US Health Systems firm turns to Cognizant for IT modernization


Chennai: Cognizant today announced that 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 deep healthcare and technology consulting expertise, coupled with its market-leading TriZetto software.

In modernizing its operations, KHS implemented the end-to-end capabilities of Cognizant’s TriZetto QNXT Enterprise Core Administration Platform. The new platform enables KHS to effectively manage more members, meet changing Medicaid requirements, and improve patient and provider experiences. The TriZetto QNXT platform is one of the most widely deployed software platforms supporting Medicaid Managed Care Organizations in the US.

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 percent compared to the company’s legacy system. Cognizant also 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 & Life Sciences at Cognizant. “By working closely with KHS, we have implemented a scalable, next generation IT infrastructure that is designed to increase productivity, reduce operational costs and ultimately provide a better experience for everyone in the healthcare value chain.”

Kern Health Systems (KHS) is a managed care health plan based in Bakersfield, California, that offers care to MediCal and Healthy Families Program recipients throughout Kern County. KHS has built a network of over 500 health care providers including traditional and safety-net providers, private practice doctors, pharmacies, vision providers, and hospitals.

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