DATA

Innovative data and analytics solutions

Over the past 30 years, Cognosante has worked with more than 40 Medicaid programs. We count among our data standards experts former state, provider, and insurer employees with extensive experience navigating Marketplace and Medicaid data. Our innovative data and analytics solutions provide business intelligence, case management, and intelligent analytics that help states proactively detect and prevent fraud, waste, and abuse while measuring performance and adhering to rapidly evolving Medicaid reporting requirements.

Cognosante delivers:

Expertise translating complex data into actionable program insights, which helps our customers achieve compliance with the Affordable Care Act (ACA) and new managed care regulatory requirements, as well as critical financial tracking and modeling capabilities and Fraud, Waste and Abuse (FWA) detection
Experience building health information exchanges (HIE) for Federal agencies, delivering interoperability between providers, plans, managed care organizations, and other entities, while also providing intelligent data analytics in a self-service data inquiry environment
Data management and integration capabilities that combine expertise across the entire data lifecycle, from data architecture to database development, extract, transform, and load (ETL), to data cleansing, and normalization to data warehousing, all of which are essential when building effective analytics programs
Expertise in standards-based translation that enables seamless management of the transition to new standards, such as ICD-10 and adherence to ASC X12 EDI and HL7