4 best practices to prevent rapid disenrollment for Medicare Advantage plans
Here are four proven best practices to remember as you build or improve upon your disenrollment prevention strategy.
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Our latest healthcare payer resources
Improve your payment, risk, and quality outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.
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The right payment integrity intervention at the right time
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Prioritizing prepayment integrity savings strengthens health plan's competitive position
Read our Savings Spotlight and learn how one health plan with just under 100,000 members achieved a 3.9% annual prepay savings rate with Cotiviti in 2020.
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Boosting childhood vaccination rates amid a resurging pandemic
Routine pediatric immunizations are down worldwide. The World Health Organization and UNICEF reported that about 23 million children missed out on basic childhood vaccines last year—one...
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Research: Optimizing payment integrity with enterprise pre and postpayment solutions
Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
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A house united: Integrating pre and postpay programs for optimal FWA results
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Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperability
Cotiviti CEO Emad Rizk, M.D., joins The Incrementalist podcast for a conversation on how to turn healthcare waste into better patient care.
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Busted: The top fraud schemes of Q2 2021
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...
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Video: Ensuring that healthcare data is shared ethically
To 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...
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Avoid payment errors and increase prospective savings
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5 tips for improving and sustaining member satisfaction
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...
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Layered approach delivers pre and postpay savings for mid-sized health plan
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.
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Wrapping up the MY2020 HEDIS season
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Redefining value: practical tactics to spur value-based care adoption
Payers 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...
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Calculate your risk adjustment opportunity with Cotiviti
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CMS Star Ratings Calendar
Take a look at this calendar as a reminder of proposed and confirmed upcoming changes to the CMS Star Ratings system.
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Strategic focus on prepayment claim accuracy leads to nearly $100M in savings for one Blue Plan
Read 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.
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COB in context: Considering the member lifecycle
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.
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Calculate your Cotiviti risk adjustment opportunity
What results could you be achieving with Cotiviti for your Medicare risk adjustment programs? Use this calculator and find out!
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Busted: The top healthcare fraud schemes of Q1 2021
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.
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Video: Improving efficiency across quality improvement teams
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,...
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How to turn in-home assessments into “close encounters of the right kind”
Health plans complete in-home health assessments (often called health risk assessments) for their members for several reasons: accurately documenting members’ risk burden, supporting...
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Q&A: Strategic payer initiatives at the intersection of risk and quality
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.
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How COVID-19 has heightened the need for healthcare equity
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.
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Q&A: Improving value-based care through data and collaboration
To successfully transition from paying for volume to paying for value, Medicare Advantage plans must take a more innovative approach to provider engagement.
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