Cognizant Global Clinical Services: Reimagine Medical Management

• Cognizant Solutions Overview

Improving health outcomes, aligning clinical resources with member-facing activities and reducing administrative costs are the top challenges for healthcare organizations today. With Cognizant’s Global Clinical Services, health organizations can transform medical management processes to achieve greater savings, higher quality and a stronger competitive advantage.

Cognizant Global Clinical Services delivers a comprehensive, end-to-end medical management solution. We offer the streamlined processes, advanced technology, and skilled clinical and administrative resources that will optimize your medical management operations. Cognizant is the first and only global company to receive repeated URAC-accreditation of its global clinical resources and nearly ten years of proven clinical strategies to address these challenges.

Our comprehensive medical management solution helps clients achieve:

• Better outcomes and improvements in thehealth of member populations

• Increased provider and member satisfaction

• Flexibility to support and scale wellnessinitiatives, utilization management and caremanagement programs to meet populationrequirements

• Integration of clinical resources withtechnology enablers to create a morestreamlined, member-centric continuum ofcare model

• Higher levels of compliance and regulatoryoversight

• Ability to realign clinical resources to areas ofgreater competitive differentiation

• Optimized business processes and a roadmapfor cost effectively expanding member serviceofferings

• Proper application of multiple medicalguidelines

A Comprehensive Continuum of Medical Management Services

Our Global Clinical Services encompass a complete array of services to help you optimize medical management. Your organization may draw on any of these components of our solution, including:

• Business consulting: We help you identifystrategies for improving medical managementdelivery and integrating these operationswith other strategic initiatives, such as ACOformation and mHealth.

> In addition, we offer CareServ, our turnkeyBusiness Process as a Service (BPaaS) offering. Cognizant CareSERV provides a comprehensive utilization and care management solution for payers and ACOs. It can be deployed as an outsourced BPaaS service in conjunction with our URAC-accredited clinical capabilities or as a licensed, cloud-based software platform.

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• Technology delivery: From custom platform development to data management to integrating systems, we can address all of your medical management technology requirements.

Cognizant: Bringing Experience, Depth and Resources to Your Medical Management Operations

Cognizant, which pioneered leveraging offshore clinical resources, brings nearly a decade of experience in providing powerful, URAC-accredited solutions to healthcare organizations. Our solution taps the power of a global clinical staff, enabling clients to optimize medical management solutions while lowering administrative costs -- driving greater financial and management flexibility and enhancing value-generating patient-facing tasks.

By utilizing Cognizant’s Global Clinical Services, our clients have achieved:

• Lower costs and improved MLR compliance. Our highly skilled and experienced globally based clinicians can reduce medical management labor costs by nearly 48%, while our proven workflows increase productivity and turnaround times. By re-aligning and appropriately re-deploying highly trained domestic clinicians with functions like wellness and care management, organizations can more effectively comply with MLR mandates.

• Greater management flexibility and employee satisfaction. Gain the ability to shift highly trained domestic clinicians away from routine, highly structured tasks to high value, member-focused activities, such as care management

and patient coaching. This flexibility reduces the need for costly outside hires of staff, increases patient- and member-focused activities, and improves employee satisfaction and retention.

• Improved efficiencies to drive member and provider satisfaction. Our proven, optimized workflows ensure that providers and plan members receive timely responses to queries and access to appropriate services along the full continuum of care.

• Integrated solution. Capabilities and experience in developing a fully integrated care continuum solution which incorporates best practices in technology platforms (UM/CM/DM), BPaaS, analytics, clinical services, and consulting to create a highly integrated, member-centric service model.

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Global Clinical Services Solutions Spectrum

Cognizant Global Clinical Services: A Proven Model

Situation: A national health insurance plan with more than 30 million members distributed across the U.S. was under a corporate mandate to reduce medical management costs within the next fiscal year.

Challenges: The client’s costs for clinical talent hiring and retention were high; they was also facing staffing challenges for care management. In addition, the plan needed a comprehensive strategy for addressing MLR regulations and compliance.

Cognizant’s Solution: We developed a complete solution for handling the client’s commercial UM claims from pilot to full

World Headquarters

500 Frank W. Burr Blvd.Teaneck, NJ 07666 USAPhone: +1 201 801 0233Fax: +1 201 801 0243Toll Free: +1 888 937 3277Email: inquiry@cognizant.com

European Headquarters

1 Kingdom StreetPaddington CentralLondon W2 6BDPhone: +44 207 297 7600Fax: +44 207 121 0102Email: infouk@cognizant.com

India Operations Headquarters

#5/535, Old Mahabalipuram RoadOkkiyam Pettai, ThoraipakkamChennai, 600 096 IndiaPhone: +91 (0) 44 4209 6000Fax: +91 (0) 44 4209 6060Email: inquiryindia@cognizant.com

© Copyright 2013, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is subject to change without notice. All other trademarks mentioned herein are the property of their respective owners.

About Cognizant

Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business process outsourcing services, dedicated to helping the world’s leading companies build stronger businesses. Headquartered in Teaneck, New Jersey (U.S.), Cognizant combines a passion for client satisfaction, technology innovation, deep industry and business process expertise, and a global, collaborative workforce that embodies the future of work. With over 50 delivery centers worldwide and approximately 162,700 employees as of March 31, 2013, Cognizant is a member of the NASDAQ-100, the S&P 500, the Forbes Global 2000, and the Fortune 500 and is ranked among the top performing and fastest growing companies in the world. Visit us online at www.cognizant.com or follow us on Twitter: Cognizant.

Choose Cognizant for Resources, Technology, Experience

Only Cognizant has the complete range of clinical resources, technology and experience to help you transform medical management.

• Unmatched accredited clinical resources. With multiple URAC accreditations and more than 800 dedicated clinicians to date, we offer deep and experienced global clinical resources. Our clinicians include both U.S. and Philippine-licensed nurses, managed by

roll-out. Our accredited and U.S.-licensed clinical teams remotely accessed the client’s platform from multiple offshore operations centers, enabling our client to achieve these benefits:

• Reduced UM labor costs by approximately 48% and increased productivity by 18%

• Increased accuracy of intake function from 95% to 98.7%

• Increased turnaround compliance from less than 95% to 99.4%

• Freed scarce internal clinical resources to mitigate care management staffing challenges

• Made a positive impact on MLR by reducing administrative costs and realigning internal clinicians with care management operations

a deeply experienced team of nurses, to allow for staffing scalability while maintaining existing quality and oversight controls.

• Leading technology and analytics capabilities. Our technology can augment the capabilities of your in-house solutions or you may choose to use our turnkey CareSERV BPaaS solution for medical management, including wellness initiatives, member outreach, and utilization and care management delivery. Whichever your choice, our leading analytics supply you with the clinical and financial data necessary for more effective planning and decision-making about optimizing member use of medical services.

• Better strategic planning and decision making capabilities. We help you capture better data from more sources within medical management processes, helping you pinpoint areas for improvement, such as high utilization by members and providers, length of stay, readmission rates, emergency department visits, etc.

• Healthcare consulting services. Our consultants and clinicians can help you rethink and reinvent best-in-class care management and medical management strategies, programs and processes to optimize effectiveness and improve outcomes.

Put our proven solution to work today. Begin transforming your organization’s medical management operations and amplify your ability to succeed in healthcare’s changing environment. For more information contact us at inquiry@cognizant.com or visit www.cognizant.com.