Case Study: Kern Health Systems achieves regulatory compliance and improved automation with Cognizant

Combined Implementation of Core System/SQL Server Upgrades Drives Compliance and Improved Automation

Kern Health Systems, a managed care plan serving over 250,000 Medi‑Cal members in Kern County, faced a tight, seven‑week deadline to upgrade its TriZetto QNXT core system and migrate to a newer SQL version to meet regulatory requirements and expand auto‑adjudication. The project required converting data from nine disparate servers and had to be completed while the KHS team supported other ongoing initiatives — a process that previously took four to six months.

With Cognizant Systems Implementation support, KHS upgraded custom DLL processes, completed the combined QNXT and SQL migration on time with no member service disruption, and kept executives unaware until completion. The enhancements increased auto‑adjudication by 3% (reaching 78–83% out‑of‑the‑box), enabled retirement of a costly legacy system, reduced costs, and freed staff to focus on higher‑value auditing and compliance tasks.

Kern Health Systems