1. International

  2. News
  3. News

Fallon Health partners with Cognizant

India Infoline News Service | Mumbai |

QuoteNow makes it easier for Fallon to implement new automated processes and manage changes based on regulatory demands.

Cognizant announced that it has enabled Fallon Health, a Massachusetts-based not-for-profit health care services organization, to become the first Massachusetts health insurer to provide quotes for merged market plans mandated by the Affordable Care Act (ACA).

As Fallon’s strategic partner, Cognizant developed and deployed a new online quoting tool called QuoteNow that facilitates best-practice quoting, rating and underwriting, and streamlines application submission and enrollment. Built using Pegasystems technology, QuoteNow helps Fallon deliver an optimal experience to consumers as well as insurance brokers, while complying with ACA requirements around member-level rating and conducting Health Insurance Exchange activity more effectively. QuoteNow makes it easier for Fallon to implement new automated processes and manage changes based on regulatory demands.

By helping Fallon to successfully exchange HIPAA-compliant electronic information with the Massachusetts Health Connector within a record time of five months, Cognizant enabled Fallon to accept applications and enroll members from the open enrollment date of October 1, 2013.

“This engagement forms an important part of our roadmap to automate our business processes for superior service and better regulatory preparedness,” said Frank Barresi, Chief Information Officer of Fallon Health. “A project of such high complexity would have taken well over a year, but we had just five months to launch date. Cognizant worked with us as a trusted partner and delivered a fully functional application right on time and the capabilities our business needed. We are impressed with Cognizant’s agile and seamless execution of the project. Our relationship with Cognizant has allowed us to leverage its extensive domain, technology and consulting capabilities to drive innovation in supporting the diverse and changing healthcare needs of the populations we serve. QuoteNow has helped Fallon establish a foundation to support other critical health plan capabilities and in the process develop best practices for an efficient delivery model.”

“We are pleased to help Fallon Health define new industry benchmarks and enhance its competitiveness, while keeping up with regulatory requirements and improving consumer satisfaction,” said Krish Venkat, President of Cognizant’s Healthcare and Life Sciences practice. “Dramatic shifts in consumer behavior and expectations, coupled with regulatory changes and commoditization of services, have opened a great opportunity for insurers to not just ‘run better’ by improving efficiency and productivity, but also ‘run different’ by driving transformation and disruptive change. We look forward to further solidifying our relationship with Fallon and helping it build the required capabilities to rapidly optimize and redesign business processes in response to the needs of its expanding, increasingly complex business.”
 

Advertisements

  • Save upto Rs.2.67 lakh with Pradhan Mantri Awas Yojana ...Know more
  • Now Save Rs.3150 on your Demat Account ...Click here
  • Now get IIFL Personal Loan in just 8* hours...APPLY NOW!
  • Get the most detailed result analysis on the web - Real Fast!
  • Actionable & Award-Winning Research on 500 Listed Indian Companies.