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The Algorithm
vs Cognizant×Healthcare Technology
Service comparison

Cognizant’s Healthcare Technology vs. ours

Cognizant built its healthcare IT practice on managed services contracts — long-duration, high-headcount engagements where revenue is tied to maintaining existing systems rather than modernizing them. There is a more precise model.

Their Model

How Cognizant delivers Healthcare Technology

Cognizant built its healthcare IT practice on managed services contracts — long-duration, high-headcount engagements where revenue is tied to maintaining existing systems rather than modernizing them. Their incentive is continuity, not improvement.

Healthcare technology managed services create a specific dynamic: the client's internal capability atrophies as Cognizant's knowledge of the client environment deepens. Over time, Cognizant becomes the only team that understands the system, which makes switching costly and renegotiation difficult.

Their healthcare engineering quality varies significantly by engagement tier. Enterprise health systems get the qualified teams. Mid-market health systems get the teams available. The delivery experience correlates strongly with contract size.

Our Model

How we deliver Healthcare Technology

We do not offer managed services. Every healthcare technology engagement ends with a production system, full source code, comprehensive documentation, and the operational handoff to your team. The dependency ends at close.

Our clinical systems teams include engineers with specific experience in Epic integrations, FHIR API development, HL7 processing, and the compliance requirements that govern clinical data exchange.

EHR integration and interoperability (HL7, FHIR)
Clinical AI and decision support systems
HIPAA-native data architecture
FDA 21 CFR Part 11 validated systems
Side by Side

Cognizant vs. The Algorithm

Cognizant
Engagement model
Long-duration managed services
Incentive structure
Continuity of contract
Team qualification
Varies by contract size
Client capability
Atrophies over time
Pricing
Monthly retainer
VS
The Algorithm
Engagement model
Bounded project, full IP transfer
Incentive structure
Delivery and handoff
Team qualification
Domain-qualified on every engagement
Client capability
Grows — we build toward independence
Pricing
Fixed price per deliverable
Industries

Where Healthcare Technology matters most

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Healthcare — Hospitals & Health Systems
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Healthcare — Payers & Insurance
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Healthcare — Pharmaceuticals & Life Sciences
DECISION GUIDE

Compliance-Native Architecture Guide

Design principles and a structured checklist for building software that is compliant by default — not compliant by retrofit. For teams building in regulated industries.

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Need Healthcare Technology without the Cognizant overhead?

Fixed price. Compliance-native architecture. Production in 8-16 weeks.

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