Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
Read Research Report
Attend our 9/1 payment integrity panel webinar: Right intervention, right time
Register TodayCotiviti CEO Emad Rizk, M.D., joins The Incrementalist podcast for a conversation on how to turn healthcare waste into better patient care.
Listen to Podcast
Error - something went wrong!
Subscribe to our blog for healthcare payer insights
Thanks for subscribing!
A Cotiviti analysis comparing Medicare Advantage members targeted for in-home assessments versus those who were not target reveals an opportunity for health plans to engage members and improve care.
Read Case Study
From fraudulent COVID-19 tests to fake requests for durable medical equipment (DME), this spring was full of attempts to defraud healthcare payers. Here, we’ve gathered some of the most...
Read Article
A house united: Integrating pre and postpay programs for optimal FWA results
Watch WebinarTo care for their members and patients, payers and providers must often share significant amounts of healthcare data across organizations—and ensure that data is protected and only...
Watch Video
With the HEDIS® season over and bids having been submitted for calendar year (CY) 2022, Medicare Advantage plans have a breather before summer enrollment education sessions, official...
Read Article
Read our Savings Spotlight and learn how one mid-sized health plan saved nearly $20 million in 2020 with Cotiviti's pre and postpay solutions.
Read Case Study
Avoid payment errors and increase prospective savings
Learn howPayers and providers are both highly motivated to keep their members and patients healthy, but amid numerous challenges—not the least of which was the major disruption to primary care...
Read Article
One solution for proactively re-engaging members with the healthcare delivery system and accurately documenting disease burden is In-Home Assessments (IHAs). Learn how to optimize them in our webinar.
Watch Webinar
Wrapping up the MY2020 HEDIS season
Watch WebinarTake a look at this calendar as a reminder of proposed and confirmed upcoming changes to the CMS Star Ratings system.
View Calendar
Calculate your risk adjustment opportunity with Cotiviti
See the calculatorRead our Savings Spotlight and learn how one regional Blue Plan serving more than 4 million members achieved nearly $100 million in savings with Cotiviti's prospective payment integrity solutions.
Read Case Study
Break out of hyper-focusing on the claim payment lifecycle and analyze claims within the context of the human experience to optimize your coordination of benefits processes.
View Infographic
What results could you be achieving with Cotiviti for your Medicare risk adjustment programs? Use this calculator and find out!
Read Article
While 2021 has brought renewed optimism over the COVID-19 pandemic, it has also delivered numerous new fraud, waste, and abuse (FWA) cases in healthcare.
Read Article
With the June 15 submission deadline just over a month away, health plan quality departments are in the thick of the HEDIS® Measurement Year (MY) 2020 audits and submissions. But soon,...
Read Article
Health plans complete in-home health assessments (often called health risk assessments) for their members for several reasons: accurately documenting members’ risk burden, supporting...
Read Article
By working in unison, risk adjustment and quality teams can better understand where care gaps exist and the most effective ways to deliver high-value care to disengaged or disenfranchised members.
Read Article
DxCG co-founder Dr. Arlene Ash explains how analytics can be used to combat inequities that impact caregiving, costs, and wellness to effectively and efficiently close gaps in care.
Watch Webinar
To successfully transition from paying for volume to paying for value, Medicare Advantage plans must take a more innovative approach to provider engagement.
Read Article
Learn how Health Partners Plans of Pennsylvania successfully recovered more than $1 million in overpayments related to upcoding from a provider group in partnership with Cotiviti.
Read Case Study
Loading More...
