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Enhancing outcomes via insights into population health

ClaimSphere® QaaS enables healthcare organizations to identify retrospective, prospective quality improvement needs across the healthcare spectrum.
ClaimSphere QaaS helps healthcare organizations gain a deeper understanding of their populations, deliver better care, reduce costs and allows you to decode patient-specific clinical events across disparate data sources and use patient data to identify key issues impacting scores. With this information, healthcare organizations can take corrective action to improve Healthcare Effectiveness Data and Information Set (HEDIS®) quality ratings.
The ClaimSphere QaaS footprint spans over 25 states and covers Medicaid, Medicare, Commercial and FEHB lines of business—addressing Retrospective, Prospective and Predictive Quality Improvement.

Features & benefits

Improve outcomes through quality initiatives

End-to-end HEDIS workflow management is supported via a data integration and administration tool with a built-in data quality profiler that enables rapid data issue identification and rectification for improved efficiency. A supplemental sources audit trail is maintained for HEDIS compliance.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Related services

Business process services

Services that offer meaningful business outcomes.

Business consulting

Benefit from our unparalleled healthcare business consulting expertise.

Next-gen technologies

Put next-generation technologies in place that build a stronger, more agile business and lay the groundwork for future AI and automation initiatives.

Infrastructure services

Get services that ease the strain of managing your infrastructure so you can focus on managing your business.

IT professional services

Take advantage of our unrivaled resources and healthcare expertise to meet your IT business needs.

Services/Benefits administration

Apply our proven software, technology, expertise and tested methodologies to manage your business more effectively.

Business process-as-a-service

Our integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.

Contact us

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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