Enabling a high-quality and viable healthcare system
With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations.
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Our latest healthcare payer resources
Improve your payment, risk, quality, and member engagement outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.
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Payment Integrity: What the self-insurance industry needs to know%%Attend our 11/14 webinar
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Case study: Engaging members to apply for the Low-Income Subsidy (LIS)
Learn how one large Medicare Advantage plan successfully helped its members retain critical low-income benefits.
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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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Decoding the 2025 Star Ratings
Watch our webinar to understand the major takeaways from this year’s ratings and how they impact Medicare Advantage plans.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Highmark Wholecare prevents FWA with Claim Pattern Review
Learn how Highmark Wholecare prevented improper payments and FWA with Cotiviti's prepayment integrity solution.
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
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Coding deep dive: Best practices to improve accuracy
Watch our deep dive into 2024 risk adjustment coding updates, anticipated impact, and long-term trends
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Proactive member engagement strategies to close gaps in Medicare Advantage
Learn tips to prepare for the Annual Election Period and upcoming CMS changes.
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Program Integrity Pulse: Lessons learned from a successful prepay FWA program
Learn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Prepay integrity: What the self-insurance industry needs to know
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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Decoding the HEDIS MY 2025 Technical Specifications
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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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Partnering for success in 3 critical areas of risk adjustment
Discover best practices to improve your risk adjustment program and strengthen results and compliance.
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Recovering improper costs in SNF and IRF claims
Learn how to untangle the complexity of skilled nursing facility (SNF) and impatient rehab facility (IRF) claims.
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Engaging with members at the end of the year
Watch 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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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Breaking down the HEDIS MY 2025 Technical Specs
Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Podcast: Star Ratings strategies for smaller MA plans
Cotiviti joins AJMC's Managed Care Cast to discuss strategies smaller Medicare Advantage plans can adopt to improve Star Ratings
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eBook: The evolving role of artificial intelligence in payment integrity
Learn how to deploy AI responsibly in your payment integrity program—and separate fact from fluff when evaluating vendors.
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How your risk adjustment partner can drive value
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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Avoid payment errors and increase savings with these resources
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Improving risk adjustment: Integrating internal and external innovations
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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eBook: The three pillars of coordination of benefits (COB) success for health plans
Learn the importance of accurate data, advanced analytics, and specialized expertise to execute a high-functioning, end-to-end coordination of benefits (COB) program.
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FWA Insights: Catching outlier behaviors in physical therapy claims
Learn how Cotiviti’s SIU identified a physical therapy outlier and discovered patterns of inappropriate billing.
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