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Case Study

5 Stars lead to higher bonus

5 Stars lead to higher bonus

Cognizant
Pages 5 Pages

Priority Health, a nonprofit health benefits company, partnered with Cognizant's TriZetto ClaimSphere suite to improve its complex quality management and reporting landscape. This collaboration helped Priority Health achieve a 5-star CMS rating, exceeding NCQA HEDIS metrics, and a 100% MRRV audit score. The use of ClaimSphere enabled efficient data integration, leading to better clinical outcomes, enhanced member experiences, and increased bonus payments of $600 per member annually.4o

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