Decoding the 2026 CMS Final Rule
Watch as we summarize the 2026 Medicare Advantage and Part D Final Rule and its implications for the Star Ratings program.
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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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3 updates from the 2026 CMS Final Rate Announcement
CMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.
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Quality Decoded webinar series%%Register for critical HEDIS and Star Ratings updates
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FWA Insights: Skin grafts and substitutes
Learn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
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Unparalleled analytics inform key payment integrity decisions for large payer
Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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Payment Integrity Pulse: 2025 regulatory and market changes
Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
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Busted: The top healthcare fraud schemes of Q4 2024
Some of the most prominent FWA cases of Q4 2024 included fraudulent billing, illegal kickbacks, and other misconduct that frequently jeopardized patient safety.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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FWA Insights: Reducing audit abrasion
Learn how a more collaborative, transparent approach to provider audits can help health plans maintain compliance while fostering productive provider relationships.
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Decoding the HEDIS MY 2026 public comment period
Watch our brief webinar to learn what you need to know about NCQA's proposed updates for HEDIS Measurement Year (MY) 2026.
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Regional Blue Plan performs beyond expectations with Data Mining
Learn how Cotiviti helped deliver a significant increase in overpayment recoveries through data mining expertise.
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NCQA releases proposed HEDIS MY 2026 updates
Learn NCQA's proposed new measures, measure retirements, and other changes for HEDIS Measurement Year (MY) 2026.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Prioritizing prepay integrity strengthens mid-sized health plan's competitive position
Learn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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Decoding the 2026 CMS Advance Notice
Review the 2026 CMS Medicare Advantage and Part D Advance Notice as we break down proposed measure and policy changes from a quality perspective.
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FWA Insights: Changes to audio-only telehealth codes sheds light on FWA
Learn how health plans can stay vigilant for FWA amid CMS’s changing telehealth guidelines.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Prepare for success in Medicare Advantage risk adjustment
Learn how to bolster risk adjustment efforts with our best practices.
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How interoperability drives business value
Learn key recommendations for healthcare payers to incorporate into their interoperability strategies for 2025 and beyond.
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The shift to digital quality measurement: What payers need to know and how to prepare
Learn about the opportunities and challenges payers face over the next five years as they implement a digital quality transition strategy.
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How to evolve your FWA program in 2025
Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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Avoid payment errors and increase savings with these resources
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The 2026 CMS Advance Notice: 3 key takeaways
Learn the key proposed updates for Medicare Advantage plans from a risk adjustment and quality perspective.
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Join the evolution: Advancing beyond traditional lead detection
Learn how your SIU can identify potential FWA sooner and eliminate wasted time spent on false-positive leads.
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6 key capabilities to advance beyond traditional FWA lead detection
Learn six key capabilities health plans can incorporate into their FWA programs to maximize prevention, recovery efforts, and operational efficiency.
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