Closing the Gap: Improving chronic disease screening and care
Learn how health plans can deliver better care to members with inflammatory bowel disease (IBD), including Crohn's and ulcerative colitis.
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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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Preparing investigative FWA strategies in 2024%%Register for our 12/12 webinar
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Busted: The top healthcare fraud schemes of Q3 2023
Read about some of the most prominent alleged cases of healthcare fraud, waste, and abuse occurring during the third quarter of 2023.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Progress Report: Medicaid Redetermination
Learn new strategies for engaging health plan members with multi-channel communications to limit disenrollment during the Medicaid redetermination process.
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Closing the Gap%%Boost minority mental health, cardiovascular health, and immunization rates
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Discover the impact of prospective DRG Validation
Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.
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FWA Insights: Flagging suspicious activity related to COVID-19 testing
Learn how Cotiviti flagged one provider in 2023 for possible fraud, waste, and abuse (FWA) activity related to COVID-19 drive-through tests.
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Medicaid plans leverage Eliza to reach members during redetermination
Learn how three health plans of all sizes worked with Cotiviti to conduct redetermination campaigns with Eliza, Cotiviti's multi-channel consumer engagement platform.
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FWA Insights: 6 areas of healthcare and how to defend them against fraud, waste, and abuse
Learn how your plan can tackle fraud, waste, and abuse across areas like DME, genetic testing, and more.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Data Mining for pharmacy payment errors yields high savings
See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation.
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Closing the Gap: American Diabetes Month
Learn how to optimize preventative care efforts and improve member engagement for diabetes management.
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Reflecting on the 2024 Star Ratings
Watch our on-demand webinar in partnership with RISE, Star Rating Reflections, as our team at Cotiviti takes a deep dive into the 2024 results and helps you chart a path to excellence.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Reducing disparities in care during Global Health Equity Week
How can health plans take meaningful steps to reduce disparities in care? HIMSS TV interviews Cotiviti's Leah Dewey for Global Health Equity Week.
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3 takeaways from the 2024 Star Ratings
With Medicare Advantage plans seeing lower scores in the annual Star Ratings for two consecutive years, Cotiviti offers three takeaways for better performance.
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Podcast: Optimizing inpatient claim review
Learn how health plans can improve payment accuracy for their inpatient claim review programs with AI-driven chart selection and combining prepay and postpay approaches.
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Closing the Gap: Better preventative measures for breast cancer
Learn how preventative care and measure changes can improve breast cancer outcomes.
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Program Integrity Pulse: Finding new schemes with AI and investigative techniques
Hear from our FWA experts on how artificial intelligence (AI) and machine learning (ML) can be used to detect emerging patterns of inappropriate billing and how to navigate new technology challenges.
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NCQA confirms HEDIS updates for Measurement Year (MY) 2024
Learn the HEDIS updates that the National Committee for Quality Assurance (NCQA) has confirmed for the Measurement Year (MY) 2024 season.
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Podcast: Enhancing interoperability for better risk and quality outcomes
Listen to the RISE Radio podcast and learn how interoperability supports risk adjustment and quality improvement programs.
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Avoid payment errors and increase savings with these resources
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Implementing a digital quality strategy
Learn how to navigate digital quality measurement changes with success and improve quality of care.
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Closing the Gap: Maintaining healthy cholesterol and improving medication adherence
Learn how health plans can address poor medication adherence for high cholesterol and improve member care.
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Busted: The top fraud schemes of Q2 2023
Cotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the second quarter of 2023.
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