BPaaS Solutions

Cognizant Government Solutions

Our Medicare and Medicaid solutions include market-leading software coupled with infrastructure, advisory, and business process services needed for plans to compete and succeed in these highly regulated health plan environments.

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about All of our Payer Services

Cognizant/TMG Health BPaaS Solutions

Business Process-as-a-Service (BPaaS) solutions allow you to focus on core business opportunities and free up capital to invest in innovation. Our government programs BPaaS brings together automation, expert insight, best-in-class industry processes and platforms, and an outcome-driven, integrated service delivery and program governance framework.

Managing your government programs with our BPaaS solution provides you the ability to leverage best-in-class technology built on standard configurations without major capital outlays. That technology, combined with our team of government programs subject matter experts, can support end-to-end capabilities across your business and address the pressures of both Medical Loss Ratio (MLR) and Administrative Loss Ratio (ALR), enabling you to focus on:

Creating new products

Cultivating a better customer experience

Establishing a strong, competitive differentiation

Business Process-as-a-Service (BPaaS) for Medicare Advantage, Medicare Part D & Managed Medicaid

  • Claims Management
  • Enrollment & Billing
  • Print Fulfillment
  • Member & Provider Call Services
  • Appeals & Grievances
  • CMS & State Reporting
  • Compliance Oversight
  • Audit Management, and more!

Our flexible BPaaS operating infrastructure enables healthcare organizations to reduce administrative costs while improving data quality and patient and provider experiences.

The Case for BPaaS

Healthcare is at a point of convergence – industry shifts are impacting the way healthcare is done today.

While there are many factors contributing to the industry-wide shift, as-a-service models are changing how businesses are investing in technology and providing the necessary operational agility to expand as the market grows.

Given the current political climate, financial pressures and compliance requirements that government health plans are now experiencing, as-a-service models are the way forward.

Learn more about how our BPaaS solution can take your Medicare or Medicaid plan into the future: