3 takeaways for Medicare Advantage plans from the 2025 Star Ratings
As Medicare Advantage plans continue to see their Star Ratings decline, here are three takeaways from the newly released 2025 Star Ratings.
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As Medicare Advantage plans continue to see their Star Ratings decline, here are three takeaways from the newly released 2025 Star Ratings.
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Payment Integrity: What the self-insurance industry needs to know%%Attend our 11/14 webinar
Register NowWatch our webinar to understand the major takeaways from this year’s ratings and how they impact Medicare Advantage plans.
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Learn how Highmark Wholecare prevented improper payments and FWA with Cotiviti's prepayment integrity solution.
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Visit nowLearn tips to prepare for the Annual Election Period and upcoming CMS changes.
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
Learn MoreLearn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Learn how TPAs can deliver a high-performing payment integrity program to their plan sponsor clients—and why it matters more than ever.
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Learn what health plans need to know for HEDIS Measurement Year (MY) 2025, including measure retirements, new measures, and changes to existing measures.
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Discover best practices to improve your risk adjustment program and strengthen results and compliance.
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Learn how to untangle the complexity of skilled nursing facility (SNF) and impatient rehab facility (IRF) claims.
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Contact usWatch our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth.
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Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Cotiviti joins AJMC's Managed Care Cast to discuss strategies smaller Medicare Advantage plans can adopt to improve Star Ratings
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookLearn how to deploy AI responsibly in your payment integrity program—and separate fact from fluff when evaluating vendors.
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Discover how health plans can gain better risk adjustment results using external solutions to improve retrieval results, advance interoperability, and drive coding accuracy.
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Watch our on-demand webinar as we highlight key considerations for combining in-house risk adjustment capabilities with vendor partnerships to strengthen results and compliance.
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Avoid payment errors and increase savings with these resources
Learn howLearn how Cotiviti’s SIU identified a physical therapy outlier and discovered patterns of inappropriate billing.
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Read a rundown of notable healthcare fraud, waste, and abuse cases, including a >$2 billion nationwide bust.
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Discover insights from Cotiviti on overcoming challenges in healthcare interoperability and data exchange in the digital age.
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