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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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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Finding new schemes with AI and investigative techniques%%Register for our 9/26 webinar
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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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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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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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Visit our YouTube channel%%Subscribe for our latest content
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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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Podcast: Payment integrity for self-insured (ASO) employer groups
How can health plans implement payment integrity programs for self-insured (ASO) employer groups? Dive deep with our Payment Integrity Insights podcast.
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FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutides
Learn the emerging schemes in the market related to the new drug.
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Closing the Gap: National Immunization Awareness Month
Learn how health plans can leverage electronic HEDIS measures to improve immunization rates and protect their members.
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Navigating changes in Star Ratings programs: Enhancing success with four key steps
To enhance your success in navigating changes in Star Rating programs, consider implementing the following steps for your Medicare Advantage organization.
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Payment integrity: Getting self-insured employer groups on board
Discover best practices for reaching your self-insured employer groups with better payment integrity.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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4 strategies to curb medical cost increases as healthcare utilization rebounds
When the COVID-19 pandemic accelerated rapidly in early 2020, the impact on healthcare utilization was sharp, dropping nearly 32% in April 2020 as both providers and healthcare consumers...
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Pencils up: Making the most of HEDIS® downtime
Watch our webinar to learn how your organization can improve quality measurement and Star Ratings with a more holistic, integrated approach.
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Podcast: Preventing coverage loss during redetermination
Cotiviti joins Managed Healthcare Executive for a conversation on how to prevent disenrollment of Medicaid members through tailored multi-channel communications.
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Making payment integrity work for your self-insured groups
Watch our webinar as we walk through how to navigate the complexities and best practices of applying pre and postpay solutions to self-insured employer groups and members.
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Program Integrity Pulse: A Claim Pattern Review case study
Learn how to integrate prepay and postpay program interventions to improve fraud, waste, and abuse (FWA) management and prevention.
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Closing the Gap: Minority Mental Health Awareness
Break down the stigma of mental health in minority communities with awareness and engagement.
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Preparing for a “Universal Foundation” of quality measures
Learn the steps health plans can take now to prepare their quality programs for success when CMS's proposed Core Measures and Universal Foundation are implemented.
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Avoid payment errors and increase savings with these resources
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Rising Stars: Optimizing MA Star Ratings with Star Intelligence
Learn how health plans can better understand and prioritize the actions needed to offer better care to their Medicare Advantage population and to improve bonus payments.
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How to sequence FWA investigations for greater impact
Learn how health plans can structure their healthcare fraud, waste, and abuse investigations most effectively.
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FWA Insights: Flagging high-frequency telehealth claims
Learn how Cotiviti’s SIU investigated suspicious telehealth claim activity.
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