINESS PROCESS SERVICES INFRASTRUCTURE SERVICES NEXT GENERATION TECHNOLOGIES This massive transformation is creating new opportunities for healthcare organizations to reduce costs, improve the quality of care and embrace next-generation business models. Organizations need to focus on making their operations as efficient as possible, while at the same time investing to drive future growth in an increasingly competitive environment. Cognizant and TriZetto are here to make better healthcare happen. To help you succeed today while positioning your organization for growth tomorrow, we bring you a unique end-to-end healthcare solution suite developed to simplify your deployment and adoption of technology and improve your operations. Our healthcare expertise and industry-specific services are designed to maximize the potential of your current technology investments. In addition, our technology platforms drive administrative efficiencies as well as ease your organization s adoption of social, mobile, analytics and cloud technologies to enable your transition for next-generation healthcare. SERVING LEADING ORGANIZATIONS ACROSS THE HEALTHCARE INDUSTRY PAYERS 370+ Payer Organizations PBMS 5 of Top 6 PROVIDERS 250,000+ Providers & 52+ Health Systems GOVERNMENT 50+ Organizations and 30 State and Federal Exchanges PHARMA 28 of Top 30
Helping you successfully engage consumers. As the healthcare industry transitions to value-based care models, you need new solutions to enable collaboration, engage consumers and manage costs. Regulations and reforms demand more collaboration and accountability for outcomes. Consumers want more information about their care and their choices, and they re looking for it in new places, including social networks and on their mobile devices. THE NEW NORMAL FOR THE BUSINESS OF HEALTHCARE What does this mean for you? You ll need to form new partnerships and coordinate care to a level far beyond the current traditional fee-for-service, utilization management and case management functions. Cognizant and TriZetto offer you the services and solutions you need to improve coordination and collaboration in an environment that is interconnected, ACCESSIBILITY streamlined, efficient and Private and public consumer-focused. exchanges IMPROVED PATIENT OUTCOMES Disruptive innovation: gamification, big data, medical diagnostics ACOs and collaborative engagement models, lower cost care delivery, home care Population health management CONSUMER CENTRIC HEALTHCARE ECOSYSTEM COST CONTAINMENT Transparency in cost and quality of care DIGITAL ENGAGEMENT Rapidly evolving technology: software, HIEs, mobility solutions and social computing New virtualized ways of working: tele-medicine, mobile health
Helping health plans optimize opportunities in a new marketplace. With newly emerging care and payment models, incentive realignment, the growth of online insurance exchanges and the rise of consumerism, change is constant and often complex. Above all else, however, change creates extraordinary opportunities for those ready to seize them. With our expertise, leading-edge products and comprehensive services, we can help you stay on top of mandates, lower your costs, increase efficiency and provide a better member experience. LINE OF BUSINESS Medicare Medicaid Dental Vision Long-Term Care Behavioral Health Individual & Private Health Insurance Exchange Public Health Insurance Exchange
Next Generation Solutions for Health Plans: CONSULTING To help optimize your technology investments while shifting to next-generation technology platforms, we offer unparalleled consulting expertise. From strategy and planning to implementation and optimization; we help you adopt new business models, seize new market opportunities, and expand into new markets. SOFTWARE & TOOLS So that you can more effectively streamline processes, increase administrative efficiency, support multiple lines of business and stay in regulatory compliance, we have a full suite of software and tools that automate processes and support connectivity between payers, providers, members and employers. IT SERVICES Increasing agility and speed to generate value could mean migrating systems, upgrading existing applications and hardware, deploying new platforms or other critical services. Whatever your opportunities and strategic goals are, we are your premiere single-source software and solutions partner. Our combined strength offers you unrivaled technological resources and deep healthcare industry expertise, featuring a comprehensive portfolio of IT and systems integration services. BUSINESS PROCESS SERVICES Today s competitive marketplace demands that you focus on core competencies to gain and sustain market leadership. Our business process expertise can help you reduce costs immediately, while making refinements that make your business work smarter. We can help you redirect and refocus valuable resources more efficiently and strategically to innovate and grow your business. INFRASTRUCTURE SERVICES Meeting the challenges presented by big data, mobility and the cloud requires greater flexibility, faster innovation and greater business value. Cognizant and TriZetto consulting and managed services deliver the resources and capabilities you need to assess, design, build and manage a flexible IT environment, while removing the work and worry of owning, managing and maintaining your hardware and software. Our services help mitigate risk, avoid disruption and facilitate faster problem resolution, better application performance and lower, more predictable cost of ownership. NEXT-GENERATION INNOVATIONS Helping you build a stronger, more agile business is much more than our mission: it s our core. Our focus is on ensuring that you re not just responding to the challenges that await you in the new and constantly evolving world of healthcare, but that you re ahead of the curve and the competition. We help you leverage the power of next-generation business technologies to seize every significant opportunity. Consumerism Operational Improvement Health Intelligence & Analytics Investigative Services Regulatory Compliance Implementation & Upgrade Services Core Administration Provider Network Management Care Management Government Connectivity & Automation Tools Systems Integration Configuration Program Management Migration Requirements Portals Testing Configuration Front-end Processing Claims Administration Enrollment Billing Customer Service Process Automation Global Clinical Services Credentialing Business Availability Services Business Productivity Services Business Connectivity Services Business Cloud Solutions Integrated Value Management Application Management Social, Mobile, Analytics, Cloud (SMAC) Consumer Engagement Advanced Automation Code Halo
Helping healthcare providers transform to value-based care. Whether you re a physician practice, hospital or health system, the changes you re experiencing in healthcare are unprecedented. To succeed, you re seeking new approaches to decrease administrative burdens, enhance efficiencies and improve outcomes. With the transition to value-based care models, new solutions are required to enable collaboration, engage patients and manage costs. In addition to the regulations and reforms that are demanding more collaboration and accountability for outcomes, a new active player has emerged: the consumer. Consumers are now seeking additional information about their care, and more engagement with their caregivers. New technologies, especially SMAC (social, mobile, analytics, cloud) are enabling and driving this demand, so it s more important than ever for providers to form strategic partnerships and coordinate care to a level far beyond the current traditional fee-for-service, utilization management and case management functions. Cognizant and TriZetto are uniquely positioned to provide you with the services and solutions you need to improve coordination and collaboration, helping you create an environment that is interconnected, streamlined, efficient and patient-focused.
Next Generation Solutions for Providers and Health Systems STRATEGIC ADVISORY SERVICES As the healthcare industry transitions to value-based care models, the pressure is on to produce higher quality care. With business consulting capabilities that cover you from Strategy and Planning to Program Implementation and Business Optimization, we help you develop highly effective, efficient new ways of collaborating, engaging your patients and managing costs. VALUE-BASED SOLUTIONS AND SERVICES No organization is working harder than Cognizant and TriZetto to develop innovative solutions and services to create a more coordinated, collaborative environment, lower your costs and improve care delivery. By maximizing the potential of your limited resources, we help you ensure that you re prepared for the next generation of healthcare delivery. REVENUE CYCLE MANAGEMENT Understanding the changing landscape and emergence of new models of care, Cognizant and TriZetto go beyond the traditional medical clearinghouse services of patient eligibility, claims processing, bill scrubbing and EDI transactions with a comprehensive suite of revenue cycle management solutions to help you reduce claims errors, get paid faster, optimize revenue, manage denials and uncover areas for revenue cycle performance improvement. IT SERVICES With the right IT-enabled processes, you can do so much more than reduce costs and improve efficiency. Cognizant and TriZetto provide the advanced IT services that can also help you improve patient safety, satisfaction, clinical effectiveness and patient flow. Plus, our project and IT implementation services can modernize your legacy systems, and relieve your worries about systems integration, program management, development and maintenance and much more. STRATEGIC SOURCING Today s competitive marketplace demands that you focus on core competencies to gain and sustain market leadership. Our strategic sourcing expertise can help you reduce costs immediately, while making refinements that make your business work smarter. We can help you redirect and refocus valuable resources more efficiently and strategically to innovate and grow your business. Integrated Health Management Operational Improvement Health Intelligence and Analytics Investigative Services Regulatory Compliance Digital and Value Road Maps Process Redesign Administration/ERP Systems Clinical Systems Care Management Healthcare Mobile Apps Digital Infrastructure Business Intelligence Consumer Engagement Population Health Management Patient Access Claims Management Remittance & Collections Denial Management Contract Management Network Collaboration System Integration App Development & Maintenance Data Integration Quality Assurance SMAC Services Infrastructure Services Business Process Services Clinical Processes Services Administrative Services SEGMENTS SERVED Home Health Long Term & Post Acute Care Integrated Delivery Networks Health Systems Providers with Plans Physician Groups Ancillary Providers Independent Software Vendors & Service Providers
PARTNERING TO ADVANCE YOUR BUSINESS We re Committed to Your Success. From helping manage costs, finding ways to grow, understanding the impact of reform, to addressing regulatory mandates, healthcare leaders choose us to help them make better healthcare happen. Enable and Evolve Technology No other company offers you the scale, breadth and depth in healthcare: Transition Business to Meet Market Evolution Scale to grow with you Experience with organizations similar to yours Breadth of portfolio to address your business needs today Significant R&D investment to help you solve tomorrow s challenges Deep experience in the business of healthcare Proven results that help your business As the industry s future unfolds, Cognizant and TriZetto provide the technology, services and solutions to help you succeed in today s competitive marketplace, while transforming to meet tomorrow s challenges. Seize New Market Opportunities Together, Cognizant and TriZetto are making better healthcare happen. Drive Financial Effectiveness Adopt New Innovations Lead Within a Collaborative Community Copyright 2015, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is subject to change without notice. All other trademarks mentioned herein are the property of their respective owners.