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    Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.

    Changing the Game

    REDEFINE THE VALUE OF PHARMACY IN HEALTHCARE

    From revitalizing revenue streams to meeting changing consumer demands, it’s time to capitalize on the promise of digital for lasting transformation.

    A NEW COMPETITIVE ADVANTAGE


    The future has arrived for pharmacies and  pharmacy benefit managements (PBMs). And it’s no longer “business as usual.”

    With competition arriving not just from the traditional healthcare sector but the online giants, Cognizant helps retail, specialty and mail order pharmacies and PBMs rethink operating models—and deliver more targeted and personalized services in a differentiated way.

    SOLUTIONS

    • REGULATORY COMPLIANCE

      SIMPLIFYING A COMPLEX REGULATORY ENVIRONMENT

      Cognizant helps healthcare organizations evaluate the impact of regulatory requirements and implement supporting solutions to 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 the data that should be collected across a wide range of attributes affecting pharmacy and PBM businesses, helping these organizations 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 being 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, offering:

      • Best-in-class series (claims, enrollment, 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

    LATEST THINKING

    News

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    Events

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    CONNECT WITH US

    Serving our clients, solving problems and enhancing human experiences motivate everything we do. If you're as passionate about the possibilities as we are, discover the best digital opportunities for your business.