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Kern Health Systems revamps infra with Cognizant

After the new platform, claims auto-adjudication rates moved up by 20 per cent

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Pratima Harigunani
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TEANECK, USA: Kern Health Systems (KHS), a managed care health plan serving more than 220,000 members in California, has modernized and transformed its technology infrastructure and operations using Cognizant’s healthcare and technology consulting expertise, coupled with itsTriZetto software - an announcement states.

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Cognizant shares further that in modernizing its operations, KHS implemented capabilities of Cognizant’s TriZetto QNXT Enterprise Core Administration Platform which enables KHS to effectively manage more members, meet changing Medicaid requirements, and improve patient and provider experiences.

KHS’s new infrastructure will streamline processes and reduce costs associated with the onboarding of new members. In its first week of deployment, the Cognizant platform increased KHS’s claims auto-adjudication rates by 20 per cent compared to the company’s legacy system. Cognizant also adds that it enabled KHS to achieve higher operational efficiency through the development and implementation of a new solution to expedite the digitizing of paper-based records enabling more efficient data exchange and record access.

“In today’s evolving healthcare landscape, it is crucial to have solutions in place that can drive efficiencies and adapt to meet new and future regulations and technological disruptions,” said Richard Pruitt, CIO, Kern Health Systems. “By combining Cognizant’s consulting expertise and its TriZetto software, we will be able to address our rapid business growth with immediate, tangible results.”

“Modern IT infrastructure and digital technologies are the new foundation for healthcare organizations looking to remain competitive in an ever-changing environment,” said Krish Venkat, President, Healthcare and Life Sciences at Cognizant.

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