Our new eBook explains the three opportunities for excellence that Medicare Advantage plans must pursue to excel in today's ultra-competitive marketplace.
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Learn how Medicaid plans can support whole-person, culturally competent, and equitable care—from enrollment to renewal.
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Discover how the pandemic has affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
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The 340B Drug Pricing Program enables certain providers to get discounts on specific drugs, but it can be confusing. Here’s an FAQ on 340B.
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As OIG raises concerns about beneficiaries' access to care, purposeful, informed decision-making will drive successful financial and clinical results for Medicare Advantage plans.
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Cotiviti president and CEO Emad Rizk, M.D., joins the Healthcare de Jure podcast to discuss the importance of interoperability in advancing value-based care.
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Learn the three key areas that Medicare Advantage plans should bolster within their risk adjustment programs to excel in today's competitive environment while helping ensure premium accuracy.
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Avoid payment errors and increase prospective savings
Learn howThe path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
Watch WebinarWhile many plans lean on prior authorizations to ease the processing of specialty drug claims, our experts explore more comprehensive options for getting claims paid more accurately—and more quickly.
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Learn how Medical Intelligence can solve your analytic challenges and show you the levers to press to help your organization achieve its goals.
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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch WebinarCotiviti CEO Emad Rizk, M.D. joins the Tuning in to the C-Suite podcast to discuss how health plans can improve member risk assessment for better outcomes. Accurate risk assessment improves
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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Request DemoMedicare Advantage plans will see a major 8.5% increase in revenue from the final 2023 Medicare Advantage and Part D Rate Announcement released by CMS.
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch WebinarAs CMS, NCQA, and more prioritize health equity, learn how payers can better analyze social determinants of health to reduce disparities in care.
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The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch WebinarAmid significant member churn in 2022, Cotiviti EVP RaeAnn Grossman offers a "great resignation toolkit" for health plans to improve onboarding and the overall member experience.
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As NCQA seeks feedback on changes to HEDIS measures for Measurement Year 2023, Cotiviti has compiled a few particular topics for health plans to consider.
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Cotiviti leaders break down the 2023 Medicare Advantage and Part D Advance Notice as CMS prioritizes health equity measurement.
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Cotiviti offers a summary of the latest changes for HEDIS MY 2023 to help health plans understand proposed updates during NCQA’s public comment period.
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Updated in 2022 for DxCG's 25th anniversary, this is the story of the birth and evolution of one of the earliest and most accurate risk assessment and predictive modeling solutions in the industry.
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With the right approach, health plans can meet members where they are and motivate them to act through a more personalized healthcare journey.
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The top alleged healthcare fraud schemes in the fourth quarter of 2021 came in the form of kickbacks, falsified claims, overbilling, and more.
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Learn how Cotiviti worked one client to evaluate the current state of behavioral health among its population and to identify specific areas of opportunity for monitoring and intervention.
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