Santa Clara Family Health Plan Selects Cognizant's TriZetto Platform to Drive Business Growth and Meet Industry Demands

TEANECK, N.J., Jan. 10, 2017

Located in Santa Clara County, SCFHP is a local safety net health plan providing affordable health insurance to more than 280,000 members in its three lines of business: Medi-Cal, Healthy Kids, and Cal MediConnect. Medi-Cal is California's Medicaid program, Healthy Kids is a locally funded insurance program, and Cal MediConnect is a Medicare-Medicaid plan for dual eligible beneficiaries.

With the support of Cognizant's strategic consulting services, SCFHP will be implementing TriZetto's QNXT enterprise core administration platform to support their Medi-Cal and Healthy Kids programs beginning in June 2017. With this implementation, SCFHP's Medi-Cal and Healthy Kids programs will be on the same platform as its Cal MediConnect program. The TriZetto QNXT solution is one of the most widely deployed platforms supporting Medicaid Managed Care Organizations in the U.S. and provides SCFHP with the ability to run multiple lines of business on a single platform, ensure compliance, streamline operations, reduce costs and improve customer experience.

As an existing TriZetto client, SCFHP will migrate the data of its 280,000 Medi-Cal and Healthy Kids members to the QNXT platform, improving operational efficiency and providing new flexibility in the evolving healthcare marketplace. In addition, the platform will enable SCFHP to streamline the management and processing of grievances, appeals and complaints.

"As the healthcare industry continues to grow in complexity, it is essential to leverage proven solutions that can efficiently manage health plan operations, but also meet changing industry regulations and compliance," said Jonathan Tamayo, Chief Information Officer, Santa Clara Family Health Plan. "TriZetto's solutions suite and Cognizant's expertise will help us meet business requirements, while supporting our commitment to providing the highest quality customer service to our members."

"Leveraging digital technologies and modern infrastructures is crucial for organizations to remain compliant, while driving success in today's changing healthcare landscape," said Krish Venkat, President, Healthcare and Life Sciences at Cognizant. "Our integrated consulting, software and IT solutions will help SCFHP streamline business growth and workflow, and provide improved experiences across the care continuum."