Launch Your ACO with Cognizant’s ACO 5i Framework

• Cognizant Solution Overview

Accountable Care Organizations (ACOs) are poised

care and reimbursement models. Accomplishing these goals requires ACOs to reinvent traditional industry processes and operations. Such reinvention demands an information technology infrastructure that supports new processes, new regulations and new interactions among caregivers and patient populations. It requires tighter integration among business and clinical systems. It will depend on insightful analytics driven by more and better data, rewired operations that support patient-physician collaboration and

evolves.

Implementing these requirements is a capital-intensive proposition and involves skills and experience beyond your organization’s core expertise of delivering high quality patient and population care.

Cognizant’s ACO Continuum Service Offering: 5i Framework

Our ACO 5i Framework encompasses all the qualities and capabilities your organization requires to establish a successful ACO:

• IT infrastructure built for new population management, clinical collaboration and outcomes-based reimbursement models

• Interoperability of key clinical and business systems

• Insights gained from comprehensive reporting and predictive analytics

• Involvement of all ACO stakeholders through collaborative tools and portals

• Incentives that drive quality of care, better population health and improved performance

We can deliver our ACO 5i Framework as a complete ACO implementation solution or provide just the components you require, including:

• Assessment and planning

• Clinical integration and interoperability

• Collaborative care management and coordination

• Performance improvement analytics and reporting

• Revenue cycle management (RCM).

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Cognizant’s ACO 5i Framework

Strategic Assessment and Planning

Shifting to an ACO’s shared risk payment model requires substantial realignment of resources and systems currently optimized for fee-for-service models. We will help your organization thoroughly evaluate its ability to make that shift and support new quality compliance and risk-management paradigms. We partner with you in these key areas:

• ACO Business Strategy and Implementation Planning

An end-to-end assessment service that evaluates your organization’s readiness to become an ACO, including analyses of current business processes; IT systems and integration; interoperability; care management practices; existing analytics capabilities; internal and external reporting and monitoring platforms; and RCM systems that can support corporate

a roadmap for building a fully functional ACO.

• Collaborative Care Management Strategy and Planning

We help you identify the most effective strategy and detailed roadmap to deliver an improved patient experience by providing appropriate care at the right setting and frequency with the right providers at the right cost.

• Provider Risk Management

Our assessment provides insight into both the

• Performance Monitoring and Governance

We assess current reporting and monitoring

and develop a roadmap for building required enhancements or new capabilities.

• IT Assessment Services Strategy, Integration and Analytics

We review your current IT landscape for systems integration, analytics and interoperability, and recommend platform(s) to integrate the systems, and support the analytics and reporting needs required by an ACO, including collaborative care portals.

Figure 1

Clinical Integration and Interoperability

We ensure you have the clinical functions and interoperability necessary to support optimal coordination of care, care management and population health and wellness initiatives. Our capabilities include custom building of the IT components or implementing commercial off-the-shelf (COTS) product(s). Our expertise includes:

• Care plan and workflow redesign

• Longitudinal health records, including integration with HIE and EHR (including lab and pharmacy)

• Standardized order sets; clinical pathways based on evidence-based medicine

• Collaborative care portals supporting clinician and patient population access to appropriate data

Collaborative Care Management and Coordination

ACOs must provide collaborative and well-coordinated care to improve patient experience and manage the new risk-reward reimbursement model. We provide both IT and business process services to support collaborative care management, including information delivery to all stakeholders through multiple channels, including social outlets and mobile devices. We enable your organization to successfully implement:

Population Health Management

• Population identification and risk stratification

• Shared care plan development

• Care coordination services

• Disease registries

Patient Education and Outreach

• Patient engagement and education

• Transition of care/post-discharge care

• Health risk assessments

• Medication reconciliation

• Rx compliance

Quality of Care

• Interactive assessments management

• Care gap analysis

• Utilization management

Performance Improvement, Analytics and Reporting

With ACO analytics from us, you’ll have the data required to assess and monitor the performance of your ACO, address challenges and identify opportunities. We provide you comprehensive visibility into these key areas:

Population Health Metrics: Identify and develop patient cohorts for disease management programs or community health programs. Assist physicians with patient enrollment in disease management programs through patient activation and engagement metrics.

Quality Metrics: Monitor your quality performance based on industry and custom measures, including HEDIS, Health Status SF-12, etc. Review clinical quality measures, gaps in care, adherence and other outcome measures for both physician and hospital performance. Understand the usage of EHR and adherence by ACO participants with EHR utilization reporting and governance metrics.

Predictive Analytics: Use our industry-proven models to understand physician and hospital efficiency and also gain insights on care coordination opportunities to improve the quality of care. Provide clinical decision support at point of care.

Financial Metrics: Understand service lines; physician/facility performance and variance analyses; utilization and ROI management.

Revenue Cycle Management

We will help you manage evolving risk-sharing payment models, including efficient management of shared savings disbursements. We offer:

• Budget planning and risk management

• Payment models and contracting

• Shared savings disbursement

• Enterprise RCM; longitudinal financial records

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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

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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 156,700 employees as of December 31, 2012, Cognizant is a member of the NASDAQ-100, the S&P 500, the Forbes Global 2000, and the Fortune500 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.

Launch Your ACO with Cognizant

Establishing a successful ACO requires rethinking operating models, processes and how clinicians and patients interact to improve quality of care and manage new financial risks. Our ACO 5i Framework provides the infrastructure, interoperability, insights, stakeholder involvement and incentives your organization’s ACO will need to deliver improved care, manage population health and reduce costs.

For more information contact us at inquiry@cognizant.com, or visit us online at www.cognizant.com.