FWA Insights: Stopping “phantom providers” with prepay intervention
Learn how phantom provider schemes work and how to stop them with prepay fraud, waste, and abuse interventions.
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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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Evolving healthcare FWA management in 2026 and beyond
Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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Get 2026 risk adjustment coding insights%%Watch our on-demand webinar
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2026 Star Ratings: What they mean and what comes next
Review the 2026 Star Ratings results, examine key measures and cut point impacts, and learn practical recommendations for boosting Star Ratings performance.
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Payment Integrity Pulse%%Register for the next webinar on 12/18
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Protecting employees' healthcare dollars
Learn how self-insured employers can safeguard their employees' healthcare premiums with robust payment integrity programs.
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Deploying AI effectively and responsibly in payment integrity%%On-demand webinar
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Decoding the 2026 Star Ratings
Join Cotiviti as we break down the 2026 Star Ratings results and offer practical recommendations to help improve your performance and member outcomes in the future.
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FWA Insights: Appropriate billing of intensive outpatient programs
Learn how to spot red flags in billing for intensive outpatient programs (IOPs) with these insights from Cotiviti's FWA team.
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Payment policy trends and insights%%Watch our Payment Integrity Pulse webinar on demand
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Preparing for 2026: Adapting to new risk adjustment regulations
Learn the impact of the latest changes in risk adjustment for 2026 and beyond.
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Everest Group names Cotiviti the highest-designated Leader in Payment Integrity%%Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025
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MY 2026: Breaking down the latest HEDIS Technical Specifications
Read a structured breakdown of confirmed changes to the MY 2026 HEDIS Technical Specifications and strategies to enable health plans to prepare.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Star Ratings Plan Preview: 4 key recommendations
As we await publication of the final 2026 Star Ratings, learn why scores are dropping and strategies for MA plans to close out the calendar year with stronger performance.
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The journey to four stars: How one plan transformed its Star Ratings strategy
Learn how Star Intelligence powers data-driven decision-making for one regional health plan as it seeks to improve Star Ratings outcomes.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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FWA Insights: Q&A with the SIU
Cotiviti's FWA investigators break down complex questions related to skin grafts and substitutes, a growing area of concern in healthcare.
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Risk adjustment in 2026: Key updates and strategic readiness
Watch our on-demand risk adjustment webinar in partnership with RISE as we dive into key regulatory updates and emerging policy trends in 2026.
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Busted: The top fraud schemes of Q2 2025
Read our breakdown of 10 major healthcare FWA schemes from April through June 2025—and what they reveal about the evolving tactics of bad actors.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Decoding the HEDIS MY 2026 Technical Specifications
Join Cotiviti's quality experts as we break down confirmed changes to HEDIS Technical Specifications for MY 2026.
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Blue Plan expands Cotiviti DRG review program amid early success
Learn how one Blue Plan adopted Cotiviti's DRG review solution and achieved triple its original projected findings with Clinical Chart Validation.
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Perform Beyond Expectations: Delivering a true solution
Learn how Cotiviti delivers holistic solutions that empower organizations to make informed decisions and take decisive action across quality improvement, payment accuracy, and more.
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Regional plan exceeds expectations with second-pass COB
Learn how a regional health plan enlisted the help of Cotiviti’s retrospective COB Validation solution and started seeing results fast.
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Avoid payment errors and increase savings with these resources
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Perform Beyond Doubt: Turning uncertainty into informed action
Learn how Cotiviti empowers health plans to perform beyond doubt with end-to-end support, critical industry benchmarks, and more.
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FWA Insights: Identifying a DME dropshipping scheme
Learn how Cotiviti identified a DME provider that ordered items from a large online retailer, then billed the health plan at heavily marked up rates.
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Perform Beyond Hype: Going beyond buzzwords in healthcare
Learn how Cotiviti performs beyond hype with deep clinical expertise, responsible innovation, and lasting partnerships.
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