Cognizant Named Leader in Care Management Platforms for Payers by Everest Group

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Cognizant announced it has been designated a Leader in the Everest Group Care Management Platforms for Payers PEAK Matrix Assessment 2025. The assessment evaluates vendors based on market impact, vision, and capabilities, focusing on platform functionality, technology sophistication (AI, automation, interoperability), and scalability. The core of Cognizant's care management portfolio is TriZetto CareAdvance, a modular platform supporting utilization, disease, and population health initiatives. Notably, the TriZetto Payer Prior Authorization Solution is built on HL7 FHIR standards and integrates with systems like Facets and QNXT. This enables advanced automation and real-time data exchange by addressing both clinical and business logic. Industry experts note that payers are investing in care management platforms offering scalability and automation due to rising MLRs and evolving member expectations. Cognizant meets this need through the automation of prior authorization processes using HL7 FHIR, OCR, and NLP, which reduces manual effort and accelerates decision-making. The solutions are implemented across national payers and provider networks in the US, affecting over 200 million lives and partnering with numerous top health plans. This demonstrates how advanced AI and data-driven insights help improve healthcare quality by enabling member-focused care.